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Establishment of diagnostic method of small cervical lymph nodes : analysis with FDG-PET and color Doppler ultrasonography.

Research Project

Project/Area Number 17591978
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pathobiological dentistry/Dental radiology
Research InstitutionAichi-Gakuin University

Principal Investigator

ARIJI Yoshiko  Aichi-Gakuin University, School of Dentistry, Department of Oral and Maxillofacial Radiology, Assistant Professor, 歯学部, 講師 (60232063)

Co-Investigator(Kenkyū-buntansha) GOTOH Masakazu  Aichi-Gakuin University, School of Dentistry, Department of Oral and Maxillofacial Radiology, Instructor, 歯学部, 助手 (30319206)
ARIJI Eiichiro  Aichi-Gakuin University, School of Dentistry, Department of Oral and Maxillofacial Radiology, Professor, 歯学部, 教授 (00150459)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2006: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2005: ¥2,800,000 (Direct Cost: ¥2,800,000)
Keywordscervical lymph node / FDG-PET / color Doppler ultrasonography / head and neck cancer / lymph node metastasis / squamous cell carcinoma
Research Abstract

Presence of accumulation on FDG-PET and histopathological degree of degeneration by metastasis were evaluated on 46 metastatic cervical lymph nodes in 6 patients with squamous cell carcinoma of oral cavity. The small lymph node with FDG accumulation showed wide area with degeneration, such as, necrosis, neovascularization and keratinization.
The pathological evidence of metastasis, size and internal structures were recorded on the extracted lymph nodes in 53 patients with squamous cell carcinoma of oral cavity. The central necrosis was observed in 38% of metastasis lymph nodes and 0.3% of non-metastatic lymph nodes. The keratinization was observed in 24% of metastasis lymph nodes and 1% of non-metastatic lymph nodes. The disappearance of hilar structure was observed in 77% of metastasis lymph nodes and 7% of non-metastatic lymph nodes. There were significant differences in frequency with all features between metastatic and non-metastatic lymph node groups (Chi-square test, P<0.01).
We ex … More amined whether the frequency with internal changes was different by size on the metastatic lymph nodes. The central necrosis was observed in 60% of group with 15mm of maximal axis and over and in 27% of small lymph node group (less than 15mm of maximal axis). The frequency of his feature significantly decreased in small lymph node group (Chi-square test, P<0.001). The keratinization was observed in 35% of group with 15mm of maximal axis and over and in 18% of small lymph node group. There was no significant difference in frequency between the two groups. The disappearance of hilar structure was observed in 88% of group with 15mm of maximal axis and over and in 71% of small lymph node group. The frequency of his feature significantly decreased in small lymph node group (Chi-square test, P=0.049).
We compared the frequency of blood flow patterns of the lymph nodes on color Doppler ultrasonograms between metastatic and non-metastatic lymph node groups. The hilar pattern was observed in 18% of metastasis lymph nodes and 62% of non-metastatic lymph nodes. The peripheral pattern was observed in 17% of metastasis lymph nodes and 1% of non-metastatic lymph nodes. The internal pattern was observed in 31% of metastasis lymph nodes and 1% of non-metastatic lymph nodes. There were significant differences in the frequency with all patterns between metastatic and non-metastatic lymph node groups (Chi-square test, P<0.01).
On the basis of the above-mentioned results, we made the following diagnostic criteria of a metastatic lymph node : a central necrosis alone, or 8 mm of the minor axis and over in cervical level IB and IIA(6mm and over in the other levels) and either feature of keratinization, disappearance of hilar structure or internal blood flow pattern. According to these diagnostic criteria, sensitivity 77%, specificity 95% and accuracy 0% were enough high. Less

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (16 results)

All 2006 2005

All Journal Article (16 results)

  • [Journal Article] FDG-PETでfalse positiveと思われる所見を呈した化学放射線療法後の舌癌症例.2006

    • Author(s)
      武藤雅子, 有地榮一郎, 不破信和, 有地淑子
    • Journal Title

      歯放 46・2

      Pages: 78-78

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Magnetic resonance imaging assessment of tumorous lesions in the floor of the mouth : case reports and review of the literature.2006

    • Author(s)
      Ariji Y, Gotoh M, Naitoh M, Izumi M, Shimozato K, Kurita K, Maeda H, Ariji E
    • Journal Title

      Oral Radiol 22・1

      Pages: 18-26

    • NAID

      10017607002

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Ultrasonographic evaluation and differentiation of the tumorous lesions in the floor of the mouth : case reports and review of the literature.2006

    • Author(s)
      Ariji Y, Maeda H, Naitoh M, Gotoh M, Izumi M, Aimiya H, Shimozato K, Kurita K, Ariji E
    • Journal Title

      Oral Sci Int 3・1

      Pages: 35-44

    • NAID

      10027107051

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Relationship between the growth pattern of nasopharyngeal cancer and the cervical lymph nodes based on MRI findings : Can the cervical radiation field be reduced in patients with nasopharyngeal cancer ?2006

