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Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma

Yıl 2018, Cilt: 8 Sayı: 3, 180 - 184, 18.12.2018
https://doi.org/10.32448/entupdates.508078

Öz



Objective: Our aim was to evaluate the diagnostic performance of Magnetic Resonance Imaging (MRI) with diffusion-weighted images in patients with cholesteatoma.




Methods: We compared the preoperative MRI findings and intraoperative microscopic examination findings in 54 patients who were operated on due to a pre-diagnosis of chronic otitis media with cholesteatoma, according to preoperative microscopic ear examination, temporal bone computed tomography (CT) and ear MRI.



Results: Fifty-four patients (18 female and 36 male) were enrolled in this study. The mean age was 36.8 ± 17.3 (range: 6-67). Thirty-one patients had primary surgery, whereas 23 patients had revision surgery to the affected ear (for 19 patients, the second, for 3, the third, and for 1, the 5th operation).We found that the sensitivity of pre-operative MRI for detecting cholesteatoma was 97.7%, the specificity was 77.8%, and the diagnostic accuracy rate was 94.4%. The rate of false negatives in MRI with diffusion-weighted images was found to be 4% in primary cases, whereas the false negativity rate with this technique was found to be 0% for revision cases.




Conclusion: We concluded that ear MRI examination with diffusion-weighted images is a significant diagnostic tool, to be used alongside preoperative history and physical examination in deciding on whether to operate, especially in patients for whom revision surgery of the ear (due to recurrent, residual, iatrogenic cholesteatoma, or squamous epithelium) is plnned

Kaynakça

  • 1. Aikele P, Kittner T, Offergeld C, Kaftan H, Hüttenbrink KB, Laniado M. Diffusion-weighted MR imaging of cholesteatoma in pediatric and adult patients who have undergone middle ear surgery. AJR Am J Roentgenol 2003;181:261-5. Doi: 10.2214/ajr.181.1.1810261
  • 2. Uzun C. Kolesteatom. Türkiye Klinikleri Cerrahi Tıp Bilimleri Kulak Burun Boğaz Dergisi 2005;1:128-34.
  • 3. Olszewska E, Wagner M, Bernal-Sprekelsen M et al. Etiopathogenesis of cholesteatoma. Eur Arch Otorhinolaryngol 2004;261:6-24. Doi: 10.1007/s00405-003-0623-x
  • 4. Atsushi F, Morita S, Harada T et al. Value of T1-weighted magnetic resonance imaging in cholesteatoma detection. Otol Neurotol 2017; 38:1440-4. Doi: 10.1097/MAO.0000000000001558.
  • 5. Tierney PA, Pracy P, Blaney SP, Bowdler DA. An assessment of the value of the preoperative computed tomography scans prior to otoendoscopic ‘second look’ in intact canal wall mastoid surgery. Clin Otolaryngol Allied Sci 1999;24:274-6. Doi: 10.1046/j.1365-2273.1999.00238.x
  • 6. Vanden Abeele D, Coen E, Parizel PM, Van de Heyning P. Can MRI replace a second look operation in cholesteatoma surgery? Acta Otolaryngol 1999;119:555-61. Doi: 10.1080/00016489950180784
  • 7. Kimitsuki T, Suda Y, Kawano H, Tono T, Komune S. Correlation between MRI findings and second-look operation in cholesteatoma surgery. ORL J Otorhinolaryngol Relat Spec 2001;63:291-3. Doi: 10.1159/000055760
  • 8. Baráth K, Huber AM, Stämpfli P, Varga Z, Kollias S. Neuroradiology of cholesteatomas. AJNR Am J Neuroradiol 2011;32:221-9. Doi: 10.3174/ajnr.A2052
  • 9. Blaney SP, Tierney P, Oyarazabal M, Bowdler DA. CT scanning in “second look” combined approach tympanoplasty. Rev Laryngol Otol Rhinol (Bord) 2000;121:79-81.
  • 10. Vercruysse JP, De Foer B, Pouillon M, Somers T, Casselman J, Offeciers E. The value of diffusion-weighted MR imaging in the diagnosis of primary acquired and residual cholesteatoma: a surgical verified study of 100 patients. Eur Radiol 2006;16:1461-7. Doi: 10.1007/s00330-006-0160-2
  • 11. Stasolla A, Magliulo G, Parrotto D, Luppi G, Marini M. Detection of postoperative relapsing/ residual cholesteatomas with diffusion weighted echo-planar magnetic resonance imaging. Otol Neurotol 2004;25:879-84.
  • 12. Li PM, Linos E, Gurgel RK, Fischbein NJ, Blevins NH. Evaluating the utility of non echo-planar diffusion-weighted imaging in the preoperative evaluation of cholesteatoma: a meta-analysis. Laryngoscope 2013;123(5): 1247-50. Doi: 10.1002/lary.23759
  • 13. Lingam RK, Bassett P. A Meta-Analysis on the Diagnostic Performance of Non-Echoplanar Diffusion-Weighted Imaging in Detecting Middle Ear Cholesteatoma: 10 Years On. 2017 38(4):521-8. Doi: 10.1097/MAO.0000000000001353
Yıl 2018, Cilt: 8 Sayı: 3, 180 - 184, 18.12.2018
https://doi.org/10.32448/entupdates.508078

