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Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery

OBJECTIVE: To evaluate the diagnostic performance of magnetic resonance (MR) with surface coils in assessing cartilage invasion in recurrent laryngeal carcinoma after carbon dioxide transoral laser microsurgery (CO(2) TOLMS). METHODS: Two expert head and neck radiologists assessed cartilage invasion...

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Autores principales: Ravanelli, Marco, Lancini, Davide, Maroldi, Roberto, Paderno, Alberto, Rondi, Paolo, Battocchio, Simonetta, Ardighieri, Laura, Vezzoli, Marika, Del Bon, Francesca, Farina, Davide, Piazza, Cesare
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore Srl 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9853105/
https://www.ncbi.nlm.nih.gov/pubmed/36654519
http://dx.doi.org/10.14639/0392-100X-N2090
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author Ravanelli, Marco
Lancini, Davide
Maroldi, Roberto
Paderno, Alberto
Rondi, Paolo
Battocchio, Simonetta
Ardighieri, Laura
Vezzoli, Marika
Del Bon, Francesca
Farina, Davide
Piazza, Cesare
author_facet Ravanelli, Marco
Lancini, Davide
Maroldi, Roberto
Paderno, Alberto
Rondi, Paolo
Battocchio, Simonetta
Ardighieri, Laura
Vezzoli, Marika
Del Bon, Francesca
Farina, Davide
Piazza, Cesare
author_sort Ravanelli, Marco
collection PubMed
description OBJECTIVE: To evaluate the diagnostic performance of magnetic resonance (MR) with surface coils in assessing cartilage invasion in recurrent laryngeal carcinoma after carbon dioxide transoral laser microsurgery (CO(2) TOLMS). METHODS: Two expert head and neck radiologists assessed cartilage invasion (infiltrated or non-infiltrated) in submucosal recurrences of laryngeal carcinoma after CO(2) TOLMS: results were compared with histopathological report after salvage laryngectomy. RESULTS: Thirty patients met the inclusion criteria and 90 cartilages were assessed. Overall sensitivity, specificity, and positive and negative predictive values for cartilage infiltration were 76, 93, 72 and 94%, respectively; for thyroid cartilage, the values were 82, 79, 69 and 88% respectively; for cricoid cartilage, all values were 100%; and for arytenoids, the values were 33, 96, 56 and 93% respectively. CONCLUSIONS: MR with surface coils was able to detect most thyroid and cricoid infiltration in the complex setting of post-CO(2) TOLMS laryngeal carcinoma recurrence. In particular, the optimal performance in assessing cricoid invasion can be valuable in choosing the most appropriate treatment among total laryngectomy, open partial horizontal laryngectomies and non-surgical strategies.
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spelling pubmed-98531052023-02-08 Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery Ravanelli, Marco Lancini, Davide Maroldi, Roberto Paderno, Alberto Rondi, Paolo Battocchio, Simonetta Ardighieri, Laura Vezzoli, Marika Del Bon, Francesca Farina, Davide Piazza, Cesare Acta Otorhinolaryngol Ital Laryngology OBJECTIVE: To evaluate the diagnostic performance of magnetic resonance (MR) with surface coils in assessing cartilage invasion in recurrent laryngeal carcinoma after carbon dioxide transoral laser microsurgery (CO(2) TOLMS). METHODS: Two expert head and neck radiologists assessed cartilage invasion (infiltrated or non-infiltrated) in submucosal recurrences of laryngeal carcinoma after CO(2) TOLMS: results were compared with histopathological report after salvage laryngectomy. RESULTS: Thirty patients met the inclusion criteria and 90 cartilages were assessed. Overall sensitivity, specificity, and positive and negative predictive values for cartilage infiltration were 76, 93, 72 and 94%, respectively; for thyroid cartilage, the values were 82, 79, 69 and 88% respectively; for cricoid cartilage, all values were 100%; and for arytenoids, the values were 33, 96, 56 and 93% respectively. CONCLUSIONS: MR with surface coils was able to detect most thyroid and cricoid infiltration in the complex setting of post-CO(2) TOLMS laryngeal carcinoma recurrence. In particular, the optimal performance in assessing cricoid invasion can be valuable in choosing the most appropriate treatment among total laryngectomy, open partial horizontal laryngectomies and non-surgical strategies. Pacini Editore Srl 2022-12-31 2022-12 /pmc/articles/PMC9853105/ /pubmed/36654519 http://dx.doi.org/10.14639/0392-100X-N2090 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
spellingShingle Laryngology
Ravanelli, Marco
Lancini, Davide
Maroldi, Roberto
Paderno, Alberto
Rondi, Paolo
Battocchio, Simonetta
Ardighieri, Laura
Vezzoli, Marika
Del Bon, Francesca
Farina, Davide
Piazza, Cesare
Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery
title Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery
title_full Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery
title_fullStr Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery
title_full_unstemmed Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery
title_short Magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery
title_sort magnetic resonance imaging to assess cartilage invasion in recurrent laryngeal carcinoma after transoral laser microsurgery
topic Laryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9853105/
https://www.ncbi.nlm.nih.gov/pubmed/36654519
http://dx.doi.org/10.14639/0392-100X-N2090
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