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关键词:
- 喉肿瘤 /
- 分期 /
- 体层摄影术，X线计算机 /
- 磁共振成像
Abstract: The T stage of laryngeal carcinoma is directly related to the choice of surgical, and CT and MRI are useful tools to assess staging of laryngeal carcinoma preoperatively. In this review, current status and progress of CT and MRI in preoperative T staging of laryngeal carcinoma were summarized. Conventional CT and MRI still have limitations in the evaluation of preoperative T staging of laryngeal carcinoma, however DECT, DWI and other technologies can provide more useful information. The limitation of this article is that CT and MRI are not compared with other examination methods.-
Key words:
- laryngeal neoplasms /
- staging /
- computed tomography /
- magnetic resonance imaging
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表 1 CT诊断喉癌软骨侵犯
作者 时间/年 研究对象 检查方法 灵敏度/% 特异度/% 阳性预测率/% 阴性预测率/% 准确度/% Li等〔9〕 2011 61例中晚期喉癌及下咽癌 MDCT 85 75 63 92 - Hartl等〔7〕 2013 236例早-中期喉癌 MDCT 11 94 13 92 87 Kuno等〔10〕 2012 72例喉癌及下咽癌 DECT 86 96 - - - Koopmann等〔8〕 2016 120例喉癌及下咽癌 MDCT 46 89 76 69 - 李海洋等〔5〕 2017 197例喉癌及下咽癌 MDCT 57 86 65 81 - Kuno等〔11〕 2018 55例喉癌及下咽癌 DECT 89 100 100 95 - MDCT：多排螺旋CT; DECT：双能量CT。 
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表 2 MRI诊断喉癌软骨侵犯
作者 时间 研究对象 灵敏度/% 特异度/% 阳性预测率/% 阴性预测率/% 准确度/% Becker等〔12〕 2008 121例喉癌及下咽癌 92 82 62 97 - Kinshuck等〔13〕 2012 81例喉癌及下咽癌 64 71 45 84 - Taha等〔14〕 2014 26例喉癌 (甲状软骨内板)93 82 88 90 88 (甲状软骨外板)85 85 85 85 85 李海洋等〔15〕 2017 197例喉癌及下咽癌 (甲状软骨)94 87 78 97 - (甲状软骨内板)90 82 61 96 - (甲状软骨外板)89 84 57 97 - Preda等〔16〕 2017 42例喉癌 (平扫+DWI)80 91 89 83 85 (平扫+增强+DWI)87 81 81 87 84
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[1] Amin MB, Edge SB, Greene FL, et al. AJCC Cancer Staging Manual. 8th ed[M]. New York: Springer, 2017: 155-156.
[2] Agnello F, Cupido F, Sparacia G, et al. Computerised tomography and magnetic resonance imaging of laryngeal squamous cell carcinoma: A practical approach[J]. Neuroradiol J, 2017, 30(3): 197-204. doi: 10.1177/1971400916689373
[3] Zbären P, Becker M, Läng H. Staging of laryngeal cancer: endoscopy, computed tomography and magnetic resonance versus histopathology[J]. Eur Arch Otorhinolaryngol, 1997, 254(1): S117-S122.
