HEAD AND NECK RADIOLOGY / ORIGINAL PAPER
Figure from article: Shear wave elastography and...
 
KEYWORDS
TOPICS
ABSTRACT
Purpose:
The aim of this study was to research shear wave elastography (SWE) and diffusion-weighted magnetic resonance imaging (DWI) for oral carcinoma and benign lesions in buccal, sublingual, and submandibular spaces.

Material and methods:
Eighteen patients with lesions in buccal, sublingual, and submandibular spaces were evaluated using SWE and DWI. Maximum shear elastic modulus data were analysed using a SWE software. Mean apparent diffusion coefficient (ADC) values were analysed using ADC maps with DWI. The shear elastic modulus and ADC value for oral carcinoma and benign lesions were compared using the Mann-Whitney U test. The relationship between shear elastic modulus and ADC value was assessed by Pearson’s correlation coefficient.

Results:
The shear elastic modulus of the oral carcinoma (116.6 kPa) was higher than those of the benign lesions (47.0 kPa). The ADC value of oral carcinoma (1.14 × 10–3 mm2s–1) was lower than those of benign lesions (1.62 × 10–3 mm2s–1). The ADC value was significantly correlated with shear elastic modulus (Y = –88.8X + 207.2, R2 = 0.408, p = 0.004).

Conclusions:
The SWE and ADC with DWI can be useful in the quantitative evaluation of oral carcinoma and benign lesions.
REFERENCES (21)
1.
Hasan Z, Tan D, Buchanan M, Palme C, Riffat F. Buccal space tumours. Auris Nasus Larynx 2019; 46: 160-166.
 
2.
Kim CY, Takeshita Y, Kugimoto T, Harada H, Park JS, Tubbs RS, Iwanaga J. Anatomy of the buccal space: surgical and radiological perspectives. J Craniofac Surg 2024; 35: 1972-1976.
 
3.
Kurabayashi T, Nakamura S, Ogura I, Sasaki T. The sublingual and submandibular spaces. Oral Radiol 2003; 19: 130-136.
 
4.
Otonari-Yamamoto M, Nakajima K, Tsuji Y, Otonari T, Curtin HD, Okano T, Sano T. Imaging of the mylohyoid muscle: separation of submandibular and sublingual spaces. AJR Am J Roentgenol 2010; 194: W431-W438. DOI: 10.2214/AJR.09.3516.
 
5.
Kim HC, Han MH, Moon MH, Kim JH, Kim IO, Chang KH. CT and MR imaging of the buccal space: normal anatomy and abnormalities. Korean J Radiol 2005; 6: 22-30.
 
6.
Ogura I, Kaneda T, Sasaki Y, Sekiya K, Tokunaga S. Characteristic power Doppler sonographic images of tumorous and non-tumorous buccal space lesions. Dentomaxillofac Radiol 2013; 42: 20120460. DOI: 10.1259/dmfr.20120460.
 
7.
Lahiri AK, Daultrey CR. Imaging evaluation of the benign and malignant lesions of the floor of the mouth: pictorial review. SA J Radiol 2023; 27: 2677. DOI: 10.4102/sajr.v27i1.2677.
 
8.
Kurabayashi T, Ida M, Tetsumura A, Ohbayashi N, Yasumoto M, Sasaki T. MR imaging of benign and malignant lesions in the buccal space. Dentomaxillofac Radiol 2002; 31: 344-349.
 
9.
Ogura I, Nakahara K, Sasaki Y, Sue M, Oda T. Usefulness of shear wave elastography in the diagnosis of oral and maxillofacial diseases. Imaging Sci Dent 2018; 48: 161-165.
 
10.
Sasaki Y, Ogura I. Shear wave elastography in differentiating between benign and malignant cervical lymph nodes in patients with oral carcinoma. Dentomaxillofac Radiol 2019; 48: 20180454. DOI: 10.1259/dmfr.20180454.
 
11.
Tezuka Y, Oneyama T, Kanri Y, Toya S, Okada Y, Ogura I. A case of odontogenic keratocyst in the buccal space: characterization by multimodality imaging including computed tomography, diffusion-weighted magnetic resonance imaging, and ultrasonography. Oral Radiol 2024; 40: 304-309.
 
12.
Tanabe Y, Shirai A, Ogura I. Shear wave elastography for parotid glands: quantitative analysis of shear elastic modulus in relation to age, gender, and internal architecture in patients with oral cancer. J Imaging 2025; 11: 145. DOI: 10.3390/jimaging11050145.
 
13.
Maeda M, Maier SE. Usefulness of diffusion-weighted imaging and the apparent diffusion coefficient in the assessment of head and neck tumors. J Neuroradiol 2008; 35: 71-78.
 
14.
Şerifoğlu İ, Oz İİ, Damar M, Tokgöz Ö, Yazgan Ö, Erdem Z. Diffusion-weighted imaging in the head and neck region: usefulness of apparent diffusion coefficient values for characterization of lesions. Diagn Interv Radiol 2015; 21: 208-214.
 
15.
Ogura I, Sasaki Y, Kameta A, Sue M, Oda T. Diffusion-weighted imaging in the oral and maxillofacial region: usefulness of apparent diffusion coefficient maps and maximum intensity projection for characterization of normal structures and lesions. Pol J Radiol 2017; 82: 571-577.
 
16.
Oda T, Sue M, Sasaki Y, Ogura I. Diffusion-weighted magnetic resonance imaging in oral and maxillofacial lesions: preliminary study on diagnostic ability of apparent diffusion coefficient maps. Oral Radiol 2018; 34: 224-228.
 
17.
Ogura I, Nakahara K, Sasaki Y, Sue M, Oda T. Diffusion-weighted magnetic resonance imaging in odontogenic keratocysts: preliminary study on usefulness of apparent diffusion coefficient maps for characterization of normal structures and lesions. Chin J Dent Res 2019; 22: 51-56.
 
18.
Minami Y, Ogawa R, Kanri Y, Tezuka Y, Okada Y, Ogura I. Characteristic multimodal imaging of palatal follicular lymphoma: a case report on effectiveness of CT, diffusion-weighted MR imaging and intraoral ultrasonography. Oral Radiol 2023; 39: 215-219.
 
19.
Tezuka Y, Ogura I. Evaluation of the efficacy of diffusion-weighted magnetic resonance imaging and apparent diffusion coefficients in the diagnosis of maxillary diseases. Oral Surg Oral Med Oral Pathol Oral Radiol 2023; 136: 753-758.
 
20.
Surov A, Meyer HJ, Wienke A. Apparent diffusion coefficient for distinguishing between malignant and benign lesions in the head and neck region: a systematic review and meta-analysis. Front Oncol 2020; 9: 1362. DOI: 10.3389/fonc.2019.01362.
 
21.
Tanabe Y, Ogura I. Apparent diffusion coefficient for distinguishing between benign and malignant lesions in submandibular and sublingual spaces. Oral Radiol 2026; 42: 221-227.
 
ISSN:1899-0967
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