Evaluation of neck masses by CT or MRI
Keywords:
neck masses, computed tomography, magnetic resonance imagingAbstract
Aim: To evaluate the role of CT or MRI in neck masses for pre-operative characterization based on location, extent, morphological characteristics and enhancement pattern. Materials & methods: The present study was conducted in the department of Radiodiagnosis in co-ordination with the departments of E.N.T and Pathology at K.E.M. Hospital, Mumbai. A total of 50 (25 each of CT and MRI) patients with palpable neck masses were included. Results: The study comprised of nodal and non-nodal masses. Out of 50 cases studied, 23 cases (46%) had benign lesions and 27 (54%) cases had malignant lesions. The overall male to female ratio was 0.85:1. MRI and CT made a correct diagnosis in 48 out of 50 cases, having a diagnostic accuracy of 96%. For evaluation of neck masses by CT or MRI, the sensitivity, specificity, positive predictive value and negative predictive value are 96.30%, 95.65%, 96.30% and 95.65% respectively. Conclusion: CT and MRI ensure accurate anatomical localization and lesion characterization in benign lesions. MRI has obvious advantages over CT in neck imaging like better soft tissue resolution, lack of ionizing radiation and safer contrast agents.
Downloads
References
Ahuja AT, Wong KT, King AD, Yuen EH. Imaging for thyroglossal duct cyst: the bare essentials. Clin Radiol. 2005 Feb;60(2):141-148
Artico R, Bison E, Brotto M . Monophasic synovial sarcoma of hypopharynx: case report and review of the literature. Acta Otorhinolaryngol Ital. 2004 Feb;24(1):33-6
El-Monem MHA, Gaafar AH, Magdy EA. Lipomas of the head and neck: presentation variability and diagnostic work-up. The Journal of Laryngology & Otology. 2006;120:47-55
Freling N, Roele E, Schaefer-Prokop C, Fokkens W. Prediction of deep neck abscesses by contrast-enhanced computerized tomography in 76 clinically suspect consecutive patients. Laryngoscope. 2009 Sep;119(9):1745-52
Haaga J, Gilkeson V, Dogra VS. Cervical Adenopathy and Neck Masses.In: Haaga JH, editors. Computed Tomography And Magnetic Resonance Imaging Of The Whole Body. 5th Edition. Ann Arbor, Michigan: Mosby;2009:639-69.
Ikeda K, Katoh T, Ha-Kawa SK, Iwai H, Yamashita T, Tanaka Y. The usefulness of MR in establishing the diagnosis of parotid pleomorphic adenoma. Am J Neuroradiol. 1996;17:555-559.
Kehagias DT, Bourekas EC, Christoforidis GA. Schwannoma of the Vagus Nerve. Am J Roentgenol. 2001;177:720-721.
Kim KH, Sung ME, Yun JB, Han MH, Baek CH, Chu KC et al. The significance of CT scan or MRI in the evaluation of salivary gland tumours. Auris Nasus Larynx. 1998 Dec;25(4):397-402
King AD, Ahuja AT, Metreweli C. MRI of tuberculous cervical lymphadenopathy. J Comput Assist Tomogr. 1999;23(2):244-247.
King AD, Tse GM, Ahuja AT, Yuen EH, Vlantis AC, To EW et al. Necrosis in Metastatic Neck Nodes: Diagnostic Accuracy of CT, MR Imaging, and US. Radiology. 2004;230:720–726.
Kraus J, Plzák J, Bruschini R, Renne G, Andrle J, Ansarin M et al. Cystic lymphangioma of the neck in adults: a report of three cases. Wien Klin Wochenschr. 2008;120(7-8):242-245.
Kraus J, Plzák J, Bruschini R, Renne G, Andrle J, Ansarin M et al. Cystic lymphangioma of the neck in adults: a report of three cases. Wien Klin Wochenschr. 2008;120(7-8):242-245.
Lee YY, Van Tassel P, Nauert C, North LB, Jing BS. Lymphomas of the head and neck: CT findings at initial presentation. Am. J. Roentgenol. 1987;149: 575-558.
Lovner LA. Thyroid and Parathyroid gland. In: Som PM, Curtin HD, editors. Head and Neck Imaging. 4th edition. St. Louis, MO: Mosby; 2003: 2134- 2216.
Naidu SI, McCalla MR. Lymphatic malformations of the head and neck in adults: a case report and review of the literature. Ann Otol Rhinol Laryngol. 2004 Mar;113(3 Pt 1):218-22.
Olsen KI, Stacy GS, Montag A. Soft-Tissue Cavernous Hemangioma. Radiographics. 2004 May;24:849-854.
Saito DM, Glastonbury CM, El-Sayed IH, Eisele DW. Parapharyngeal space schwannomas: preoperative imaging determination of the nerve of origin. Arch Otolaryngol Head Neck Surg. 2007 Jul;133(7):662-7.
Shah JP. Head and neck surgery. 2nd edition. London, United Kingdom: Mosby-Wolfe;1996:431-460.
Shetty SK, Maher MM, Hahn PF, Halpern EF, Aquino SL. Significance of Incidental Thyroid Lesions Detected on CT: Correlation among CT, Sonography, and Pathology. Am J Roentgenol. 2006; 187:1349-1356.
Vaid S, Lee YY, Rawat S, Luthra A, Shah D, Ahuja AT. Tuberculosis in the head and neck — a forgotten differential diagnosis. Clin Radiol. 2010 Sep; 65(9):769-770.
Vazquez E, Enriquez G, Castellote A, Lucaya J, Creixell S, Aso C et al. US, CT and MR imaging of neck lesions in children. Radiographics. 1995;15:105–22.
Wong KT, Lee YYP, King AD, Ahuja AT. Imaging of cystic or cyst-like neck masses. Clin Radiol. 2008;63(6):613-622.
Yousem D, Hatabu H, Hurst R. Carotid artery invasion by head and neck masses: prediction with MR imaging. Radiology. 1995; 95:715-720.
Yousem DM, Kraut MA, Chalian AA. Major Salivary Gland Imaging. Radiology. 2000 Jul;216:19-29.
Published
How to Cite
Issue
Section
Copyright (c) 2021 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