[4] Yener HM, Yilmaz M, Karaaltın AB, et al. The incidence of thyroid cartilage invasion in early stage laryngeal carcinoma: Our experience on sixty-two patients[J]. Clin Otolaryngol, 2018, 43(1): 388-392. doi: 10.1111/coa.13004
[5] 李海洋, 陈晓红. 增强CT/MRI对恶性肿瘤侵犯甲状软骨的诊断价值研究[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(5): 372-376. doi: 10.3760/cma.j.issn.1673-0860.2017.05.010
[6] Gómez SM, Iglesias Moreno MC, Gimeno HJ, et al. Cartilage invasion patterns in laryngeal cancer[J]. Eur Arch Otorhinolaryngol, 2016, 273(7): 1863-1869. doi: 10.1007/s00405-015-3687-5
[7] Hartl DM, Landry G, Bidault F, et al. CT-scan prediction of thyroid cartilage invasion for early laryngeal squamous cell carcinoma[J]. Eur Arch Otorhinolaryngol, 2013, 270(1): 287-291. doi: 10.1007/s00405-012-2005-8
[8] Koopmann M, Weiss D, Steiger M, et al. Thyroid cartilage invasion in laryngeal and hypopharyngeal squamous cell carcinoma treated with total laryngectomy[J]. Eur Arch Otorhinolaryngol, 2016, 273(11): 3789-3794. doi: 10.1007/s00405-016-4120-4
[9] Li B, Bobinski M, Gandour-Edwards R, et al. Overstaging of cartilage invasion by multidetector CT scan for laryngeal cancer and its potential effect on the use of organ preservation with chemoradiation[J]. Br J Radiol, 2011, 84(997): 64-69. doi: 10.1259/bjr/66700901
[10] Kuno H, Onaya H, Iwata R, et al. Evaluation of cartilage invasion by laryngeal and hypopharyngeal squamous cell carcinoma with dual-energy CT[J]. Radiology, 2012, 265(2): 488-496. doi: 10.1148/radiol.12111719
[11] Kuno H, Sakamaki K, Fujii S, et al. Comparison of MR Imaging and Dual-Energy CT for the Evaluation of Cartilage Invasion by Laryngeal and Hypopharyngeal Squamous Cell Carcinoma[J]. AJNR Am J Neuroradiol, 2018, 25(1): 1-8.
[12] Becker M, Zbären P, Casselman JW, et al. Neoplastic invasion of laryngeal cartilage: Reassessment of criteria for diagnosis at MR imaging[J]. Radiology, 2008, 249(2): 551-559. doi: 10.1148/radiol.2492072183
[13] Kinshuck AJ, Goodyear PW, Lancaster J, et al. Accuracy of magnetic resonance imaging in diagnosing thyroid cartilage and thyroid gland invasion by squamous cell carcinoma in laryngectomy patients[J]. J Laryngol Otol, 2012, 126(3): 302-306. doi: 10.1017/S0022215111003331
[14] Taha MS, Hassan O, Amir M, et al. Diffusion-weighted MRI in diagnosing thyroid cartilage invasion in laryngeal carcinoma[J]. Eur Arch Otorhinolaryngol, 2014, 271(9): 2511-2516. doi: 10.1007/s00405-013-2782-8
[15] 李海洋, 陈晓红. 增强MRI联合DWI序列对恶性肿瘤侵犯甲状软骨的诊断价值研究[J]. 中国耳鼻咽喉颅底外科杂志, 2017, 23(4): 333-337. https://www.cnki.com.cn/Article/CJFDTOTAL-ZEBY201704009.htm
[16] Preda L, Conte G, Bonello L, et al. Diagnostic accuracy of surface coil MRI in assessing cartilaginous invasion in laryngeal tumours: Do we need contrast-agent administration?[J]. Eur Radiol, 2017, 27(11): 4690-4698. doi: 10.1007/s00330-017-4840-x
[17] Becker M, Zbären P, Delavelle J, et al. Neoplastic invasion of the laryngeal cartilage: Reassessment of Criteria for diagnosis at CT[J]. Radiology, 1997, 203(2): 521-532. doi: 10.1148/radiology.203.2.9114116
[18] Dadfar N, Seyyedi M, Forghani R, et al. Computed tomography appearance of normal nonossified thyroid cartilage: implication for tumor invasion diagnosis[J]. J Comput Assist Tomogr, 2015, 39(2): 240-243. doi: 10.1097/RCT.0000000000000196
[19] Ginat DT, Mayich M, Daftari-Besheli L, et al. Clinical applications of dual-energy CT in head and neck imaging[J]. Eur Arch Otorhinolaryngol, 2016, 273(3): 547-553. doi: 10.1007/s00405-014-3417-4
[20] Kuno H, Onaya H, Fujii S, et al. Primary staging of laryngeal and hypopharyngeal cancer: CT, MR imaging and dual-energy CT[J]. Eur J Radiol, 2014, 83(1): 23-35. doi: 10.1016/j.ejrad.2013.10.022
