Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary Study

Intraoral ultrasonography has been widely employed for the preoperative assessment of tumor margins due to its capability to evaluate depth of invasion (DOI) and tumor thickness (TT). Recently, a novel ultrasonographic technique, ultra-high frequency ultrasound (UHFUS) has been increasingly applied...

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Main Authors: Rossana Izzetti, Marco Nisi, Stefano Gennai, Teresa Oranges, Laura Crocetti, Davide Caramella, Filippo Graziani
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/16/7647
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author Rossana Izzetti
Marco Nisi
Stefano Gennai
Teresa Oranges
Laura Crocetti
Davide Caramella
Filippo Graziani
author_facet Rossana Izzetti
Marco Nisi
Stefano Gennai
Teresa Oranges
Laura Crocetti
Davide Caramella
Filippo Graziani
author_sort Rossana Izzetti
collection DOAJ
description Intraoral ultrasonography has been widely employed for the preoperative assessment of tumor margins due to its capability to evaluate depth of invasion (DOI) and tumor thickness (TT). Recently, a novel ultrasonographic technique, ultra-high frequency ultrasound (UHFUS) has been increasingly applied to the study of oral lesions. This study evaluates the potential application of intraoral UHFUS to assess DOI and TT parameters of oral squamous cell carcinoma (OSCC) lesions. Patients clinically suspected of OSCC lesions were enrolled and underwent an intraoral UHFUS examination preoperatively. The parameters of TT, DOI, echogenicity, and vascularization were assessed. The parameters of TT and DOI as evaluated by means of UHFUS were compared to histology, which was set as the benchmark. Ten patients in total were enrolled. UHFUS-based DOI and TT measurements were found to positively correlate with histology (<i>p</i> < 0.05), although UHFUS provided a slight overestimation of DOI. No differences were found in terms of echogenicity or vascularization depending on the site of the lesion. According to these preliminary results, UHFUS could support the preoperative assessment of TT and DOI, potentially enhancing the clinical evaluation of OSCC.
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spelling doaj.art-55247cc127ae44a2826d65aca09f018f2023-11-22T06:44:50ZengMDPI AGApplied Sciences2076-34172021-08-011116764710.3390/app11167647Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary StudyRossana Izzetti0Marco Nisi1Stefano Gennai2Teresa Oranges3Laura Crocetti4Davide Caramella5Filippo Graziani6Unit of Dentistry and Oral Surgery, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, ItalyUnit of Dentistry and Oral Surgery, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, ItalyUnit of Dentistry and Oral Surgery, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, ItalyUnit of Dermatology, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDiagnostic and Interventional Radiology, Department of Translational Research and of New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, ItalyDiagnostic and Interventional Radiology, Department of Translational Research and of New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, ItalyUnit of Dentistry and Oral Surgery, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, ItalyIntraoral ultrasonography has been widely employed for the preoperative assessment of tumor margins due to its capability to evaluate depth of invasion (DOI) and tumor thickness (TT). Recently, a novel ultrasonographic technique, ultra-high frequency ultrasound (UHFUS) has been increasingly applied to the study of oral lesions. This study evaluates the potential application of intraoral UHFUS to assess DOI and TT parameters of oral squamous cell carcinoma (OSCC) lesions. Patients clinically suspected of OSCC lesions were enrolled and underwent an intraoral UHFUS examination preoperatively. The parameters of TT, DOI, echogenicity, and vascularization were assessed. The parameters of TT and DOI as evaluated by means of UHFUS were compared to histology, which was set as the benchmark. Ten patients in total were enrolled. UHFUS-based DOI and TT measurements were found to positively correlate with histology (<i>p</i> < 0.05), although UHFUS provided a slight overestimation of DOI. No differences were found in terms of echogenicity or vascularization depending on the site of the lesion. According to these preliminary results, UHFUS could support the preoperative assessment of TT and DOI, potentially enhancing the clinical evaluation of OSCC.https://www.mdpi.com/2076-3417/11/16/7647oral neoplasmsneoplasm invasivenessneoplasm stagingsquamous cell carcinoma of head and neckdiagnostic imagingultrasonography
spellingShingle Rossana Izzetti
Marco Nisi
Stefano Gennai
Teresa Oranges
Laura Crocetti
Davide Caramella
Filippo Graziani
Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary Study
Applied Sciences
oral neoplasms
neoplasm invasiveness
neoplasm staging
squamous cell carcinoma of head and neck
diagnostic imaging
ultrasonography
title Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary Study
title_full Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary Study
title_fullStr Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary Study
title_full_unstemmed Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary Study
title_short Evaluation of Depth of Invasion in Oral Squamous Cell Carcinoma with Ultra-High Frequency Ultrasound: A Preliminary Study
title_sort evaluation of depth of invasion in oral squamous cell carcinoma with ultra high frequency ultrasound a preliminary study
topic oral neoplasms
neoplasm invasiveness
neoplasm staging
squamous cell carcinoma of head and neck
diagnostic imaging
ultrasonography
url https://www.mdpi.com/2076-3417/11/16/7647
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