The Value of PROPELLER Diffusion-Weighted Image in the Detection of Cholesteatoma.
10.3342/kjorl-hns.2016.59.12.813
- Author:
Soon Hyung PARK
1
;
Ye Won LEE
;
Jun Wan PARK
;
Ho Joon JANG
;
Sung Il NAM
Author Information
1. Department of Otorhinolaryngology, School of Medicine, Keimyung University, Daegu, Korea. entnamsi@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Cholesteatoma;
Diffusion weighted MRI;
MRI
- MeSH:
Cholesteatoma*;
Diffusion Magnetic Resonance Imaging;
Humans;
Magnetic Resonance Imaging;
Methods;
Otitis Media;
Sensitivity and Specificity
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2016;59(12):813-818
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: This study was to done to determine the value of PROPELLER diffusion-weighted imaging in detecting cholesteatoma. SUBJECTS AND METHOD: Sixty-five patients were evaluated by preoperative magnetic resonance imaging (MRI) with PROPELLER diffusion-weighted imaging. Of 65 patients, 16 patients had chronic otitis media without cholesteatoma and 49 patients with cholesteatoma. Surgical and pathologic findings were compared with the preoperative findings by PROPELLER diffusion-weighted imaging to assess the sensitivity, specificity, positive and negative predictive values. RESULTS: In 49 patients with cholesteatoma, high signal intensity compatible with cholesteatoma was found in 46 patients, whereas in 16 patients without cholesteatoma, high signal intensity was not detected in any of them. The sensitivity, specificity, positive and negative predictive values for PROPELLER diffusion-weighted imaging were 94.1%, 100%, 100%, and 84.2%, respectively. CONCLUSION: PROPELLER diffusion-weighted imaging can be a useful tool in detecting cholesteatoma.
