31May 2017

DIFFUSION-WEIGHTED IMAGING: A FLOURISHING TOOL IN THE DIAGNOSIS OF MAXILLOFACIAL LESIONS.

  • Assistant lecturerofOral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University; Cairo, Egypt.
  • Ass. Professor of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University; Cairo, Egypt.
  • Professor of Oral Radiology, Faculty of Oral and Dental Medicine, Cairo University; Cairo, Egypt.
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Objective: The purpose of this study was to address the capability of diffusion-weighted magnetic resonance imaging in the differentiation between maxillofacial lesions. Subjects and Methods: Twenty-five patients withthirty-four lesions were assessed using diffusion-weighted magnetic resonance imaging, andthree apparent diffusion coefficient maps were constructed for analysis. The sample was categorized according to the lesion type into benign tumors, cysts, malignancy, inflammatory lesions, fibro-osseous lesions, and giant cell lesions. Results: Statistical analysis revealed that apparent diffusion coefficient map of 300,500,1000 b-values was the most sensitive, and accordingly, a central limit of 1.42X10 -3 was deduced, separating benign tumor, cyst or infection, from malignancies, giant cell and fibro-osseous lesions. Conclusion: Diffusion weighted imaging seemed to have a great role in differentiation between lesions, and the implementation of different apparent diffusion coefficient maps was of great importance in identification of lesion type

