The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma

The evaluation of surveillance imaging of OSCC patients is a difficult task physicians have to face daily. Multiple patients experience a recurrence of this disease, which underlines the importance of regular patient monitoring programs. Our study analysed the value of surveillance imaging, such as...

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Main Authors: Oliver Bissinger, Anne Von den Hoff, Elisabeth Maier, Katharina Theresa Obermeier, Herbert Stimmer, Andreas Kolk, Klaus-Dietrich Wolff, Carolin Götz
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/16/1/207
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author Oliver Bissinger
Anne Von den Hoff
Elisabeth Maier
Katharina Theresa Obermeier
Herbert Stimmer
Andreas Kolk
Klaus-Dietrich Wolff
Carolin Götz
author_facet Oliver Bissinger
Anne Von den Hoff
Elisabeth Maier
Katharina Theresa Obermeier
Herbert Stimmer
Andreas Kolk
Klaus-Dietrich Wolff
Carolin Götz
author_sort Oliver Bissinger
collection DOAJ
description The evaluation of surveillance imaging of OSCC patients is a difficult task physicians have to face daily. Multiple patients experience a recurrence of this disease, which underlines the importance of regular patient monitoring programs. Our study analysed the value of surveillance imaging, such as computed tomography (CT) and nuclear magnetic resonance imaging (NMRI), as a patient monitoring programme and its effectiveness in achieving improvement in early recurrence detection. The study comprised 125 patients, out of which 56 (<i>n</i> = 56) showed radiological and 69 (<i>n</i> = 69) showed clinical and radiological conspicuous patterns in domestic follow-ups, respectively. The use of CT and NMRI showed a significant dependence on the histological result (<i>p</i> = 0.03). However, the different groups showed no significant dependence on the histological result (<i>p</i> = 0.96). The distribution of the histological biopsies, which were taken due to radiological changes, were prone to wrong positive diagnoses (false positives) in 71 percent. To conclude, imaging modalities should be chosen for each patient individually to reduce false positives, improve the early detection of recurrence, and increase the cure rate.
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spelling doaj.art-fd4c32a9a9d643fe94f325191c9b63bf2024-01-10T14:53:03ZengMDPI AGCancers2072-66942024-01-0116120710.3390/cancers16010207The Value of Surveillance Imaging of Oral Squamous Cell CarcinomaOliver Bissinger0Anne Von den Hoff1Elisabeth Maier2Katharina Theresa Obermeier3Herbert Stimmer4Andreas Kolk5Klaus-Dietrich Wolff6Carolin Götz7Department of Oral and Maxillofacial Surgery, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck, AustriaDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Str. 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck, AustriaDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, University Hospital LMU Munich, Lindwurmstraße 2A, 80337 Munich, GermanyDepartment of Radiology, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Str. 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck, AustriaDepartment of Oral and Maxillofacial Surgery, School of Medicine, Technical University of Munich, Klinikum Rechts der Isar, Ismaninger Str. 22, 81675 Munich, GermanyDepartment of Oral and Maxillofacial Surgery, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck, AustriaThe evaluation of surveillance imaging of OSCC patients is a difficult task physicians have to face daily. Multiple patients experience a recurrence of this disease, which underlines the importance of regular patient monitoring programs. Our study analysed the value of surveillance imaging, such as computed tomography (CT) and nuclear magnetic resonance imaging (NMRI), as a patient monitoring programme and its effectiveness in achieving improvement in early recurrence detection. The study comprised 125 patients, out of which 56 (<i>n</i> = 56) showed radiological and 69 (<i>n</i> = 69) showed clinical and radiological conspicuous patterns in domestic follow-ups, respectively. The use of CT and NMRI showed a significant dependence on the histological result (<i>p</i> = 0.03). However, the different groups showed no significant dependence on the histological result (<i>p</i> = 0.96). The distribution of the histological biopsies, which were taken due to radiological changes, were prone to wrong positive diagnoses (false positives) in 71 percent. To conclude, imaging modalities should be chosen for each patient individually to reduce false positives, improve the early detection of recurrence, and increase the cure rate.https://www.mdpi.com/2072-6694/16/1/207oral squamous cell carcinomaCT/NMRIfollow-upsurveillance imagingfalse positives
spellingShingle Oliver Bissinger
Anne Von den Hoff
Elisabeth Maier
Katharina Theresa Obermeier
Herbert Stimmer
Andreas Kolk
Klaus-Dietrich Wolff
Carolin Götz
The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma
Cancers
oral squamous cell carcinoma
CT/NMRI
follow-up
surveillance imaging
false positives
title The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma
title_full The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma
title_fullStr The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma
title_full_unstemmed The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma
title_short The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma
title_sort value of surveillance imaging of oral squamous cell carcinoma
topic oral squamous cell carcinoma
CT/NMRI
follow-up
surveillance imaging
false positives
url https://www.mdpi.com/2072-6694/16/1/207
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