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MR features of the denervated tongue in radiation induced neuropathy (1999)_香港中文大学

香港中文大学 辅仁网/2017-06-27

MR features of the denervated tongue in radiation induced neuropathy
Publication in refereed journal


香港中文大学研究人员 ( 现职)
陈宇亮教授 (影像及介入放射学系)
梁承晖教授 (肿瘤学系)
区皓智教授 (影像及介入放射学系)
Professor Ann Dorothy KING (影像及介入放射学系)


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引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/10WOS source URL

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摘要The MR features of the denervated tongue have been described following nerve injury from radical neck dissection and tumour invasion. The purpose of the study was to determine whether similar features are present in the tongue following radiation induced neuropathy (RIN). The clinical records and MR images of 12 patients with RIN of the hypoglossal nerve were reviewed retrospectively. T-1 weighted SE images were performed in 12, T-2 weighted TSE images in 11, fat suppressed images in http://aims.cuhk.edu.hk/converis/portal/Publication/10 and contrast enhanced T-1 weighted images in nine patients. The denervated tongue revealed "oedemalike" changes in five, fatty infiltration in six, atrophy in 11 and pseudohypertrophy in one patient. Abnormal enhancement was not identified, and in five patients the signal intensity was normal on all sequences. The oedemalike changes, fatty infiltration and normal signal intensity were seen 2-48, 2-48, and 6-63 months, respectively, after the onset of RIN. In conclusion, there was no discernible relationship between the duration of RIN and the MR appearance of the denervated tongue. Oedemalike changes, previously described in the acute/subacute phase of denervation, were also seen in long-standing disease and there was no associated abnormal enhancement in any case. Furthermore, the signal intensity may be normal, the MR diagnosis relying on asymmetry of the size of the tongue. It is postulated that radiation causes incomplete and ongoing damage of the nerve, the course of which is unpredictable.

着者King AD, Ahuja A, Leung SF, Chan YL, Lam WWM, Metreweli C
期刊名称British Journal of Radiology
出版年份1999
月份4
日期1
卷号72
期次856
出版社BRITISH INST RADIOLOGY
页次349 - 353
国际标準期刊号0007-1285
电子国际标準期刊号1748-880X
语言英式英语

Web of Science 学科类别Radiology, Nuclear Medicine & Medical Imaging; RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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