[21] Forghani R, Levental M, Gupta R, et al. Different Spectral Hounsfield Unit Curve and High-Energy Virtual Monochromatic Image Characteristics of Squamous Cell Carcinoma Compared with Nonossified Thyroid Cartilage[J]. AJNR Am J Neuroradiol, 2015, 36(6): 1194-1200. doi: 10.3174/ajnr.A4253
[22] Adolphs AP, Boersma NA, Diemel BD, et al. A systematic review of computed tomography detection of cartilage invasion in laryngeal carcinoma[J]. Laryngoscope, 2015, 125(7): 1650-1655. doi: 10.1002/lary.25145
[23] Hoffmann C, Cornu N, Hans S, et al. Early glottic cancer involving the anterior commissure treated by transoral laser cordectomy[J]. Laryngoscope, 2016, 126(8): 1817-1822. doi: 10.1002/lary.25757
[24] Ulusan M, Unsaler S, Basaran B, et al. The incidence of thyroid cartilage invasion through the anterior commissure in clinically early-staged laryngeal cancer [J]. Eur Arch Otorhinolaryngol, 2016, 273(2): 447-453. doi: 10.1007/s00405-015-3503-2
[25] Barbosa MM, Araújo VJ Jr, Boasquevisque E, et al. Anterior vocal commissure invasion in laryngeal carcinoma diagnosis[J]. Laryngoscope, 2005, 115(4): 724-730. doi: 10.1097/01.mlg.0000161329.75600.9d
[26] Wu JH, Jing Z, Li ZH, et al. Comparison of CT and MRI in Diagnosis of Laryngeal Carcinoma with Anterior Vocal Commissure Involvement[J]. Sci Rep, 2016, 6: 30353. doi: 10.1038/srep30353
[27] Banko B, - Dukic ' V, Milovanovic ' J, et al. Diagnostic significance of magnetic resonance imaging in preoperative evaluation of patients with laryngeal tumors[J]. Eur Arch Otorhinolaryngol, 2011, 268(11): 1617-1623. doi: 10.1007/s00405-011-1701-0
[28] Bozkurt G, Ünsal O, Çelebi I, et al. Does CT help in predicting preepiglottic space invasion in laryngeal carcinoma?[J]. Auris Nasus Larynx, 2018, 45(3): 546-552. doi: 10.1016/j.anl.2017.07.002
[29] Banko B, Djukic V, Milovanovic J, et al. MRI in evaluation of neoplastic invasion into preepiglottic and paraglottic space[J]. Auris Nasus Larynx, 2014, 41(5): 471-474. doi: 10.1016/j.anl.2014.02.008
[30] Mangussi-Gomes J, Danelon-Leonhardt F, Moussalem GF, et al. Thyroid gland invasion in advanced squamous cell carcinoma of the larynx and hypopharynx[J]. Braz J Otorhinolaryngol, 2017, 83(3): 269-275. doi: 10.1016/j.bjorl.2016.03.019
[31] Aghazadeh K, Dabiri SS, Sharifi A, et al. Predictors of Thyroid Gland Invasion in Laryngeal Squamous Cell Carcinoma[J]. Iran J Otorhinolaryngol, 2018, 30(98): 153-158.
[32] Mourad M, Saman M, Sawhney R, et al. Management of the thyroid gland during total laryngectomy in patients with laryngeal squamous cell carcinoma[J]. Laryngoscope, 2015, 125(8): 1835-1838. doi: 10.1002/lary.25263
[33] Gaillardin L, Beutter P, Cottier JP, et al. Thyroid gland invasion in laryngopharyngeal squamous cell carcinoma: prevalence, endoscopic and CT predictors[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2012, 129(1): 1-5. doi: 10.1016/j.anorl.2011.04.002
[34] Lin P, Huang X, Zheng C, et al. The predictive value of MRI in detecting thyroid gland invasion in patients with advanced laryngeal or hypopharyngeal carcinoma[J]. Eur Arch Otorhinolaryngol, 2016, 274(1): 1-6
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| 引用本文: |
瞿姣, 张梦梅, 韦文彦, 等. 喉癌术前T分期的CT及MRI研究现状与进展[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(5): 470-473. doi: 10.13201/j.issn.2096-7993.2020.05.022
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| Citation: |
QU Jiao, ZHANG Mengmei, WEI Wenyan, et al. Progress in CT and MRI of preoperative T staging of laryngeal carcinoma[J]. J Clin Otorhinolaryngol Head Neck Surg, 2020, 34(5): 470-473. doi: 10.13201/j.issn.2096-7993.2020.05.022
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