Title: Diffusion weighted imaging in differentiation of cervical lymphadenopthy
Authors: Dr Arashdeep Singh, Dr Rishu, Dr Amit Mittal
DOI: https://dx.doi.org/10.18535/jmscr/v6i6.118
Abstract
Introduction
Lymphadenopathy is an abnormal increase in size and/or altered consistency of the lymph nodes. Modern imaging modalities such as ultrasound, computed tomography and magnetic resonance imaging allowed reliable detection of cervical lymph nodes. However, the differentiation of benign and malignant lymph nodes remains a challenging job. Nowadays MRI technique of diffusion weighted imaging (DWI) and apparent diffusion coefficient mapping [ADC mapping], is in practice which is a non-invasive MRI technique.DWI can provide information about the lymph node biology and physiology and help us to differentiate benign from malignant lymph nodes.
References
- McGurk M, Chan C, Jones J, O’Regan E, Sherriff M. Delay in diagnosis and its effect on outcome in head and neck cancer. Br J Oral Maxillofac Surg. 2005; 43:281–284.
- Vandecaveye V, de Keyzer F, Vander Poorten V, et al. Evaluation of the larynx for tumour recurrence by diffusion-weighted MRI after radiotherapy: initial experience in four cases. Br J Radiol2006; volume 79: pages 681 -687
- Varun Goel, Pratap Singh Parihar, Akhilesh Parihar, Ashok Kumar Goel, Kapil Waghwani, Richa Gupta, Umesh Bhutekar. Accuracy Of Mri In Prediction Of Tumour Thickness And Nodal Stage In Oral Tongue And Gingivobuccal Cancer With Clinical Correlation And Staging. Journal of Clinical and Diagnostic Research 2016; Volume10 (06): TC01 - TC05.
- Yaser GA, Hussien MR and Ashraf ME. Benign versus malignant cervical LNS: differentiation by diffusion weighted MRI. AAMJ 2011; 9.3: 2
- Rujuta Narendra Rege, Praveen Sharma, Avinash Naikwadi, Adipudi Renuka, Kulasekaran, C.R. Seena. The Potential Role of Apparent Diffusion Coefficient Values in the Differentiation of Tuberculous and Malignant Lymph Nodes of Neck- In Correlation with Histopathology. JMSCR May 2017; Vol 05(05): 21324-21337.
- Noha Abd El Shafy El Said. Omnia Mokhtar Mohamed Nada. Yomna Sameh Habib. Ahmed RedaSemeisem. Nagat Mansour Khalifa. Diagnostic accuracy of diffusion weighted MRI in cervical lymphadenopathy cases correlated with pathology results. The Egyptian Journal of Radiology and Nuclear Medicine December 2014; Volume 45, Issue 4: Pages 1115-1125.
- Perronea A, Pietro Guerrisia, Luciano Izzob, et al. Diffusion-weighted MRI in cervical lymph nodes: differentiation between benign and malignant lesions Eur J Radiol, 77 (2011), pp. 281-286