2014
DOI: 10.1002/hed.23575
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Diffusion-weighted imaging in head and neck squamous cell carcinomas: A systematic review

Abstract: DWI showed consistent high accuracy and high NPV. However, available literature is sparse and varying ADC thresholds were reported. Compared to current imaging techniques, DWI showed the most potential in lymph node staging and detection of recurrences.

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Cited by 64 publications
(58 citation statements)
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References 34 publications
(109 reference statements)
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“…The design of this study is appropriate to evaluate diagnostic accuracy and is comparable to daily practice, compared with a case-control design, which introduces a bias in patient selection and risks the chance of overestimation of the diagnostic accuracy. 22 In addition, the quantitative analysis of the ADC map and region-ofinterest delineation of this study were made by one radiologist who may have a bias in ADC values measurement. In the study by Ai et al, 16 In this study, the group of patients was heterogeneous with different pathological entities and different age groups of adults and children.…”
mentioning
confidence: 99%
“…The design of this study is appropriate to evaluate diagnostic accuracy and is comparable to daily practice, compared with a case-control design, which introduces a bias in patient selection and risks the chance of overestimation of the diagnostic accuracy. 22 In addition, the quantitative analysis of the ADC map and region-ofinterest delineation of this study were made by one radiologist who may have a bias in ADC values measurement. In the study by Ai et al, 16 In this study, the group of patients was heterogeneous with different pathological entities and different age groups of adults and children.…”
mentioning
confidence: 99%
“…A decrease in ADC during treatment is strongly indicative of a time point of tumor resistance and treatment failure [52]. DWI seems even superior to FDG PET/CT for post-treatment recurrence [53].…”
Section: Diffusion-weighted Imaging (Epi-dwi Non-epi-dwi Resolve)mentioning
confidence: 99%
“…DWI has been proved to be a valuable tool in many aspects of HNC management by a number of studies, including but not limited to tumor detection and characterization, nodal staging, treatment response prediction and post-treatment recurrence evaluation (18)(19)(20). For target delineation in head and neck radiotherapy planning, DWI is of value in the identification of metastatic lymph nodes, in particular for small-sized lymph nodes, so as to determine the extent of radiation treatment field (21).…”
Section: Diffusion-weighted Imaging (Dwi)mentioning
confidence: 99%