Öz

Kaynakça

  • 1. Aikele P, Kittner T, Offergeld C, Kaftan H, Hüttenbrink KB, Laniado M. Diffusion-weighted MR imaging of cholesteatoma in pediatric and adult patients who have undergone middle ear surgery. AJR Am J Roentgenol 2003;181:261-5. Doi: 10.2214/ajr.181.1.1810261
  • 2. Uzun C. Kolesteatom. Türkiye Klinikleri Cerrahi Tıp Bilimleri Kulak Burun Boğaz Dergisi 2005;1:128-34.
  • 3. Olszewska E, Wagner M, Bernal-Sprekelsen M et al. Etiopathogenesis of cholesteatoma. Eur Arch Otorhinolaryngol 2004;261:6-24. Doi: 10.1007/s00405-003-0623-x
  • 4. Atsushi F, Morita S, Harada T et al. Value of T1-weighted magnetic resonance imaging in cholesteatoma detection. Otol Neurotol 2017; 38:1440-4. Doi: 10.1097/MAO.0000000000001558.
  • 5. Tierney PA, Pracy P, Blaney SP, Bowdler DA. An assessment of the value of the preoperative computed tomography scans prior to otoendoscopic ‘second look’ in intact canal wall mastoid surgery. Clin Otolaryngol Allied Sci 1999;24:274-6. Doi: 10.1046/j.1365-2273.1999.00238.x
  • 6. Vanden Abeele D, Coen E, Parizel PM, Van de Heyning P. Can MRI replace a second look operation in cholesteatoma surgery? Acta Otolaryngol 1999;119:555-61. Doi: 10.1080/00016489950180784
  • 7. Kimitsuki T, Suda Y, Kawano H, Tono T, Komune S. Correlation between MRI findings and second-look operation in cholesteatoma surgery. ORL J Otorhinolaryngol Relat Spec 2001;63:291-3. Doi: 10.1159/000055760
  • 8. Baráth K, Huber AM, Stämpfli P, Varga Z, Kollias S. Neuroradiology of cholesteatomas. AJNR Am J Neuroradiol 2011;32:221-9. Doi: 10.3174/ajnr.A2052
  • 9. Blaney SP, Tierney P, Oyarazabal M, Bowdler DA. CT scanning in “second look” combined approach tympanoplasty. Rev Laryngol Otol Rhinol (Bord) 2000;121:79-81.
  • 10. Vercruysse JP, De Foer B, Pouillon M, Somers T, Casselman J, Offeciers E. The value of diffusion-weighted MR imaging in the diagnosis of primary acquired and residual cholesteatoma: a surgical verified study of 100 patients. Eur Radiol 2006;16:1461-7. Doi: 10.1007/s00330-006-0160-2
  • 11. Stasolla A, Magliulo G, Parrotto D, Luppi G, Marini M. Detection of postoperative relapsing/ residual cholesteatomas with diffusion weighted echo-planar magnetic resonance imaging. Otol Neurotol 2004;25:879-84.
  • 12. Li PM, Linos E, Gurgel RK, Fischbein NJ, Blevins NH. Evaluating the utility of non echo-planar diffusion-weighted imaging in the preoperative evaluation of cholesteatoma: a meta-analysis. Laryngoscope 2013;123(5): 1247-50. Doi: 10.1002/lary.23759
  • 13. Lingam RK, Bassett P. A Meta-Analysis on the Diagnostic Performance of Non-Echoplanar Diffusion-Weighted Imaging in Detecting Middle Ear Cholesteatoma: 10 Years On. 2017 38(4):521-8. Doi: 10.1097/MAO.0000000000001353
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

