Papers

Peer-reviewed
May, 2013

Diagnostic value of MRI for odontogenic tumours

Dentomaxillofacial Radiology
  • M. Fujita
  • ,
  • H. Matsuzaki
  • ,
  • Y. Yanagi
  • ,
  • M. Hara
  • ,
  • N. Katase
  • ,
  • M. Hisatomi
  • ,
  • T. Unetsubo
  • ,
  • H. Konouchi
  • ,
  • H. Nagatsuka
  • ,
  • J. I. Asaumi

Volume
42
Number
5
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1259/dmfr.20120265

Objectives: To evaluate the diagnostic value of MRI for odontogenic tumours. Materials and methods: 51 patients with odontogenic tumours were subjected to preoperative MRI examinations. For tumours with liquid components, i.e. ameloblastomas and keratocystic odontogenic tumours (KCOTs), the signal intensity (SI) uniformity of their cystic components (US) was calculated and then their US values were compared. For tumours with solid components that had been examined using dynamic contrast-enhanced MRI (DCEMRI), their CI (maximum contrast index), Tmax (the time when CI occurred), CI (CI ×0.90), Tpeak (the time when CI occurred) and CI (i.e. the CI observed at 300 s after contrast medium injection) values were determined from CI curves. We then classified the odontogenic tumours according to their DCE-MRI parameters. Results: Significant differences between the US values of the ameloblastomas and KCOT were observed on T weighted images, T weighted images and short TI inversion recovery images. Depending on their DCE-MRI parameters, we classified the odontogenic tumours into the following five types: Type A, CI > 2.0 and T < 200 s; Type B, CI < 2.0 and T < 200 s; Type C, CI > 2.0 and T < 600 s; Type D, CI > 2.0 and T > 600 s; Type E, CI < 2.0 and T > 600 s. Conclusion: Cystic component SI uniformity was found to be useful for differentiating between ameloblastomas and KCOT. However, the DCE-MRI parameters of odontogenic tumours, except for odontogenic fibromas and odontogenic myxomas, contributed little to their differential diagnosis. © 2013 The British Institute of Radiology. max max peak max peak 300 1 2 peak peak peak peak 300 max 300 max 300 max

Link information
DOI
https://doi.org/10.1259/dmfr.20120265
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/23468124
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84876810053&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84876810053&origin=inward
ID information
  • DOI : 10.1259/dmfr.20120265
  • ISSN : 0250-832X
  • Pubmed ID : 23468124
  • SCOPUS ID : 84876810053

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