    • Author(s)
      Fuwa N, Ariji Y, Daimon T, Wakisaka M, Matsumoto A, Kodaira T, Tachibana H, Nakamura T, Satou Y
    • Journal Title

      Br J Radiol 79・945

      Pages: 725-729

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] False-positive features on FDG-PET after chemoradiotherapy in patients with cancer of the tongue.2006

    • Author(s)
      Mutoh M, Ariji E, Fuwa N, Ariji Y.
    • Journal Title

      Dental Radiol 46.2

      Pages: 78-78

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Magnetic resonance imaging assessment of tumorous lesions in the floor of the mouth : case reports and review of the literature.2006

    • Author(s)
      Ariji Y, Gotoh M, Naitoh M, Izumi M, Shimozato K, Kurita K, Maeda H, Ariji E.
    • Journal Title

      Oral Radiol 22.1

      Pages: 18-26

    • NAID

      10017607002

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Ultrasonographic evaluation and differentiation of the tumorous lesions in the floor of the mouth : case reports and review of the literature.2006

    • Author(s)
      Ariji Y, Maeda H, Naitoh M, Gotoh M, Izumi M, Aimiya H, Shimozato K, Kurita K, Ariji E.
    • Journal Title

      Oral Sci Int 31

      Pages: 35-44

    • NAID

      10027107051

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Relationship between the growth pattern of nasopharyngeal cancer and the cervical lymph nodes based on MRI findings : Can the cervical radiation field be reduced in patients with nasopharyngeal cancer ?2006

    • Author(s)
      Fuwa N, Ariji Y, Daimon T, Wakisaka M, Matsumoto A, Kodaira T, Tachibana H, Nakamura T, Satou Y.
    • Journal Title

      Br J Radiol 79.945

      Pages: 725-729

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] FDG-PETでfalse positiveと思われる所見を呈した化学放射線治療後の舌癌症例.2006

    • Author(s)
      武藤雅子, 有地榮一郎, 不破信和, 有地淑子
    • Journal Title

      歯放 46・2

      Pages: 78-78

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Magnetic resonance imaging assessment of tumorous lesions in the floor of the mouth : case reports and review of the literature.2006

    • Author(s)
      Ariji Y, Gotoh M, Naitoh M, Izumi M, Shimozato K, Kurita K, Maeda H, Ariji E.
    • Journal Title

      Oral Radiol 22・1

      Pages: 18-26

    • NAID

      10017607002

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Ultrasonographic evaluation and differentiation of the tumorous lesions in the floor of the mouth : case reports and review of the literature.2006

    • Author(s)
      Ariji Y, Maeda H, Naitoh M, Gotoh M, Izumi M, Aimiya H, Shimozato K, Kurita K, Ariji E.
    • Journal Title

      Oral Sci Int 3・1

      Pages: 35-44

    • NAID

      10027107051

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Relationship between the growth pattern of nasopharyngeal cancer and the cervical lymph nodes based on MRI findings : Can the cervical radiation field be reduced in patients with nasopharyngeal cancer?2006

    • Author(s)
      Fuwa N, Ariji Y, Daimon T, Wakisaka M, Matsumoto A, Kodaira T, Tachibana H, Nakamura T, Satou Y.
    • Journal Title

      Br J Radiol 79・945

      Pages: 725-729

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 頚部リンパ節転移におけるPETの診断基準について:MR画像所見および病理組織所見との比較2005

    • Author(s)
      横井共, 水野進, 石田洋一, 石原茂人, 山本浩司, 有馬知子, 前田早苗, 山根登茂彦, 加藤俊男, 加藤麦夫, 栗田賢一, 有地淑子, 有地榮一郎
    • Journal Title

      口科誌 54(4)

      Pages: 513-513

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 口腔扁平上皮癌患者における舌骨外側部のリンパ節転移について2005

    • Author(s)
      有地淑子, 大林修文, 後藤真一, 泉雅浩, 内藤宗孝, 加藤麦夫, 落合栄樹, 宮地斉, 下郷和雄, 有地榮一郎
    • Journal Title

      歯放 45(4)

      Pages: 165-165

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 下顎骨へ転移をきたした悪性腫瘍4例の画像所見と文献的考察2005

    • Author(s)
      有地淑子, 後藤真一, 泉雅浩, 内藤宗孝, 栗田賢一, 宮地斉, 前田初彦, 有地榮一郎
    • Journal Title

      歯放 45(4)

      Pages: 207-207

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 口腔底部腫瘤性病変の画像診断2005

    • Author(s)
      有地淑子, 後藤真一, 下郷和雄, 栗田賢一, 前田初彦, 有地榮一郎
    • Journal Title

      第24回日本口腔腫瘍学会総会・学術大会プログラム抄録集

      Pages: 85-85

    • Related Report
      2005 Annual Research Report

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Published: 2005-04-01   Modified: 2016-04-21  

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