预测癌前多形性腺瘤的术前放射学和放射学特征：系统综述。

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2024-10-29 DOI:10.1017/S0022215124001841

Seraphina Key, Zubair Hasan, Michael Lee, Raghav C Dwivedi, Faruque Riffat, Purnima Sundaresan

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引用次数: 0

摘要

目的：癌外多形性腺瘤是一种罕见的涎腺恶性肿瘤，其放射学特征尚不清楚。我们的目的是确定放射学特征，可以预测癌前多形性腺瘤及其侵袭程度。方法：系统回顾Ovid Medline、Embase、Scopus、Web of Science （BIOSIS）、Cochrane、PROSPERO、OpenDOAR和OpenGrey自成立至2023年4月29日的数据库。研究的主要结果是磁共振成像、计算机断层扫描和超声的放射学特征。结果：在1729项研究中，12项研究（n = 426）进行了定性综合。分别有11项研究（n = 337）、5项研究（n = 253）和1项研究（n = 89）报道了磁共振成像、计算机断层扫描和超声的影像学结果。磁共振成像表现为平均表观扩散系数较低，T2强度不均。结论：磁共振成像在预测癌前多形性腺瘤方面具有重要的应用价值。在此范围内，除了恶性肿瘤的一般影像学特征、较低的平均表观扩散系数值和异质性T2强度外，异质性证据可能提示癌的非多形性腺瘤。

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Pre-operative radiological and radiomic features predicting Carcinoma Ex Pleomorphic Adenoma: Systematic review.

Objectives: Carcinoma ex pleomorphic adenoma is a rare malignant salivary gland tumour for which distinct radiological features are unclear. We aim to identify radiological features that may pre-operatively predict for carcinoma ex pleomorphic adenoma and its degree of invasion.

Methods: Systematic review of Ovid Medline, Embase, Scopus, Web of Science (BIOSIS), Cochrane, PROSPERO, OpenDOAR, and OpenGrey from inception to 29 April 2023. Primary outcomes of interest were radiological features in magnetic resonance imaging, computed tomography and ultrasound.

Results: Of 1729 studies, 12 studies (n = 426) underwent qualitative synthesis. Imaging findings for magnetic resonance imaging, computed tomography, and ultrasound were reported in 11 studies (n = 337), five studies (n = 253) and one study (n = 89), respectively. Magnetic resonance imaging features of lower mean apparent diffusion coefficient values and heterogenous T2 intensity were reported.

Conclusion: Magnetic resonance imaging has the greatest utility in predicting for carcinoma ex pleomorphic adenoma. Within the limits, a heterogenous body of evidence, in addition to general radiologic features of malignancy, lower mean apparent diffusion coefficient values and heterogenous T2 intensity, may indicate carcinoma ex pleomorphic adenoma.

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.