CT及MRI在下颌下腺病变中的影像进展
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摘要
下颌下腺为仅次于腮腺的第二大涎腺,邻近解剖结构复杂,病种多样。影像检查是重要的辅助检查手段,CT及MRI不仅可以提供病灶详细的解剖学信息,还能有效评估病灶性质。CT及MR灌注成像、双能量CT、扩散加权成像(DWI)及其衍生序列和体素内不相干运动(IVIM)等新技术可对肿瘤良恶性以及肿瘤性病变与感染性疾病的鉴别提供更多信息。就涎腺病变的CT和MRI研究进展予以综述,旨在探索CT及MRI新技术应用于下颌下腺成像的可能性。
The submandibular gland is the second largest salivary gland after the parotid gland, and the adjacent anatomical structure are complex and the disease entities are diverse. Imaging examination is an important auxiliary examination method, CT and MRI can be not only used to provide detailed anatomical information of the lesion, but also to effectively evaluate the nature of the lesion. New technologies such as CT and MR perfusion Imaging, dual energy CT, DWI and its derived sequences, and intravoxel incoherent motion(IVIM) provide more information on differentiating benign from malignant tumors and tumor from infectious diseases. In this article, we reviewed the research progress of CT and MRI in the salivary gland lesions, to explore the possibility of applying new CT and MRI imaging techniques in the evaluation of submandibular gland.
The submandibular gland is the second largest salivary gland after the parotid gland, and the adjacent anatomical structure are complex and the disease entities are diverse. Imaging examination is an important auxiliary examination method, CT and MRI can be not only used to provide detailed anatomical information of the lesion, but also to effectively evaluate the nature of the lesion. New technologies such as CT and MR perfusion Imaging, dual energy CT, DWI and its derived sequences, and intravoxel incoherent motion(IVIM) provide more information on differentiating benign from malignant tumors and tumor from infectious diseases. In this article, we reviewed the research progress of CT and MRI in the salivary gland lesions, to explore the possibility of applying new CT and MRI imaging techniques in the evaluation of submandibular gland.
引文
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[25]Kato H,Kanematsu M,Watanabe H,et al.Perfusion imaging of parotid gland tumours:usefulness of arterial spin labeling for differentiating Warthin’s tumours[J].Eur Radiol,2015,25:3247-3254.
[26]Sumi M,Van CM,Takagi Y,et al.Balanced turbo field-echo sequence for MRI of parotid gland diseases[J].AJR,2007,188:228-232.
[27]Gadodia A,Seith A,Sharma R,et al.Magnetic resonance sialography using CISS and HASTE sequences in inflammatory salivary gland diseases:comparison with digital sialography[J].Acta Radiol,2010,51:156-163.
[28]Razek AA.Prediction of malignancy of submandibular gland tumors with apparent diffusion coefficient[J].Oral Radiol,2019,35:1-5.
[29]Stokum JA,Sours C,Zhuo J,et al.A longitudinal evaluation of diffusion kurtosis imaging in patients with mild traumatic brain injury[J].Brain Inj,2015,29:47-57.
[30]Bisdas S,Shen H,Thust S,et al.Texture analysis and support vector machine-assisted diffusional kurtosis imaging may allowin vivogliomas grading and IDH-mutation status prediction:a preliminary study[J].Sci Rep,2018,8:6108.
[31]俞顺,包强,苏家威.磁共振扩散峰度成像对腮腺肿瘤的鉴别诊断价值[J].放射学实践,2017,32:821-825.
[32]Mikayama R,Yabuuchi H,Sonoda S,et al.Comparison of intravoxel incoherent motion diffusion-weighted imaging between turbo spinecho and echo-planar imaging of the head and neck[J].Eur Radiol,2018,28:316-324.
[33]Fujima N,Yoshida D,Sakashita T,et al.Prediction of the treatment outcome using intravoxel incoherent motion and diffusional kurtosis imaging in nasal or sinonasal squamous cell carcinoma patients[J].Eur Radiol,2016,27:956-965.
[34]Sumi M,Van CM,Sumi T,et al.Salivary gland tumors:use of intravoxel incoherent motion MR imaging for assessment of diffusion and perfusion for the differentiation of benign from malignant tumors[J].Radiology,2012,263:770-777.
[2]Jaguar GC,Lima EN,Kowalski LP,et al.Impact of submandibular gland excision on salivary gland function in head and neck cancer patients[J].Oral Oncol,2010,46:349-354.
[3]Spiro RH.Salivary neoplasms:overview of a 35-year experience with 2807 patients[J].Head Neck Surg,1986,8:177-184.
[4]Munir N,Bradley PJ.Diagnosis and management of neoplastic lesions of the submandibular triangle[J].Oral Oncol,2008,44:251-260.
[5]Yoo SH,Roh JL,Kim SO,et al.Patterns and treatment of neck metastases in patients with salivary gland cancers[J].J Surg Oncol,2015,111:1000-1006.
[6]Teymoortash A,Werner JA,Moll R.Is Warthin’s tumour of the parotid gland a lymph node disease[J].Histopathol,2011,59:143-145.
[7]Munir N,Bradley PJ.Diagnosis and management of neoplastic lesions of the submandibular triangle[J].Oral Oncol,2008,44:251-260.
