Assessment of cervical lymph node metastasis with different imaging methods in patients with head and neck squamous cell carcinoma

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dc.authorscopusid13614159400
dc.authorscopusid11641173000
dc.authorscopusid6602540539
dc.authorscopusid7004509227
dc.authorscopusid6603810790
dc.authorscopusid6603554407
dc.contributor.authorAko?lu, Ertap
dc.contributor.authorDutipek, Murat
dc.contributor.authorBekiş, Recep
dc.contributor.authorDe?irmenci, Berna
dc.contributor.authorAda, Emel
dc.contributor.authorGüneri, Ataman
dc.date.accessioned2024-09-19T15:45:38Z
dc.date.available2024-09-19T15:45:38Z
dc.date.issued2005
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: To determine the predictive value of different imaging methods,-computed tomography (CT), magnetic resonance imaging (MRI), ultrasonography (US), and single-photon emission tomography (SPECT),-for cervical node metastasis. Design: Prospective clinical trial. Setting: An academic otolaryngology department. Methods: Twenty-three consecutive patients with head and neck malignancy were prospectively evaluated for the presence of cervical lymphadenopathy. All patients underwent clinical, CT, MRI, US, and SPECT examinations. Neck dissection was performed for 31 neck sides, and the results of the preoperative evaluation were confirmed by the surgical and histopathologic findings. Main Outcome Measures: The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were calculated for each method and a comparison of the methods was done. Results: The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of CT, MRI, US, and SPECT were 77.7%, 85.7%, 91.3%, 66.6%, and 80.4%; 59.2%, 92.8%, 94.1%, 54.1%, and 70.7%; 81.4%, 64.2%, 81.4%, 64.2%, and 75.6%; 55.5%, 92.8%, 93.7%, 52.0%, and 68.2%, respectively. Both CT and US were found to be superior to clinical examination. There was no statistically significant difference between US and CT. US was found to be superior to MRI and SPECT in detecting cervical node metastasis. CT was also superior to SPECT. Conclusion: Our data show that, despite high specificity rates, especially with SPECT, none of the currently available imaging methods are reliable in evaluating the occult regional metastasis because the negative predictive values of all of these methods are rather low.en_US
dc.identifier.doi10.2310/7070.2005.34605
dc.identifier.endpage394en_US
dc.identifier.issn0381-6605
dc.identifier.issue6en_US
dc.identifier.pmid16343398en_US
dc.identifier.scopus2-s2.0-30944455934en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage384en_US
dc.identifier.urihttps://doi.org/10.2310/7070.2005.34605
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14807
dc.identifier.volume34en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Otolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComputed tomographyen_US
dc.subjectMagnetic resonance imagingen_US
dc.subjectMetastasisen_US
dc.subjectNecken_US
dc.subjectTl-201 single photon emission computed tomographyen_US
dc.subjectUltrasonographyen_US
dc.titleAssessment of cervical lymph node metastasis with different imaging methods in patients with head and neck squamous cell carcinomaen_US
dc.typeArticleen_US

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