Pre-treatment and post-treatment nasopharyngeal carcinoma imaging: imaging updates, pearls and pitfalls.
Purpose: Nasopharyngeal carcinoma (NPC) is endemic in Southeast Asia, requiring precise imaging for personalized treatment. This review highlights key imaging challenges and updates from recent literature, emphasizing findings that impact oncological management. Methods: We discuss common and uncomm...
| Publicado en: | Neuroradiology Vol. 67; no. 4; pp. 1023 - 1048 |
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| Autores principales: | , , , , |
| Formato: | diagnostic images review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184825694&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184825694 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00283940 NYZ jtl: Neuroradiology issn: 00283940 maglogo: N pubinfo: dt: Apr2025 vid: 67 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 184825694 184376171 184825694 184825694 10.1007/s00234-025-03596-z 184825694 ppf: 1023 ppct: 25 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Pre-treatment and post-treatment nasopharyngeal carcinoma imaging: imaging updates, pearls and pitfalls. aug: au: Li, Kwok Yan Kwok, Hoi Ming Pan, Nin Yuan Cheng, Lik Fai Ma, Ka Fai Johnny affil: https://ror.org/03jrxta72 Department of Diagnostic and Interventional Radiology, Princess Margaret Hospital, Hong Kong SAR, China sug: subj: Nasopharyngeal Carcinoma Diagnosis Diagnostic Imaging Evaluation Nasopharyngeal Carcinoma Therapy Signal Processing, Computer Assisted Tumor Burden Neoplasm Staging Diagnosis, Differential Hyperplasia Diagnosis Osteomyelitis Diagnosis Skull Neoplasms Diagnosis Lymph Nodes Pathology Nasopharyngeal Carcinoma Physiopathology Cicatrix Diagnosis Recurrence Diagnosis Recurrence Risk Factors Radiation Injuries Complications Necrosis Risk Factors Recurrence Surgery Endoscopy ab: Purpose: Nasopharyngeal carcinoma (NPC) is endemic in Southeast Asia, requiring precise imaging for personalized treatment. This review highlights key imaging challenges and updates from recent literature, emphasizing findings that impact oncological management. Methods: We discuss common and uncommon clinical entities, detailing salient imaging features and diagnostic distinctions to aid accurate interpretation. Results: In the pre-treatment setting, leveraging the characteristic MR signals and spread patterns of NPC aids in defining the tumor volume for accurate staging and radiotherapy contouring. Key diagnostic challenges include differentiating tumor from benign hyperplasia, skull base osteomyelitis, and other skull base tumors. Perineural tumor spread, radiological extranodal extension and nodal necrosis further refine primary tumor and nodal assessment. In the post-treatment setting, the key question is whether tumor recurrence exists. Diagnostic challenges involve distinguishing tumor recurrence from scar tissue, post-radiation nasopharyngeal necrosis, or hypertrophied cervical ganglia. For recurrences, endoscopic nasopharyngectomy has emerged as the preferred approach over open surgery or re-irradiation. The text highlights characteristic post-treatment appearances and emphasizes recognizing these patterns to avoid misinterpretation and guide appropriate management. Conclusion: Imaging plays a pivotal role in NPC precision oncology. Mastering imaging pearls and pitfalls empowers radiologists to provide clinicians with reliable, actionable guidance. pubtype: Academic Journal doctype: diagnostic images review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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