論文

査読有り 国際誌
2020年5月26日

Real-time evaluation of swallowing in patients with oral cancers by using cine-magnetic resonance imaging based on T2-weighted sequences.

Oral surgery, oral medicine, oral pathology and oral radiology
  • Tatsurou Tanaka
  • Ray Tanaka
  • Andy Wai Kan Yeung
  • Michael M Bornstein
  • Shun Nishimura
  • Masafumi Oda
  • Manabu Habu
  • Osamu Takahashi
  • Daigo Yoshiga
  • Teppei Sago
  • Ikuya Miyamoto
  • Masaaki Kodama
  • Nao Wakasugi-Sato
  • Shinobu Matsumoto-Takeda
  • Takaaki Joujima
  • Yuichi Miyamura
  • Yasuhiro Morimoto
  • 全て表示

130
5
開始ページ
583
終了ページ
592
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.oooo.2020.05.009

OBJECTIVE: The aim of this study was to evaluate whether a new cine-magnetic resonance imaging (CMRI) technique might be useful for evaluating swallowing function in patients with different types of oral cancers by assessing 12 CMRI-related parameters. STUDY DESIGN: In total, 111 patients with oral cancers were evaluated. We examined whether visualization of fluid flow and determination of flow direction to the trachea or the esophagus were possible with CMRI. We evaluated the correlations between CMRI-related parameters and self-reported dysphagia scores as the status of dysphagia, T classification groups as tumor staging for preoperative patients, alterations in CMRI-related parameters between pre- and postoperative patients, and the degree of invasiveness of oral cancer surgery. RESULTS: We could judge the flow direction to the esophagus on CMRI in all 111 patients. Six CMRI-related parameters showed significant correlations with dysphagia status. Increases in CMRI-related parameters were significantly related to deterioration of swallowing status, as shown by a decrease in self-reported dysphagia scores, advances in the T classification, and degree of invasiveness of oral cancer surgery. CONCLUSIONS: The results of the present study suggest that CMRI can be used to directly visualize swallowing dynamics and objectively evaluate the swallowing complaints of patients with oral cancer.

リンク情報
DOI
https://doi.org/10.1016/j.oooo.2020.05.009
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32622798
ID情報
  • DOI : 10.1016/j.oooo.2020.05.009
  • PubMed ID : 32622798

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