首页> 外文期刊>Acta Radiologica >Differentiation between superficial and deep lobe parotid tumors by magnetic resonance imaging: usefulness of the parotid duct criterion.
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Differentiation between superficial and deep lobe parotid tumors by magnetic resonance imaging: usefulness of the parotid duct criterion.

机译:浅表和深叶腮腺肿瘤的磁共振成像鉴别:腮腺导管标准的实用性。

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BACKGROUND: The location of a parotid tumor affects the choice of surgery, and there is a risk of damaging the facial nerve during surgery. Thus, differentiation between superficial and deep lobe parotid tumors is important for appropriate surgical planning. PURPOSE: To evaluate the usefulness of using the parotid duct, in addition to the retromandibular vein, for differentiating between superficial and deep lobe parotid tumors on MR images. MATERIAL AND METHODS: Magnetic resonance images of 42 parotid tumors in 40 patients were reviewed to determine whether the tumor was located in the superficial or deep lobe. In each case, the retromandibular vein and the parotid duct were used to locate the tumor. The parotid duct was only used in cases where the tumor and the duct were visualized on the same image. RESULTS: Using the retromandibular vein criterion, 71% of deep lobe and 86% of superficial lobe tumors were correctly diagnosed, providing an accuracy of 81%. However, the accuracy achieved when using the parotid duct criterion was 100%, although it could be applied to only 28 of the 42 cases. Based on these results, we defined the following diagnostic method: the parotid duct criterion is first applied, and for cases in which it cannot be applied, the retromandibular vein criterion is used. The accuracy of this method was 88%, which was better than that achieved using the retromandibular vein criterion alone. CONCLUSION: The parotid duct criterion is useful for determining the location of parotid tumors. Combining the parotid duct criterion with the retromandibular vein criterion might improve the diagnostic accuracy of parotid tumor location compared to using the latter criterion alone.
机译:背景:腮腺肿瘤的位置影响手术的选择,并且有在手术过程中损坏面神经的风险。因此,浅表和深叶腮腺肿瘤之间的区分对于适当的手术计划很重要。目的:评估除腮腺后静脉以外,使用腮腺导管在MR图像上区分浅表和深叶腮腺肿瘤的有用性。材料与方法:回顾了40例42例腮腺肿瘤的磁共振图像,以确定该肿瘤位于浅表叶还是深叶。在每种情况下,均使用下颌后静脉和腮腺导管定位肿瘤。腮腺导管仅在肿瘤和导管在同一图像上可视化的情况下使用。结果:使用下颌后静脉标准,正确诊断出71%的深叶和86%的浅叶肿瘤,准确性为81%。但是,使用腮腺导管标准时所达到的准确度是100%,尽管它只能应用于42例中的28例。基于这些结果,我们定义了以下诊断方法:首先应用腮腺导管标准,对于不能应用的腮腺导管标准,使用下颌后静脉标准。该方法的准确性为88%,比仅使用下颌后静脉标准所达到的准确性要好。结论:腮腺导管标准对于确定腮腺肿瘤的位置很有帮助。与仅使用后一种标准相比,将腮腺导管标准与下颌后静脉标准相结合可提高腮腺肿瘤位置的诊断准确性。

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