临床为 N0 的全喉切除术中隐匿性结节转移的放射学发现。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Tyler G Chan, Jaime Wicks, Ila Sethi, Jennifer Becker, David Brandon, Nicole C Schmitt, Azeem Kaka, Brian Boyce, Harry Michael Baddour, Mark W El-Deiry, Mihir R Patel, Jennifer H Gross
{"title":"临床为 N0 的全喉切除术中隐匿性结节转移的放射学发现。","authors":"Tyler G Chan, Jaime Wicks, Ila Sethi, Jennifer Becker, David Brandon, Nicole C Schmitt, Azeem Kaka, Brian Boyce, Harry Michael Baddour, Mark W El-Deiry, Mihir R Patel, Jennifer H Gross","doi":"10.1002/hed.27889","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Occult nodal disease (OND) during clinically-N0 salvage total laryngectomy (TL) can be detected with the Neck-Imaging-Reporting-and-Data-Systems (NI-RADS). However, some patients will still have OND revealed on final pathology.</p><p><strong>Methods: </strong>A retrospective study on all patients who had OND during salvage TL with elective neck dissection (END) between 2009 and 2021 was performed. Repeat CT and PET scan interpretation was performed to evaluate their preoperative imaging for suspicious features.</p><p><strong>Results: </strong>Among 81 salvage TL patients undergoing END, 12 (16%) had OND and a total of 26 occult nodes were identified. On pathology, the average node length [SD] was 0.6 cm [0.3]. On CT, 31% (8 of 26) had rounded morphology. On PET, most had SUV<sub>max</sub> below blood pool. One patient scored NI-RADS 2; the rest scored 1.</p><p><strong>Conclusions: </strong>On re-review of preoperative imaging, occult nodes were subtle and challenging to identify. Despite no clear impact on survival, performing an END may provide prognostic information.</p>","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":null,"pages":null},"PeriodicalIF":4.6000,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Radiologic findings of occult nodal metastasis during clinically-N0 salvage total laryngectomy.\",\"authors\":\"Tyler G Chan, Jaime Wicks, Ila Sethi, Jennifer Becker, David Brandon, Nicole C Schmitt, Azeem Kaka, Brian Boyce, Harry Michael Baddour, Mark W El-Deiry, Mihir R Patel, Jennifer H Gross\",\"doi\":\"10.1002/hed.27889\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Occult nodal disease (OND) during clinically-N0 salvage total laryngectomy (TL) can be detected with the Neck-Imaging-Reporting-and-Data-Systems (NI-RADS). However, some patients will still have OND revealed on final pathology.</p><p><strong>Methods: </strong>A retrospective study on all patients who had OND during salvage TL with elective neck dissection (END) between 2009 and 2021 was performed. Repeat CT and PET scan interpretation was performed to evaluate their preoperative imaging for suspicious features.</p><p><strong>Results: </strong>Among 81 salvage TL patients undergoing END, 12 (16%) had OND and a total of 26 occult nodes were identified. On pathology, the average node length [SD] was 0.6 cm [0.3]. On CT, 31% (8 of 26) had rounded morphology. On PET, most had SUV<sub>max</sub> below blood pool. One patient scored NI-RADS 2; the rest scored 1.</p><p><strong>Conclusions: </strong>On re-review of preoperative imaging, occult nodes were subtle and challenging to identify. Despite no clear impact on survival, performing an END may provide prognostic information.</p>\",\"PeriodicalId\":2,\"journal\":{\"name\":\"ACS Applied Bio Materials\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2024-08-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACS Applied Bio Materials\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/hed.27889\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MATERIALS SCIENCE, BIOMATERIALS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/hed.27889","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}
引用次数: 0

摘要

简介:通过颈部成像报告和数据系统(NI-RADS)可以检测出临床为零的全喉切除术(TL)中的隐匿性结节病(OND)。然而,一些患者在最终病理检查中仍会发现OND:方法:对2009年至2021年间所有通过选择性颈部切除术(END)挽救TL的OND患者进行回顾性研究。重复CT和PET扫描解读,评估其术前影像学可疑特征:在接受END的81例挽救性TL患者中,12例(16%)患有OND,共发现26个隐匿性结节。病理结果显示,结节平均长度[SD]为0.6厘米[0.3]。在 CT 上,31%(26 个中的 8 个)的结节呈圆形形态。在 PET 上,大多数患者的 SUVmax 低于血池值。一名患者的 NI-RADS 评分为 2 分,其余患者的评分为 1.结论:再次复查术前成像时,隐匿性结节很隐蔽,很难识别。尽管对生存率没有明显影响,但进行END检查可提供预后信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiologic findings of occult nodal metastasis during clinically-N0 salvage total laryngectomy.

Introduction: Occult nodal disease (OND) during clinically-N0 salvage total laryngectomy (TL) can be detected with the Neck-Imaging-Reporting-and-Data-Systems (NI-RADS). However, some patients will still have OND revealed on final pathology.

Methods: A retrospective study on all patients who had OND during salvage TL with elective neck dissection (END) between 2009 and 2021 was performed. Repeat CT and PET scan interpretation was performed to evaluate their preoperative imaging for suspicious features.

Results: Among 81 salvage TL patients undergoing END, 12 (16%) had OND and a total of 26 occult nodes were identified. On pathology, the average node length [SD] was 0.6 cm [0.3]. On CT, 31% (8 of 26) had rounded morphology. On PET, most had SUVmax below blood pool. One patient scored NI-RADS 2; the rest scored 1.

Conclusions: On re-review of preoperative imaging, occult nodes were subtle and challenging to identify. Despite no clear impact on survival, performing an END may provide prognostic information.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信