Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 5 Issue 7

What is the Best Imaging Modality for Glandular Lesions of the Neck

Anas Eldahshan* and Banu Atalay Erdogan

Department of ENT Department, The Rotherham NHS Foundation Trust, England, UK

*Corresponding Author: Anas Eldahshan, Department of ENT Department, The Rotherham NHS Foundation Trust, England, UK.

Received: April 21, 2023; Published: June 28, 2023

Abstract

Objectives: To assess the reliability of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) and ultrasound (US) in evaluating thyroid and salivary glands lesions.

Background: The thyroid and salivary glands are regions of considerable anatomical and functional complexity with a challenging diagnosis. CT or MRI or US is performed for pretherapeutic assessment of their Lesions. All can supply the information needed by the clinician for adequate treatment planning.

Patients and Methods: 21 patients with thyroid lesions and 13 patients with salivary glands lesions were evaluated by CT and/or MRI and/or US according to the decision of the treating physician. The results of imaging were assessed based on the corresponding histopathological diagnosis to define the true benign, true malignant, false benign and false malignant results. Statistical analysis was done to calculate the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of each technique.

Results: The study included 34 patients distributed among 2 anatomical lesions thyroid (21), salivary glands (13). The lesions included 18 malignant, 10 benign neoplastic and 6 inflammatory lesions. U.S was performed for all patients while C.T was performed for 27 patients while MRI was performed for 20 patients. US for thyroid revealed a sensitivity of 91.7%, a specificity of 77.8%, a diagnostic accuracy of 85.7%. CT for thyroid revealed a sensitivity of 70%, a specificity of 66.7%, a diagnostic accuracy of 68.8%. MRI for thyroid revealed a sensitivity of 75%, a specificity of 75% and a diagnostic accuracy of 75%. US for salivary glands revealed a sensitivity of 83.3%%, a specificity of 85.7%, a diagnostic accuracy of 84.6%. CT for salivary glands revealed a sensitivity of 80.9%, a specificity of 83.3%, a diagnostic accuracy of 81.7%. MRI for salivary glands revealed a sensitivity of 100%, a specificity of 75% and a diagnostic accuracy of 87.5%.

Conclusion: Ultrasound, computed tomography and magnetic resonance imaging, all are effective imaging modalities for evaluating a gland mass. Every anatomical region in the neck has its own criteria making it the target of a specific imaging modality. So ultrasound is the preferred imaging technique for thyroid and salivary glands followed by MRI then C.T.

 Keywords: Computed Tomography; Magnetic Resonance Imaging; Ultrasonography; Thyroid; Salivary Glands; Sensitivity; Specificity; Accuracy

References

  1. Roentgen WC. “Ubereineneue art von strahlen: vorlaufige mitteilung”. Sitzungs Berichte der Physikalisch-Medizinischen Gesellschaft in Wurzburg 137 (1895): 132-141.
  2. Holland CT. “X-rays in 1896”. Liverpool Medical Surgery Journal 45 (1937): 61-77.
  3. McIntyre J. “Roentgen rays in laryngeal surgery”. Journal of Laryngology and Otology 10 (1896): 231-232.
  4. Lin JH., et al. “The role of neck ultrasonography in thyroid cancer”. American Journal of Otolaryngology5 (2009): 324-326.
  5. Liu W., et al. “Association between computed tomography-detected calcification and thyroid carcinoma”. Neoplasma (2015).
  6. Noda Y., et al. “MRI of the thyroid for differential diagnosis of benign thyroid nodules and papillary carcinomas”. American Journal of Roentgenology3 (2015): W332-335.
  7. Kwak JY., et al. “The role of ultrasound in thyroid nodules with a cytology reading of "suspicious for papillary thyroid carcinoma". Thyroid5 (2008): 517-522.
  8. Stacul F., et al. “US, colour-Doppler US and fine-needle aspiration biopsy in the diagnosis of thyroid nodules”. Radiology Medical5 (2007): 751-762.
  9. Freling NJ. “Imaging of salivary gland disease”. Seminar on Roentgenology 35 (2000): 12-20.v
  10. Koyuncu M., et al. “Comparison of computed tomography and magnetic resonance imaging in the diagnosis of parotid tumors”. Otolaryngology–Head and Neck Surgery 129 (2003): 726-732.
  11. Rudack C., et al. “Neither MRI, CT nor US is superior to diagnose tumors in the salivary glands - an extended case study”. Head and Face Medicine 3 (2007): 19.
  12. Liu Y., et al. “Accuracy of diagnosis of salivary gland tumors with the use of ultrasonography, computed tomography, and magnetic resonance imaging: a meta-analysis”. Oral and Maxillofacial Radiology 2 (2015): 238-245.

Citation

Citation: Anas Eldahshan and Banu Atalay Erdogan. “What is the Best Imaging Modality for Glandular Lesions of the Neck".Acta Scientific Otolaryngology 5.7 (2023): 41-48.

Copyright

Copyright: © 2023 Anas Eldahshan and Banu Atalay Erdogan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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