Preoperative MRI staging in diagnosis of tongue squamous cell carcinomas
10.13929/j.1003-3289.201711056
- VernacularTitle:MRI术前分期诊断舌鳞状细胞癌
- Author:
Qijun XU
1
;
Zhen XING
;
Fei JIANG
;
Jinjie CHEN
;
Chengcan LIN
;
Dairong CAO
Author Information
1. 福建医科大学附属第一医院影像科
- Keywords:
Magnetic resonance imaging;
Tongue neoplasms;
Neoplasm staging
- From:
Chinese Journal of Medical Imaging Technology
2018;34(5):660-663
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of MRI in preoperative staging of tongue squamous cell carcinomas (TSCC).Methods Totally 154 patients with TSCC underwent MR scanning.MR manifestations of TSCC were analyzed,and the preoperative staging of Tumor (T),Node (N) and American Joint Committee on Cancer (AJCC) were performed.Then the consistency between preoperative MRI staging and postoperative pathology staging was evaluated.Results Preoperative MRI T staging were T1 in 37 patients,T2 in 54,T3 in 7 and T4 in 56 patients,respectively,while N staging were N0 in 104 patients,N1 in 31 and N2 in 19 patients,respectively.For AJCC staging,there were 34 patients in Ⅰ stage,37 in Ⅱ stage,21 in Ⅲ stage and 62 in Ⅳ stage,respectively.Between preoperative MRI and postoperative pathology staging,the Kappa of T,N and AJCC staging was 0.814,0.786 and 0.790,respectively (all P＜0.01).The accuracy rate of preoperative MRI T,N and AJCC staging of TSCC was 87.01％ (134/154),88.96％ (137/154) and 85.06％ (131/154),respectively.Conclusion The consistency was good between preoperative MRI T,N and AJCC staging and postoperative pathology staging of TSCC.
