MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial region

PURPOSEWe aimed to investigate the magnetic resonance imaging (MRI) appearance of inflammatory myofibroblastic tumors (IMTs) in the maxillofacial region in order to improve diagnostic quality and resection efficacy.MATERIALS AND METHODSTen cases of pathologically identified IMTs were analyzed by MRI...

Full description

Bibliographic Details
Main Authors: Hui Li, De-Ling Wang, Xue-Wen Liu, Zhi-Jun Geng, Chuan-Miao Xie
Format: Article
Language:English
Published: Galenos Publishing House 2014-07-01
Series:Diagnostic and Interventional Radiology
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/mr-characterization-of-inflammatory-myofibroblasti/56151
_version_ 1797691408667115520
author Hui Li
De-Ling Wang
Xue-Wen Liu
Zhi-Jun Geng
Chuan-Miao Xie
author_facet Hui Li
De-Ling Wang
Xue-Wen Liu
Zhi-Jun Geng
Chuan-Miao Xie
author_sort Hui Li
collection DOAJ
description PURPOSEWe aimed to investigate the magnetic resonance imaging (MRI) appearance of inflammatory myofibroblastic tumors (IMTs) in the maxillofacial region in order to improve diagnostic quality and resection efficacy.MATERIALS AND METHODSTen cases of pathologically identified IMTs were analyzed by MRI. The MRI features were examined, including tumor location, tumor shape, tumor margins, and involvement of the surrounding tissues.RESULTSOf ten masses investigated in this study, eight masses were irregular neoplasms with unclear margins and two masses, in the parotid gland, were regular neoplasms with clear margins. Precontrast T1-weighted images of all ten masses exhibited isointense signals compared to the adjacent tissue, while contrast-enhanced T1-weighted images showed strong enhancement. Six masses were hypointense and four masses were slightly hyperintense in T2-weighted images. Involvement of the adjacent structures was observed in eight of ten cases. Meanwhile, two patients experienced intracranial involvement.CONCLUSIONIMTs are rare tumors in the maxillofacial region, displaying a number of distinct MRI characteristics. Most importantly, they display low T2 signal intensity and strong enhancement, and they frequently invade surrounding structures. Thus, MRI can improve the accuracy of IMT diagnoses and provide critical information for surgical planning.
first_indexed 2024-03-12T02:12:52Z
format Article
id doaj.art-189c0aaa6fa848a5b3c7fe8509e332cb
institution Directory Open Access Journal
issn 1305-3825
1305-3612
language English
last_indexed 2024-03-12T02:12:52Z
publishDate 2014-07-01
publisher Galenos Publishing House
record_format Article
series Diagnostic and Interventional Radiology
spelling doaj.art-189c0aaa6fa848a5b3c7fe8509e332cb2023-09-06T11:24:04ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122014-07-0120431031510.5152/dir.2014.1334813049054MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial regionHui Li0De-Ling Wang1Xue-Wen Liu2Zhi-Jun Geng3Chuan-Miao Xie4 State Key Laboratory of Oncology, Guangzhou, China; Medical Imaging and Minimally Invasive Interventional Center, Cancer Center, Sun Yat-sen University, Guangzhou, China State Key Laboratory of Oncology, Guangzhou, China; Medical Imaging and Minimally Invasive Interventional Center, Cancer Center, Sun Yat-sen University, Guangzhou, China State Key Laboratory of Oncology, Guangzhou, China; Medical Imaging and Minimally Invasive Interventional Center, Cancer Center, Sun Yat-sen University, Guangzhou, China State Key Laboratory of Oncology, Guangzhou, China; Medical Imaging and Minimally Invasive Interventional Center, Cancer Center, Sun Yat-sen University, Guangzhou, China State Key Laboratory of Oncology, Guangzhou, China; Medical Imaging and Minimally Invasive Interventional Center, Cancer Center, Sun Yat-sen University, Guangzhou, China PURPOSEWe aimed to investigate the magnetic resonance imaging (MRI) appearance of inflammatory myofibroblastic tumors (IMTs) in the maxillofacial region in order to improve diagnostic quality and resection efficacy.MATERIALS AND METHODSTen cases of pathologically identified IMTs were analyzed by MRI. The MRI features were examined, including tumor location, tumor shape, tumor margins, and involvement of the surrounding tissues.RESULTSOf ten masses investigated in this study, eight masses were irregular neoplasms with unclear margins and two masses, in the parotid gland, were regular neoplasms with clear margins. Precontrast T1-weighted images of all ten masses exhibited isointense signals compared to the adjacent tissue, while contrast-enhanced T1-weighted images showed strong enhancement. Six masses were hypointense and four masses were slightly hyperintense in T2-weighted images. Involvement of the adjacent structures was observed in eight of ten cases. Meanwhile, two patients experienced intracranial involvement.CONCLUSIONIMTs are rare tumors in the maxillofacial region, displaying a number of distinct MRI characteristics. Most importantly, they display low T2 signal intensity and strong enhancement, and they frequently invade surrounding structures. Thus, MRI can improve the accuracy of IMT diagnoses and provide critical information for surgical planning. http://www.dirjournal.org/archives/archive-detail/article-preview/mr-characterization-of-inflammatory-myofibroblasti/56151
spellingShingle Hui Li
De-Ling Wang
Xue-Wen Liu
Zhi-Jun Geng
Chuan-Miao Xie
MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial region
Diagnostic and Interventional Radiology
title MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial region
title_full MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial region
title_fullStr MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial region
title_full_unstemmed MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial region
title_short MRI characterization of inflammatory myofibroblastic tumors in the maxillofacial region
title_sort mri characterization of inflammatory myofibroblastic tumors in the maxillofacial region
url http://www.dirjournal.org/archives/archive-detail/article-preview/mr-characterization-of-inflammatory-myofibroblasti/56151
work_keys_str_mv AT huili mricharacterizationofinflammatorymyofibroblastictumorsinthemaxillofacialregion
AT delingwang mricharacterizationofinflammatorymyofibroblastictumorsinthemaxillofacialregion
AT xuewenliu mricharacterizationofinflammatorymyofibroblastictumorsinthemaxillofacialregion
AT zhijungeng mricharacterizationofinflammatorymyofibroblastictumorsinthemaxillofacialregion
AT chuanmiaoxie mricharacterizationofinflammatorymyofibroblastictumorsinthemaxillofacialregion