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MR lymphography for sentinel lymph node detection in patients with oral cavity cancer: Preliminary clinical study

Authors
 Sohi Bae  ;  Ho-Joon Lee  ;  Woong Nam  ;  Yoon Woo Koh  ;  Eun Chang Choi  ;  Jinna Kim 
Citation
 Head & Neck, Vol.40(7) : 1483-1488, 2018 
Journal Title
 Head & Neck 
ISSN
 1043-3074 
Issue Date
2018
Keywords
MR lymphography ; head and neck cancer ; lymphography ; oral cavity ; sentinel lymph node
Abstract
BACKGROUND: The purpose of this study was to evaluate the feasibility of MR lymphography with interstitial injection of a gadolinium-based contrast agent for identifying sentinel lymph nodes in patients with oral cavity cancer and clinically negative neck. METHODS: Pretreatment MR lymphography with a differential subsampling with cartesian ordering (DISCO) sequence was performed in 26 patients with resectable oral cavity cancer and clinically negative neck, after peritumoral injection of 1-mL diluted gadobutrol. The accuracy of sentinel lymph node identification by MR lymphography was assessed and compared with the final histopathological results. RESULTS: The MR lymphography consistently visualized the 44 sentinel lymph nodes in all 26 patients. In all but 1 patient with pathologically positive neck, assumed sentinel lymph nodes revealed metastatic involvement. CONCLUSION: Pretreatment MR lymphography is a safe and feasible imaging technique that can help clinicians identify sentinel lymph nodes with a high risk of occult metastases in patients with oral cavity cancer, enabling focused preoperative biopsy in these high-risk patients.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162645
Full Text
https://onlinelibrary.wiley.com/doi/abs/10.1002/hed.25167
DOI
10.1002/hed.25167
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
1. Journal Papers (연구논문) > 2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실)
Yonsei Authors
고윤우(Kho, Yoon Woo)
김진아(Kim, Jinna) ORCID logo https://orcid.org/0000-0002-9978-4356
남웅(Nam, Woong) ORCID logo https://orcid.org/0000-0003-0146-3624
배소희(Bae, Sohi)
이호준(Lee, Ho Joon)
최은창(Choi, Eun Chang)
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