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The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter

The laryngoscopic examination remains the gold standard in the perioperative evaluation of the mobility of the vocal folds in patients with goiter. During the COVID-19 pandemic, many medical procedures, including laryngoscopy are optimized in terms of epidemiological safety. Therefore, it seems deep...

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Autores principales: Derlatka-Kochel, Magdalena, Majos, Marcin, Ludwisiak, Kamil, Majos, Agata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283317/
https://www.ncbi.nlm.nih.gov/pubmed/34307788
http://dx.doi.org/10.1016/j.ejro.2021.100368
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author Derlatka-Kochel, Magdalena
Majos, Marcin
Ludwisiak, Kamil
Majos, Agata
author_facet Derlatka-Kochel, Magdalena
Majos, Marcin
Ludwisiak, Kamil
Majos, Agata
author_sort Derlatka-Kochel, Magdalena
collection PubMed
description The laryngoscopic examination remains the gold standard in the perioperative evaluation of the mobility of the vocal folds in patients with goiter. During the COVID-19 pandemic, many medical procedures, including laryngoscopy are optimized in terms of epidemiological safety. Therefore, it seems deeply justified to implement methods like i.e. ultrasound or MRI which can provide the diagnostic information usually obtained via laryngoscopic examination. AIM OF THE STUDY: To determine the value of dynamic MRI examination in the 1.5 T field in the assessment of the mobility of vocal folds in patients with goiter compared to healthy people and in relation to ultrasound examinations and routine laryngoscopy. MATERIALS AND METHODS: 35 healthy volunteers and 44 patients with goiter were subjected to videolaryngoscopy, dynamic examinations of the vocal folds during respiration and phonation using ultrasound and the MRI sequences: generic gradient echo (GRE) and true fast imaging with steady-state precession (TRUFI). The qualitative and quantitative data were analyzed, i.e. the angles of deviation from the midline of the vocal folds and the area of the right and left rima glottidis compartments. RESULTS: No statistically significant differences were found between the groups of healthy volunteers and patients with goiter in the values of the angles of deviation of the vocal folds with the use of ultrasound and two MRI dynamic sequences - GRE and TRUFI. There were also no statistically significant differences in the areas of the rima glottidis compartments between these two groups with the use of two MRI dynamic sequences - GRE and TRUFI. Among the analyzed parameters, the maximum size of each rima glottidis compartment was the only one to show features of sexual dimorphism and was significantly higher in men (GRE p < 0.001 and TRUFI p = 0.001). There was no correlation between the size of the minimum and maximum rima glottidis compartment and the total volume of the thyroid lobes in patients with goiter for the GRE and TRUFI sequences. CONCLUSIONS: MRI is a promising tool for the objective assessment of the mobility of the vocal folds in patients with goiter, as well as for the qualification for treatment and monitoring its effects. It is particularly important during an epidemiological emergency due to its safety compared to laryngoscopy. The presence of the goiter and its volume do not limit the possibility of performing dynamic imaging studies of the vocal folds and do not affect the surface area of the glottis.
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spelling pubmed-82833172021-07-22 The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter Derlatka-Kochel, Magdalena Majos, Marcin Ludwisiak, Kamil Majos, Agata Eur J Radiol Open Article The laryngoscopic examination remains the gold standard in the perioperative evaluation of the mobility of the vocal folds in patients with goiter. During the COVID-19 pandemic, many medical procedures, including laryngoscopy are optimized in terms of epidemiological safety. Therefore, it seems deeply justified to implement methods like i.e. ultrasound or MRI which can provide the diagnostic information usually obtained via laryngoscopic examination. AIM OF THE STUDY: To determine the value of dynamic MRI examination in the 1.5 T field in the assessment of the mobility of vocal folds in patients with goiter compared to healthy people and in relation to ultrasound examinations and routine laryngoscopy. MATERIALS AND METHODS: 35 healthy volunteers and 44 patients with goiter were subjected to videolaryngoscopy, dynamic examinations of the vocal folds during respiration and phonation using ultrasound and the MRI sequences: generic gradient echo (GRE) and true fast imaging with steady-state precession (TRUFI). The qualitative and quantitative data were analyzed, i.e. the angles of deviation from the midline of the vocal folds and the area of the right and left rima glottidis compartments. RESULTS: No statistically significant differences were found between the groups of healthy volunteers and patients with goiter in the values of the angles of deviation of the vocal folds with the use of ultrasound and two MRI dynamic sequences - GRE and TRUFI. There were also no statistically significant differences in the areas of the rima glottidis compartments between these two groups with the use of two MRI dynamic sequences - GRE and TRUFI. Among the analyzed parameters, the maximum size of each rima glottidis compartment was the only one to show features of sexual dimorphism and was significantly higher in men (GRE p < 0.001 and TRUFI p = 0.001). There was no correlation between the size of the minimum and maximum rima glottidis compartment and the total volume of the thyroid lobes in patients with goiter for the GRE and TRUFI sequences. CONCLUSIONS: MRI is a promising tool for the objective assessment of the mobility of the vocal folds in patients with goiter, as well as for the qualification for treatment and monitoring its effects. It is particularly important during an epidemiological emergency due to its safety compared to laryngoscopy. The presence of the goiter and its volume do not limit the possibility of performing dynamic imaging studies of the vocal folds and do not affect the surface area of the glottis. Elsevier 2021-07-14 /pmc/articles/PMC8283317/ /pubmed/34307788 http://dx.doi.org/10.1016/j.ejro.2021.100368 Text en © 2021 Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Derlatka-Kochel, Magdalena
Majos, Marcin
Ludwisiak, Kamil
Majos, Agata
The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter
title The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter
title_full The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter
title_fullStr The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter
title_full_unstemmed The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter
title_short The value of 1.5T MRI in the evaluation of vocal fold mobility in patients with goiter
title_sort value of 1.5t mri in the evaluation of vocal fold mobility in patients with goiter
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283317/
https://www.ncbi.nlm.nih.gov/pubmed/34307788
http://dx.doi.org/10.1016/j.ejro.2021.100368
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