Hiroki Kato1, Keita Fujimoto2, Masayuki Matsuo2, Keisuke Mizuta3, Mitsuhiro Aoki3. 1. Department of Radiology, Gifu University School of Medicine, 1-1 Yanagido, Gifu, 501-1194, Japan. hkato@gifu-u.ac.jp. 2. Department of Radiology, Gifu University School of Medicine, 1-1 Yanagido, Gifu, 501-1194, Japan. 3. Department of Otolaryngology, Gifu University School of Medicine, Gifu, Japan.
Abstract
PURPOSE: To assess the efficacy of diffusion-weighted (DW) MR imaging for differentiating between Warthin's tumor and oncocytoma of the parotid gland. METHODS: Forty-five histopathologically confirmed parotid gland tumors (41 Warthin's tumors and 4 oncocytomas) were examined by MR imaging including DW imaging. 18F-fluorodeoxyglucose PET/CT was also performed in 9 Warthin's tumors and 3 oncocytomas. We retrospectively reviewed the images and compared the MR signal intensities, apparent diffusion coefficients (ADCs), and maximum standardized uptake values (SUVmax) of the solid components between the two pathologies. RESULTS: The signal intensity ratios (SIRs) on both T2-weighted images (0.92 ± 0.18 vs 0.65 ± 0.13, p < 0.01) and DW images (1.24 ± 0.42 vs 0.43 ± 0.16, p < 0.001) were higher in Warthin's tumors than in oncocytomas. ADCs (0.79 ± 0.11 vs 1.06 ± 0.06 × 10-3 mm2/s, p < 0.001) were lower in Warthin's tumors than in oncocytomas. No significant differences in the SIRs on T1-weighted images (1.09 ± 0.12 vs. 0.99 ± 0.07, p = 0.051) and SUVmax (8.22 ± 3.86 vs. 8.11 ± 1.33, p = 0.864) were found between Warthin's tumor and oncocytoma. CONCLUSION: DW imaging with ADC measurements is useful for the differentiation of Warthin's tumor from oncocytoma of the parotid gland.
PURPOSE: To assess the efficacy of diffusion-weighted (DW) MR imaging for differentiating between Warthin's tumor and oncocytoma of the parotid gland. METHODS: Forty-five histopathologically confirmed parotid gland tumors (41 Warthin's tumors and 4 oncocytomas) were examined by MR imaging including DW imaging. 18F-fluorodeoxyglucose PET/CT was also performed in 9 Warthin's tumors and 3 oncocytomas. We retrospectively reviewed the images and compared the MR signal intensities, apparent diffusion coefficients (ADCs), and maximum standardized uptake values (SUVmax) of the solid components between the two pathologies. RESULTS: The signal intensity ratios (SIRs) on both T2-weighted images (0.92 ± 0.18 vs 0.65 ± 0.13, p < 0.01) and DW images (1.24 ± 0.42 vs 0.43 ± 0.16, p < 0.001) were higher in Warthin's tumors than in oncocytomas. ADCs (0.79 ± 0.11 vs 1.06 ± 0.06 × 10-3 mm2/s, p < 0.001) were lower in Warthin's tumors than in oncocytomas. No significant differences in the SIRs on T1-weighted images (1.09 ± 0.12 vs. 0.99 ± 0.07, p = 0.051) and SUVmax (8.22 ± 3.86 vs. 8.11 ± 1.33, p = 0.864) were found between Warthin's tumor and oncocytoma. CONCLUSION: DW imaging with ADC measurements is useful for the differentiation of Warthin's tumor from oncocytoma of the parotid gland.
Authors: H Miyake; A Matsumoto; Y Hori; H Takeoka; H Kiyosue; Y Hori; H Mori; S Ueyama; K Kashima Journal: Eur Radiol Date: 2001-03-17 Impact factor: 5.315
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Authors: C R Habermann; C Arndt; J Graessner; L Diestel; K U Petersen; F Reitmeier; J O Ussmueller; G Adam; M Jaehne Journal: AJNR Am J Neuroradiol Date: 2009-01-08 Impact factor: 3.825