A. Secil Kayalı Dinç

Lale Damgacı Bu kişi benim

Melih Çayönü Bu kişi benim

Deniz Sözmen Cılız Bu kişi benim

Süleyman Boynueğri Bu kişi benim

M. Melih Şahin Bu kişi benim

H. Gül Hatipoğlu Bu kişi benim

T. Naciye Dogan Bu kişi benim

Adil Eryilmaz Bu kişi benim

Yayımlanma Tarihi 18 Aralık 2018
Gönderilme Tarihi 30 Kasım 2018
Kabul Tarihi 10 Aralık 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 8 Sayı: 3

Kaynak Göster

APA Kayalı Dinç, A. S., Damgacı, L., Çayönü, M., Sözmen Cılız, D., vd. (2018). Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma. ENT Updates, 8(3), 180-184. https://doi.org/10.32448/entupdates.508078
AMA Kayalı Dinç AS, Damgacı L, Çayönü M, Sözmen Cılız D, Boynueğri S, Şahin MM, Hatipoğlu HG, Dogan TN, Eryilmaz A. Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma. ENT Updates. Aralık 2018;8(3):180-184. doi:10.32448/entupdates.508078
Chicago Kayalı Dinç, A. Secil, Lale Damgacı, Melih Çayönü, Deniz Sözmen Cılız, Süleyman Boynueğri, M. Melih Şahin, H. Gül Hatipoğlu, T. Naciye Dogan, ve Adil Eryilmaz. “Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients With Cholesteatoma”. ENT Updates 8, sy. 3 (Aralık 2018): 180-84. https://doi.org/10.32448/entupdates.508078.
EndNote Kayalı Dinç AS, Damgacı L, Çayönü M, Sözmen Cılız D, Boynueğri S, Şahin MM, Hatipoğlu HG, Dogan TN, Eryilmaz A (01 Aralık 2018) Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma. ENT Updates 8 3 180–184.
IEEE A. S. Kayalı Dinç, “Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma”, ENT Updates, c. 8, sy. 3, ss. 180–184, 2018, doi: 10.32448/entupdates.508078.
ISNAD Kayalı Dinç, A. Secil vd. “Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients With Cholesteatoma”. ENT Updates 8/3 (Aralık 2018), 180-184. https://doi.org/10.32448/entupdates.508078.
JAMA Kayalı Dinç AS, Damgacı L, Çayönü M, Sözmen Cılız D, Boynueğri S, Şahin MM, Hatipoğlu HG, Dogan TN, Eryilmaz A. Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma. ENT Updates. 2018;8:180–184.
MLA Kayalı Dinç, A. Secil vd. “Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients With Cholesteatoma”. ENT Updates, c. 8, sy. 3, 2018, ss. 180-4, doi:10.32448/entupdates.508078.
Vancouver Kayalı Dinç AS, Damgacı L, Çayönü M, Sözmen Cılız D, Boynueğri S, Şahin MM, Hatipoğlu HG, Dogan TN, Eryilmaz A. Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma. ENT Updates. 2018;8(3):180-4.