Comparing primary tumors and metastatic nodes in head and neck cancer using intravoxel incoherent motion imaging: A preliminary experience Journal Article


Authors: Lu, Y.; Jansen, J. F. A.; Stambuk, H. E.; Gupta, G.; Lee, N.; Gonen, M.; Moreira, A.; Mazaheri, Y.; Patel, S. G.; Deasy, J. O.; Shah, J. P.; Shukla-Dave, A.
Article Title: Comparing primary tumors and metastatic nodes in head and neck cancer using intravoxel incoherent motion imaging: A preliminary experience
Abstract: OBJECTIVE: This study aimed to use intravoxel incoherent motion (IVIM) imaging for investigating differences between primary head and neck tumors and nodal metastases and to evaluate IVIM efficacy in predicting outcome. METHODS: Sixteen patients with head and neck cancer underwent IVIM diffusion-weighted imaging on a 1.5-T magnetic resonance imaging scanner. The significance of parametric difference between primary tumors and metastatic nodes were tested. Probabilities of progression-free survival and overall survival were estimated using the Kaplan-Meier method. RESULTS: In comparison with metastatic nodes, the primary tumors had significantly higher vascular volume fraction (f) (P < 0.0009) and lower diffusion coefficient (D) (P < 0.0002). Patients with lower SD for D had prolonged progression-free survival and overall survival (P < 0.05). CONCLUSIONS: Pretreatment IVIM measures were feasible in investigating the physiologic differences between the 2 tumor tissues. After appropriate validation, these findings might be useful in optimizing treatment planning and improving patient care. Copyright © 2013 by Lippincott Williams & Wilkins.
Keywords: primary tumor; head and neck (hn) cancer; intravoxel incoherent motion imaging (ivim); metastatic neck node
Journal Title: Journal of Computer Assisted Tomography
Volume: 37
Issue: 3
ISSN: 0363-8715
Publisher: Lippincott Williams & Wilkins  
Date Published: 2013-05-01
Start Page: 346
End Page: 352
Language: English
DOI: 10.1097/RCT.0b013e318282d935
PROVIDER: scopus
PMCID: PMC3655331
PUBMED: 23674004
DOI/URL:
Notes: --- - "Export Date: 1 July 2013" - "CODEN: JCATD" - "Source: Scopus"
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MSK Authors
  1. Snehal G Patel
    412 Patel
  2. Mithat Gonen
    1028 Gonen
  3. Andre L Moreira
    176 Moreira
  4. Hilda Stambuk
    48 Stambuk
  5. Nancy Y. Lee
    871 Lee
  6. Gaorav Gupta
    37 Gupta
  7. Yonggang Lu
    11 Lu
  8. Amita Dave
    137 Dave
  9. Joseph Owen Deasy
    524 Deasy
  10. Jatin P Shah
    721 Shah