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Application of dynamic MRI to differentiating odontogenic myxomas from ameloblastomas.
MedLine Citation:
PMID:  12065119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is often difficult to radiographically distinguish odontogenic myxomas from ameloblastomas. In the present study, we tried to differentiate odontogenic myxomas from ameloblastomas using dynamic magnetic resonance imaging (dynamic MRI). Two cases of ameloblastoma with cystic components and two cases of odontogenic myxoma were compared by dynamic MRI. The dynamic MRI features of solid areas of ameloblastomas showed a rapid enhancement, reaching maximum contrast at 45-60 s, and maintained these enhancement levels or showed a gradual wash-out to 600 s thereafter; in contrast, those of the cystic areas of ameloblastomas showed no enhancement. The dynamic MRI features of the whole area of odontogenic myxomas (we considered the whole area to be the tumor substance in the odontogenic myxomas, as based on histopathological examinations) showed a gradual increase in enhancement at 500-600 s. The central portions of the odontogenic myxomas, which did not appear to be enhanced on Gd-T1 weighted images also showed a gradual increase in enhancement at 500-600 s, though the increase was minimal. These results indicate that the dynamic MRI features of odontogenic myxomas are different from those of ameloblastomas. Therefore, dynamic MRI may be a useful tool for diagnosis of myxoma.
Authors:
Jun-ichi Asaumi; Hidenobu Matsuzaki; Miki Hisatomi; Hironobu Konouchi; Hiroshi Shigehara; Kanji Kishi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of radiology     Volume:  43     ISSN:  0720-048X     ISO Abbreviation:  Eur J Radiol     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-06-14     Completed Date:  2002-09-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  37-41     Citation Subset:  IM    
Affiliation:
Department of Oral and Maxillofacial Radiology, Field of Tumor Biology, Graduate School of Medicine and Dentistry, Okayama University Graduate Schools, Japan. asaumi@md.okayama-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Ameloblastoma / diagnosis*
Contrast Media
Diagnosis, Differential
Gadolinium DTPA / diagnostic use
Humans
Jaw Neoplasms / diagnosis*
Magnetic Resonance Imaging / methods*
Odontogenic Tumors / diagnosis*
Chemical
Reg. No./Substance:
0/Contrast Media; 80529-93-7/Gadolinium DTPA

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