Journal of Oral Science Research ›› 2023, Vol. 39 ›› Issue (3): 249-253.DOI: 10.13701/j.cnki.kqyxyj.2023.03.012

Previous Articles     Next Articles

Diagnostic Value of MDCT Enhancement Combined with CTA Multidimensional Technique in the Evaluation of Tongue Squamous Cell Carcinoma

ZHANG Wenxin1, LIN Zitong1, WANG Tiemei1*, LIU Shu1, Pakezhati·SEYITI1, HUANG Xiaofeng2, SUN Guowen3   

  1. 1. Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
    2. Department of Oral Pathology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
    3. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
  • Received:2022-09-01 Online:2023-03-28 Published:2023-03-21

Abstract: Objective: To verify the application value of MDCT enhancement combined with CTA multidimensional technology in the diagnosis of tongue squamous cell carcinoma. Methods: The imaging features and indicators of 44 patients with tongue squamous cell carcinoma from November 2011 to July 2022 were retrospectively analyzed. The pathological results were used as the gold standard for diagnosis, and the evaluation efficacy of CT plain scan and MDCT enhancement combined with CTA multidimensional technology in the qualitative and quantitative diagnosis of tongue squamous cell carcinoma was evaluated. Results: The sensitivity and specificity of plain CT in the evaluation of lymph node metastasis of primary tongue squamous cell carcinoma were 63.16% and 55.56%, respectively. The sensitivity and specificity of MDCT enhancement combined with CTA multidimensional technique were 94.74% and 55.56%, respectively. The sensitivity and specificity of plain CT in the evaluation of lymph node metastasis of recurrent tongue squamous cell carcinoma were both 50%, and the sensitivity and specificity of MDCT enhancement combined with CTA multidimensional technique were 71.43% and 66.67%, respectively. There was no significant correlation between the tumor area at plain scan and the tumor area at arteriovenous stage and lymph node metastasis of tongue squamous cell carcinoma. Conclusion: MDCT enhancement combined with CTA can be used for preoperative diagnosis and staging of tongue squamous cell carcinoma, which has certain guiding significance for the development of clinical treatment plan.

Key words: tongue squamous cell carcinoma, multi-detector spiral computed tomography, CT angiography composite multidimensional technique, diagnostic value