[8]Gardon MA,Foletti JM,Avignon S,et al.CT scan assessment in salivary gland lithiasis diagnosis[J].J Stomatol Oral Maxillofac Surg,2018,119:110-112.
[9]Sigismund PE,Zenk J,Koch M,et al.Nearly 3,000 salivary stones:some clinical and epidemiologic aspects[J].Laryngoscope,2015,125:1879-1882.
[10]Kakimoto N,Gamoh S,Tamaki J,et al.CT and MR images of pleomorphic adenoma in major and minor salivary glands[J].Eur J Radiol,2009,69:464-472.
[11]Popovic KS,Harej M,Furlan T,et al.Role of perfusion computed tomography in assessing submandibular gland radiochemotherapy-induced injury[J].Oral Surg Oral Medicine Oral Pathol Oral Radiol,2014,118:241-247.
[12]Efendic′S,Luft R,Cerasi E.Perfusion in ENT imaging[J].Diagno Interv Imaging,2013,94:1225-1240.
[13]Marin D,Boll DT,Mileto A,et al.State of the art:dual-energy CT of the abdomen[J].Radiology,2014,271:327-342.
[14]Cecco CND,Buffa V,Fedeli S,et al.Dual energy CT(DECT)of the liver:conventional versus virtual unenhanced images[J].Eur Radiol,2010,20:2870-2875.
[15]Liao E,Srinivasan A.Applications of dual-energy computed tomography for artifact reduction in the head,neck,and spine[J].Neuroimaging Clin N Am,2017,27:489-497.
[16]Forghani R,Mukherji SK.Advanced dual-energy CT applications for the evaluation of the soft tissues of the neck[J].Clin Radiol,2018,73:70-80.
[17]周帆,卢光明,张龙江.体部CT和磁共振学会双能量CT白皮书[J].国际医学放射学杂志,2017,40:185-194.
[18]靳晓媛,刘斌,李红文.能谱CT鉴别诊断腮腺良恶性肿瘤[J].中国医学影像技术,2015,31:367-371.
[19]Chawla A,Srinivasan S,Lim TC,et al.Dual-energy CT applications in salivary gland lesions[J].Br J Radiol,2017,90:20160859.
[20]Vogl TJ,Schulz B,Bauer RW,et al.Dual-energy CT applications in head and neck imaging[J].AJR,2012,199:34-39.
[21]Katsura M,Mori H,Kunimatsu A,et al.Radiological features of IgG4-related disease in the head,neck,and brain[J].Neuroradiology,2012,54:873-882.
[22]朱敏闻,俞创奇,张伟杰,等.常用影像学检查在下颌下腺疾病诊断中的应用价值[J].上海口腔医学,2009,18:127-131.
[23]Martirosian P,Boss A,Schraml C,et al.Magnetic resonance perfusion imaging without contrast media[J].Eur J Nucl Med Mol Imaging,2010,37(Suppl 1):S52-64.
[24]Katayama I,Eida S,Fujita S,et al.Perfusion MR imaging detection of carcinoma arising from preexisting salivary gland pleomorphic adenoma by computer-assisted analysis of time-signal intensity maps[J].PLoS One,2017,12:e0178002.
[25]Kato H,Kanematsu M,Watanabe H,et al.Perfusion imaging of parotid gland tumours:usefulness of arterial spin labeling for differentiating Warthin’s tumours[J].Eur Radiol,2015,25:3247-3254.
[26]Sumi M,Van CM,Takagi Y,et al.Balanced turbo field-echo sequence for MRI of parotid gland diseases[J].AJR,2007,188:228-232.
[27]Gadodia A,Seith A,Sharma R,et al.Magnetic resonance sialography using CISS and HASTE sequences in inflammatory salivary gland diseases:comparison with digital sialography[J].Acta Radiol,2010,51:156-163.
[28]Razek AA.Prediction of malignancy of submandibular gland tumors with apparent diffusion coefficient[J].Oral Radiol,2019,35:1-5.
[29]Stokum JA,Sours C,Zhuo J,et al.A longitudinal evaluation of diffusion kurtosis imaging in patients with mild traumatic brain injury[J].Brain Inj,2015,29:47-57.
[30]Bisdas S,Shen H,Thust S,et al.Texture analysis and support vector machine-assisted diffusional kurtosis imaging may allowin vivogliomas grading and IDH-mutation status prediction:a preliminary study[J].Sci Rep,2018,8:6108.
[31]俞顺,包强,苏家威.磁共振扩散峰度成像对腮腺肿瘤的鉴别诊断价值[J].放射学实践,2017,32:821-825.
[32]Mikayama R,Yabuuchi H,Sonoda S,et al.Comparison of intravoxel incoherent motion diffusion-weighted imaging between turbo spinecho and echo-planar imaging of the head and neck[J].Eur Radiol,2018,28:316-324.
[33]Fujima N,Yoshida D,Sakashita T,et al.Prediction of the treatment outcome using intravoxel incoherent motion and diffusional kurtosis imaging in nasal or sinonasal squamous cell carcinoma patients[J].Eur Radiol,2016,27:956-965.
[34]Sumi M,Van CM,Sumi T,et al.Salivary gland tumors:use of intravoxel incoherent motion MR imaging for assessment of diffusion and perfusion for the differentiation of benign from malignant tumors[J].Radiology,2012,263:770-777.