MR Imaging of Laryngeal Cancer by J.A Castelijns, G.B. Snow, Jaap Valk

By J.A Castelijns, G.B. Snow, Jaap Valk

MRI is assuming a dominant function in imaging of the larynx. Its better smooth tissue distinction answer makes it excellent for differentiating invasion of tumors of the larynx from basic or extra sharply circumscribed configuration of lots of the benign lesions. Over ten years in the past CT made an enormous effect on laryngeal exam since it was once the 1st time that Radiologists have been starting to examine submucosal affliction. the entire past examinations duplicated the infor­ mation that was once on hand to the clinician through direct and in-direct laryngo­ scopy. With the appearance of inflexible and versatile endoscopes, scientific exam turned sufficiently distinct that there has been no need to accomplish reports akin to laryngography which purely confirmed floor anatomy. The prestige of deep buildings by means of those innovations used to be implied in line with functionality. thankfully laryngography is now in the back of us including all the gagging and distinction reactions which we might all wish to fail to remember. CT continues to be a very good approach to analyzing the larynx however it is sadly restricted to the axial airplane. With shortly to be had CT recommendations movement deteriorates any reformatting in sagittal or coronal projections. The latter planes are tremendous worthwhile in delineating the vertical volume of submucosal spreads. MRI has confirmed tremendous precious by way of generating all 3 easy projections, plus better delicate tissue distinction. even though movement artifacts nonetheless degrade the pictures in a few sufferers, more moderen pulsing sequences that allow speedier scanning are elimi­ nating almost all these problems.

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AJR 1981;137:895-901. 7. Davis PL, Kaufman L, Crooks LE. Tissue characterization. In: Margulis AR, Higgins CB, Kaufman L, Crooks LE, eds. Clinical magnetic resonance imaging. San Francisco, 1983. 8. Wehrli FW, MacFall JR, Glover GH, Grisby N. The dependence of nuclear magnetic resonance (NMR) image contrast on intrinsic and pulse sequence timing parameters. Magnetic Resonance Imaging 1984;2:3-16. 9. Hazelwood CF. A view of the significance and understanding of physical properities of cellassociated water.

E. the state that it will eventually revert to after being disturbed. The vector can be disturbed from equilibrium and will align with the net total field by application of a second external orthogonal and superimposed magnetic field Bl (axial field) (Fig. lc). The net magnetization again returns to the equilibrium state when the superimposed field is removed. The stored energy will be discharged to the environment as radiofrequency (RF) energy (Fig. Id). The component of the net magnetization, orthogonal to the longitudinal field, is defined as the axial magnetization Ma.

5. Vascular and perineural invasion Vascular invasion was found less frequently than expected in serial sections by Olofsson et al. [5]. If the tumor is confined to the glottic region no vascular invasion is seen. Vascular invasion can be found in the subglottic extension. The invaded vessels are found immediately beneath the conus elasticus. Vascular invasion of lymph node metastases in the main vessels of the neck can be demonstrated in selected cases. Therefore,. preoperative visualisation of lymph node metastases in relation to these vessels is important.

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