Abstract
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 max (maximum contrast index), Tmax (the time when CImax occurred), CIpeak (CImax×0.90), Tpeak (the time when CIpeak occurred) and CI300 (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 T1 weighted images, T2 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, CIpeak > 2.0 and Tpeak <200 s; Type B, CIpeak <2.0 and Tpeak <200 s; Type C, CI 300 > 2.0 and Tmax <600 s; Type D, CI300 > 2.0 and Tmax > 600 s; Type E, CI300 <2.0 and Tmax > 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.
| Original language | English |
|---|---|
| Article number | 20120265 |
| Journal | Dentomaxillofacial Radiology |
| Volume | 42 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - May 2013 |
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Keywords
- Ameloblastoma
- Keratocystic odontogenic tumour
- Magnetic resonance imaging
- Odontogenic tumour
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Otorhinolaryngology
- Dentistry(all)
Cite this
Diagnostic value of MRI for odontogenic tumours. / Fujita, Mariko; Matsuzaki, Hidenobu; Yanagi, Yoshinobu; Hara, M.; Katase, N.; Hisatomi, Miki; Unetsubo, T.; Konouchi, H.; Nagatsuka, Hitoshi; Asaumi, Jun-Ichi.
In: Dentomaxillofacial Radiology, Vol. 42, No. 5, 20120265, 05.2013.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnostic value of MRI for odontogenic tumours
AU - Fujita, Mariko
AU - Matsuzaki, Hidenobu
AU - Yanagi, Yoshinobu
AU - Hara, M.
AU - Katase, N.
AU - Hisatomi, Miki
AU - Unetsubo, T.
AU - Konouchi, H.
AU - Nagatsuka, Hitoshi
AU - Asaumi, Jun-Ichi
PY - 2013/5
Y1 - 2013/5
N2 - 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 max (maximum contrast index), Tmax (the time when CImax occurred), CIpeak (CImax×0.90), Tpeak (the time when CIpeak occurred) and CI300 (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 T1 weighted images, T2 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, CIpeak > 2.0 and Tpeak <200 s; Type B, CIpeak <2.0 and Tpeak <200 s; Type C, CI 300 > 2.0 and Tmax <600 s; Type D, CI300 > 2.0 and Tmax > 600 s; Type E, CI300 <2.0 and Tmax > 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.
AB - 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 max (maximum contrast index), Tmax (the time when CImax occurred), CIpeak (CImax×0.90), Tpeak (the time when CIpeak occurred) and CI300 (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 T1 weighted images, T2 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, CIpeak > 2.0 and Tpeak <200 s; Type B, CIpeak <2.0 and Tpeak <200 s; Type C, CI 300 > 2.0 and Tmax <600 s; Type D, CI300 > 2.0 and Tmax > 600 s; Type E, CI300 <2.0 and Tmax > 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.
KW - Ameloblastoma
KW - Keratocystic odontogenic tumour
KW - Magnetic resonance imaging
KW - Odontogenic tumour
UR - http://www.scopus.com/inward/record.url?scp=84876810053&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84876810053&partnerID=8YFLogxK
U2 - 10.1259/dmfr.20120265
DO - 10.1259/dmfr.20120265
M3 - Article
C2 - 23468124
AN - SCOPUS:84876810053
VL - 42
JO - Dentomaxillofacial Radiology
JF - Dentomaxillofacial Radiology
SN - 0250-832X
IS - 5
M1 - 20120265
ER -