Usefulness of contrast enhanced-MRI in the diagnosis of unicystic ameloblastoma

Hironobu Konouchi, Jun ichi Asaumi, Yoshinobu Yanagi, Miki Hisatomi, Noriko Kawai, Hidenobu Matsuzaki, Kanji Kishi

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

The radiographic features of unicystic ameloblastoma (UA) are typically unilocular and round area of radiolucency. Therefore, this type of lesion is often misdiagnosed as an odontogenic keratocyst or a dentigerous cyst. UA should be differentiated from odontogenic cysts because the former have a higher rate of recurrence than the latter. In the present study, we performed contrast enhanced-MRI (CE-MRI) to diagnose 13 cases of unilocular, round radiolucent lesions visualized on panoramic radiograph and/or CT. In the cases of UA, low signal intensity was observed on T1-weighted images (WIs), and a markedly high signal intensity was observed on T2-WIs; moreover, relatively thick rim-enhancement with/without small intraluminal nodules was observed upon CE-T1WIs. CE-MRI was considered useful in the diagnosis of UA, as characteristic features of this type of lesion i.e., thick enhancement of the tumor wall and small intraluminal nodules were detected only by CE-MRI in the present study.

Original languageEnglish
Pages (from-to)481-486
Number of pages6
JournalOral Oncology
Volume42
Issue number5
DOIs
Publication statusPublished - May 2006

Keywords

  • CE-MRI
  • Odontogenic cyst
  • Odontogenic tumor

ASJC Scopus subject areas

  • Oral Surgery
  • Oncology
  • Cancer Research

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