  1. Abdel Razek, A. A. K., Gaballa, G., Elhawarey, G., Megahed, A. S., Hafez, M., & Nada, N. (2009). Characterization of pediatric head and neck masses with diffusion-weighted MR imaging. EurRadiol, 19(1), 201?8. doi:10.1007/s00330-008-1123-6
  2. Bitar, R., Leung, G., Perng, R., Tadros, S., Moody, A. R., Sarrazin, J., ? Roberts, T. P. (2006). MR pulse sequences: what every radiologist wants to know but is afraid to ask. Radiographics : A Review Publication of the Radiological Society of North America, Inc, 26(2), 513?37. doi:10.1148/rg.262055063
  3. Boeddinghaus, R., & Whyte, A. (2008). Current concepts in maxillofacial imaging.Eur J Radiol, 66(3), 396?418. doi:10.1016/j.ejrad.2007.11.019
  4. Bozgeyik, Z., Onur, M. R., &Poyraz, A. K. (2013). The role of diffusion weighted magnetic resonance imaging in oncologic settings. Quant Imaging Med Surg, 3(5), 269?78.doi:10.3978/j.issn.2223-4292.2013.10.07
  5. Ce?e, H., G?ndoğan, M., Karakaş, O., Karakaş, E., Boyacı, F. N., Yıldız, S., ? Seker, A. (2013).The role of diffusion-weighted magnetic resonance imaging in the classification of hepatic hydatid cysts.Eur J Radiol, 82(1), 90?4.doi:10.1016/j.ejrad.2012.08.015
  6. Eida, S., Sumi, M., Sakihama, N., Takahashi, H., & Nakamura, T. (2007). Apparent diffusion coefficient mapping of salivary gland tumors: prediction of the benignancy and malignancy. Am J Neuroradiol, 28(1), 116?21. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17213436
  7. Ichikawa, Y., Sumi, M., Sasaki, M., &Sumi, T. (2012). Efficacy of Diffusion-Weighted Imaging for the Differentiation between Lymphomas and Carcinomas of the Nasopharynx and Oropharynx : Correlations of Apparent Diffusion Coefficients and Histologic Features. AJNR Am J Neuroradiol, 33(4), 761?766.
  8. Kaneda, T. (2003). MR imaging of maxillomandibular lesions.Oral Radiol.,19(1), 64?69.
  9. Kaplan, I., Anavi, Y., &Hirshberg, a. (2008). Glandular odontogenic cyst: a challenge in diagnosis and treatment. Oral Dis, 14(7), 575?81.doi:10.1111/j.1601-0825.2007.01428.x
  10. Ko?, O., Paksoy, Y., Erayman, I., Kivrak, A. S., &Arbag, H. (2007). Role of diffusion weighted MR in the discrimination diagnosis of the cystic and/or necrotic head and neck lesions. Eur JRadiol, 62(2), 205?13.doi:10.1016/j.ejrad.2006.11.030
  11. Koo, J. H., Kim, C. K., Choi, D., Park, B. K., Kwon, G. Y., & Kim, B. (2013). Diffusion-Weighted Magnetic Resonance Imaging for the Evaluation of Prostate Cancer: Optimal B Value at 3T. Korean JRadiol : Official Journal of the Korean Radiological Society, 14(1), 61?69. doi:10.3348/kjr.2013.14.1.61
  12. Mohajerani, H., Mosalman, M., Mohajerani, S. A., &Ghorbani, Z. (2009).Frequency of Giant Cell Lesions in Oral Biopsies.J Dent(Tehran), 6(4), 193?197.
  13. Nakahira, M., Saito, N., Murata, S., Sugasawa, M., Shimamura, Y., Morita, K., ? Matsumura, S. (2012). Quantitative diffusion-weighted magnetic resonance imaging as a powerful adjunct to fine needle aspiration cytology for assessment of thyroid nodules.Am J Otolaryngol, 33(4), 408?16.doi:10.1016/j.amjoto.2011.10.013
  14. Nilsen, L. B., Fangberget, A., Geier, O., &Seierstad, T. (2013).Quantitative analysis of diffusion-weighted magnetic resonance imaging in malignant breast lesions using different b value combinations.EurRadiol, 23(4), 1027?33. doi:10.1007/s00330-012-2687-8
  15. Peacock, Z. S., Resnick, C. M., Susarla, S. M., Faquin, W. C., Rosenberg, A. E., Nielsen, G. P., ? Kaban, L. B. (2012). Do Histologic Criteria Predict Biologic Behavior of Giant Cell Lesions? J Oral MaxillofacSurg : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 1?8. doi:10.1016/j.joms.2011.12.005
  16. Punwani, S. (2010). Diffusion weighted imaging of female pelvic cancers: concepts and clinical applications. Eur J Radiol, 78(1), 21?9.doi:10.1016/j.ejrad.2010.07.028
  17. Razek, a a K. A., Sadek, a G., Kombar, O. R., Elmahdy, T. E., & Nada, N. (2008). Role of apparent diffusion coefficient values in differentiation between malignant and benign solitary thyroid nodules. Am J Neuroradiol, 29(3), 563?8.doi:10.3174/ajnr.A0849
  18. Razek, A. A. K. A. (2011). Imaging appearance of bone tumors of the maxillofacial region. World J Radiol, 3(5), 125?34.doi:10.4329/wjr.v3.i5.125
  19. Sadick, M., Schoenberg, S. O., Hoermann, K., &Sadick, H. (2012).Current oncologic concepts and emerging techniques for imaging of head and neck squamous cell cancer.GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery, 11, Doc08.doi:10.3205/cto000090
  20. Sakamoto, J., Yoshino, N., Okochi, K., Imaizumi, A., Tetsumura, A., Kurohara, K., &Kurabayashi, T. (2009). Tissue characterization of head and neck lesions using diffusion-weighted MR imaging with SPLICE. Eur J Radiol, 69(2), 260?8.doi:10.1016/j.ejrad.2007.10.008
  21. Sasaki, M., & Nakamura, T. (2010). Pixel-based time?intensity curve analysis and apparent diffusion coefficient mapping of sinonasal organized hematomas. Oral Radiol, 26(2), 101?105. doi:10.1007/s11282-010-0042-9
  22. Slootweg, P. J. (2009). Lesions of the jaws.Histopathology, 54(4), 401?18.doi:10.1111/j.1365-2559.2008.03097.x
  23. Srinivasan, a, Dvorak, R., Perni, K., Rohrer, S., SK, M., &Mukherji, S. K. (2008). Differentiation of benign and malignant pathology in the head and neck using 3T apparent diffusion coefficient values: early experience. Am J Neuroradiol, 29(1), 40?4.doi:10.3174/ajnr.A0743
  24. Sumi, M., Ichikawa, Y., Katayama, I., Tashiro, S., & Nakamura, T. (2008). Diffusion-weighted MR imaging of ameloblastomas and keratocystic odontogenic tumors: differentiation by apparent diffusion coefficients of cystic lesions. AJNR Am J Neuroradiol, 29(10), 1897?901. doi:10.3174/ajnr.A1266
  25. Wang, J., Takashima, S., Takayama, F., Kawakami, S., Saito, A., Matsushita, T., ? Ishiyama, T. (2001). Head and neck lesions: characterization with diffusion-weighted echo-planar MR imaging. ,220(3), 621?630. Retrieved from http://search.bvsalud.org/portal/resource/en/mdl-11526259
  26. Whittaker, C. S., Coady, A., Culver, L., Rustin, G., Padwick, M., &Padhani, A. R. (2009). Diffusion-weighted MR imaging of female pelvic tumors: a pictorial review. Radiographics : A Review Publication of the Radiological Society of North America, Inc, 29(3), 759?74; discussion 774?8. doi:10.1148/rg.293085130

[Salma Belal Eiid, Mohamed KhalifaZayet and Mushira Mohamed Dahaba. (2017); DIFFUSION-WEIGHTED IMAGING: A FLOURISHING TOOL IN THE DIAGNOSIS OF MAXILLOFACIAL LESIONS. Int. J. of Adv. Res. 5 (May). 2085-2091] (ISSN 2320-5407). www.journalijar.com

Salma Belal Eiid
assistant lecturer of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University; Cairo, Egypt.

DOI:

Article DOI: 10.21474/IJAR01/4353      
DOI URL: https://dx.doi.org/10.21474/IJAR01/4353

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