Laryngeal imaging

Research output: Contribution to journalReview articlepeer-review

Abstract

Knowing the surgical options for treating laryngeal carcinomas and the factors that are used to select patients for radiation therapy leads to a more comprehensive interpretation of neck scans in patients with laryngeal tumors (Table 6). Critical factors include tumor volume; cartilaginous invasion; spread across supraglottic-glottic-subglottic boundaries; infiltration of preepiglottic, paraglottic, and pharyngeal planes; and nodal disease. MR imaging offers greater sensitivity to cartilaginous invasion than CT but leads to a high rate of false-positive studies, which decreases its overall accuracy. Thin-section CT with multiplanar capability is competitive with direct coronal MR scanning and benefits from high specificity and submillimeter section thickness, if multidetector units are employed. Overall, the head and neck radiologist plays an invaluable role in assessing the extent of disease and therefore influences the appropriate selection from the available treatment options.

Original languageEnglish (US)
Pages (from-to)451-465
Number of pages15
JournalMagnetic Resonance Imaging Clinics of North America
Volume10
Issue number3
DOIs
StatePublished - Aug 1 2002

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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