THE VALUE OF MAGNETIC RESONANCE IMAGING 1.5 TESLA IN EVALUATING THE PERINEURAL AND VASCULAR INVASION OF NASOPHARYNGEAL CANCER

Trần Xuân Bách1,2,, Bùi Văn Giang2,3
1 Transport Hospital Joint Stock Company
2 Hanoi Medical University
3 Medical Imaging Center, K Hospital

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Abstract

Purpose: Describe the imaging characteristics and value of magnetic resonance when nasopharyngeal tumor invades around the vascular nerves. Material and Methods: A prospective cross-sectional descriptive study was conducted out on 62 patients who were diagnosed with nasopharyngeal cancer underwent 1.5 TESLA MRI at Tan Trieu K Hospital from August 2020 to June 2021. Results: In 62 patients, 7 (11.3%) of patients clinically showed neuropathy; 18 patients had peri-nerve invasive magnetic resonance imaging, accounting for 29%; Kappa consensus index. 0.47 between clinical signs and MRI; 14 patients (22.6%) had invasive perivascular MRI, in which the rate of invasion around the carotid scapula was the highest (16.1%). Conclusion: The detection rate of perineural invasion on MRI is higher than on clinical signs, which is often observed in clinically asymptomatic patients. The rate of invasion around the carotid artery is the highest. MRI image of invasive nasopharyngeal tumor around the vascular nerve plays an important role in evaluating stage to plan treatment.

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References

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