Talmi Y P, Bar-Ziv J, Yahalom R, Teicher S, Eyal A, Shehtman I, Kronenberg J
Department of Otolaryngology--Head and Neck Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
Ann Otol Rhinol Laryngol. 1996 Jun;105(6):431-7. doi: 10.1177/000348949610500603.
We used a retrospective analysis of charts, imaging studies, and histologic findings when available in 17 patients with cancer of the oral cavity to define the value of DentaCT or multiplanar reformation software in assessing bony involvement by malignant tumors of the oral cavity. From two academic tertiary-referral medical centers, the 17 patients had a mean age of 63 years and suspected maxillary (2) or mandibular (15) invasion. All patients had conventional computed tomography scanning and multiplanar reformation scans with several additional imaging studies obtained. Two patients demonstrated no bony involvement by imaging and histologic studies. Twelve of the remaining 15 patients had surgically documented bony involvement also correctly detected by DentaCT. DentaCT was found to be a valuable tool in defining extent of bony invasion by tumor. Although not compared to other imaging modalities, our experience supports the use of DentaCT where available for this purpose.
我们对17例口腔癌患者的病历、影像学研究以及必要时的组织学检查结果进行了回顾性分析,以确定DentaCT或多平面重建软件在评估口腔恶性肿瘤骨侵犯方面的价值。这17例患者来自两个学术性三级转诊医疗中心,平均年龄63岁,怀疑有上颌骨(2例)或下颌骨(15例)侵犯。所有患者均接受了传统计算机断层扫描和多平面重建扫描,并进行了多项其他影像学检查。两名患者经影像学和组织学检查未发现骨侵犯。其余15例患者中,有12例经手术证实有骨侵犯,DentaCT也正确检测到了这一点。发现DentaCT是确定肿瘤骨侵犯范围的一种有价值的工具。虽然未与其他成像方式进行比较,但我们的经验支持在有条件的情况下使用DentaCT来实现这一目的。