Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma

Abstract Background The neck imaging reporting and data system (NI-RADS) is a structured reporting algorithm linked with further patient management recommendations. This study was conducted to assess the overall and time point predictive value of the NI-RADS in laryngeal and oral cavity squamous cel...

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Main Authors: Ahmed S. Abdelrahman, Manar Maamoun Mohamed Ashour, Tougan Taha Abdelaziz
Format: Article
Language:English
Published: SpringerOpen 2020-11-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-020-00366-0
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author Ahmed S. Abdelrahman
Manar Maamoun Mohamed Ashour
Tougan Taha Abdelaziz
author_facet Ahmed S. Abdelrahman
Manar Maamoun Mohamed Ashour
Tougan Taha Abdelaziz
author_sort Ahmed S. Abdelrahman
collection DOAJ
description Abstract Background The neck imaging reporting and data system (NI-RADS) is a structured reporting algorithm linked with further patient management recommendations. This study was conducted to assess the overall and time point predictive value of the NI-RADS in laryngeal and oral cavity squamous cell carcinoma (SCC) using contrast-enhanced magnetic resonance imaging (CEMRI) and contrast-enhanced computed tomography (CECT). Results The rate of tumor recurrence was statistically different among the NI-RADS 1-3 categories with recurrence trend for higher NI-RADS scores. The overall negative predictive value (NPV) of the NI-RADS 1 and 2 were 94.3%, 74.3% respectively, and the positive predictive value (PPV) of the NI-RADS 3 was 80.8%. The overall recurrence rate of NI-RADS 3 was higher in oral cavity SCC (87.5%) compared to the laryngeal SCC (70%). The PPV of overall NI-RADS 3 in the follow-up scans (77.8%) was higher than in the first scan (70.6%). The odd ratio of tumor recurrence in NI-RADS 3 primary lesion was 19.6. Conclusion The predictive value of NI-RADS was significantly different among its categories. Increasing NI-RADS score is associated with increased recurrence among the treated laryngeal and oral cavity SCC. The morphological and enhancement lexicon features equally assign the NI-RADS 3 score.
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spelling doaj.art-44640869f00c43c28fb257b8d16be9f92022-12-21T18:13:39ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622020-11-0151111310.1186/s43055-020-00366-0Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinomaAhmed S. Abdelrahman0Manar Maamoun Mohamed Ashour1Tougan Taha Abdelaziz2Radiology Department, Faculty of Medicine, Ain Shams UniversityRadiology Department, Faculty of Medicine, Ain Shams UniversityRadiology Department, Faculty of Medicine, Ain Shams UniversityAbstract Background The neck imaging reporting and data system (NI-RADS) is a structured reporting algorithm linked with further patient management recommendations. This study was conducted to assess the overall and time point predictive value of the NI-RADS in laryngeal and oral cavity squamous cell carcinoma (SCC) using contrast-enhanced magnetic resonance imaging (CEMRI) and contrast-enhanced computed tomography (CECT). Results The rate of tumor recurrence was statistically different among the NI-RADS 1-3 categories with recurrence trend for higher NI-RADS scores. The overall negative predictive value (NPV) of the NI-RADS 1 and 2 were 94.3%, 74.3% respectively, and the positive predictive value (PPV) of the NI-RADS 3 was 80.8%. The overall recurrence rate of NI-RADS 3 was higher in oral cavity SCC (87.5%) compared to the laryngeal SCC (70%). The PPV of overall NI-RADS 3 in the follow-up scans (77.8%) was higher than in the first scan (70.6%). The odd ratio of tumor recurrence in NI-RADS 3 primary lesion was 19.6. Conclusion The predictive value of NI-RADS was significantly different among its categories. Increasing NI-RADS score is associated with increased recurrence among the treated laryngeal and oral cavity SCC. The morphological and enhancement lexicon features equally assign the NI-RADS 3 score.https://doi.org/10.1186/s43055-020-00366-0NI-RADSLaryngeal SCCOral cavity SCC
spellingShingle Ahmed S. Abdelrahman
Manar Maamoun Mohamed Ashour
Tougan Taha Abdelaziz
Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma
The Egyptian Journal of Radiology and Nuclear Medicine
NI-RADS
Laryngeal SCC
Oral cavity SCC
title Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma
title_full Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma
title_fullStr Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma
title_full_unstemmed Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma
title_short Predictive value of neck imaging reporting and data system (NIRADS) in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma
title_sort predictive value of neck imaging reporting and data system nirads in cect cemri of laryngeal and oral cavity squamous cell carcinoma
topic NI-RADS
Laryngeal SCC
Oral cavity SCC
url https://doi.org/10.1186/s43055-020-00366-0
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AT tougantahaabdelaziz predictivevalueofneckimagingreportinganddatasystemniradsincectcemrioflaryngealandoralcavitysquamouscellcarcinoma