Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Groell, R; Doerfler, O; Schaffler, GJ; Habermann, W.
Contrast-enhanced helical CT of the head and neck: improved conspicuity of squamous cell carcinoma on delayed scans.
AJR Am J Roentgenol. 2001; 176(6):1571-1575
Doi: 10.2214/ajr.176.6.1761571
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Groell Reinhard
- Co-Autor*innen der Med Uni Graz
- Dörfler Otto
- Schaffler Gottfried
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- OBJECTIVE: We evaluated the impact of delayed scans on the conspicuity of squamous cell carcinoma in helical CT of the head and neck. SUBJECTS AND METHODS: Twenty-seven patients with biopsy-proven squamous cell carcinoma of the head and neck underwent dual-phase helical CT examinations using 100 mL of nonionic contrast material. In all patients, the early phase started 30 sec after the commencement of injection. The patients were assigned to one of two groups in which the delayed phase started either 180 sec (group A, n = 13) or 300 sec (group B, n = 14) after the start of injection. The overall image quality, including vascular opacification and the quality of lesion conspicuity, was determined according to a three-point scoring system. RESULTS: Overall image quality scored better on the early scans (score, 1.4 +/- 0.5) than on the late scans with a 180-sec (score, 1.6 +/- 0.6; p = 0.03) or a 300-sec delay (score, 2.4 +/- 0.5; p = 0.002). Tumor conspicuity scored better on scans with a 180-sec delay (score, 1.4 +/- 0.5) than on the scans with a 30-sec delay (score, 2.3 +/- 0.7; p = 0.02) or the scans with a 300-sec delay (score, 2.3 +/- 0.7; p = 0.03). In eight (62%) of 13 patients in group A and in six (43%) of 14 patients in group B, the tumor was better delineated on the late scans than on the early scans. CONCLUSION: Although early scans provide optimal vascular enhancement and are therefore necessary for helical CT studies of the head and neck, additional delayed scans may improve lesion detection in patients with squamous cell carcinoma of the head and neck.
- Find related publications in this database (using NLM MeSH Indexing)
- Carcinoma, Squamous Cell - radiography
- Contrast Media - radiography
- Female - radiography
- Head and Neck Neoplasms - radiography
- Humans - radiography
- Image Processing, Computer-Assisted - radiography
- Iohexol - analogs and derivatives
- Male - analogs and derivatives
- Middle Aged - analogs and derivatives
- Time Factors - analogs and derivatives
- Tomography, X-Ray Computed - methods