Evaluation of CT and MRI imaging results of radicular cysts, odontogenic keratocysts, and dentigerous cysts antd their contribution to the differential diagnosis
Küçük Resim Yok
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bentham Science Publishers
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim The study aimed to evaluate the contribution of the MRI and CT results to the differential diagnosis of histopathologically different odontogenic cysts. Background Odontogenic cysts are commonly seen in the jaw bone and their surgical operations have an important place in the practice of maxillofacial surgery, treatment options for these cysts differ according to their histopathology. Differential results that can be obtained from the radiological evaluations of different cyst groups will allow the surgeon to plan a more accurate approach at the beginning of the operation. In this study, computed tomography [CT] and magnetic resonance imaging [MRI] results of different cyst groups were interpreted together with their histopathological diagnosis. Method CT and MRI results were evaluated of 17 patients aged between 19-61, whose histopathological diagnosis consisted of 3 radicular cysts [RC], a total of 9 odontogenic keratocysts [OKC] of which 4 were inflamed, and a total of 5 dentigerous cysts [DC] of which one of them was inflammatory. Result: In the CT scan, all cysts showed lytic, a sclerotic surrounding and showed MRI peripheral enhancement, whereas solid nodular enhancement was only observed in OKCs. Edema and/or air in the surrounding bone medulla was observed in the infected lesions. OKC was heterogeneous, whereas RC and DC were more homogeneous. Diffusion restriction was observed to be frequent in OKCs. The OKCs were ellipsoidal in appearance and were located parallel to the long axis of the bone, and their dimensions were observed to be larger than the other cysts. OKCs may be accompanied by unerupted teeth. Radicular cysts were located perpendicular to the long axis of the bone and were globular in appearance, and their dimensions were smaller and more homogeneous compared to the OKCs. Dentigerous cysts are accompanied by an unerupted tooth, and their peripheral enhancement is minimal and homogeneous. However, dentigerous cysts can be dense in content and smaller in size, and ellipsoidal localization is more common than OKCs. Conclusion: In addition to classic panoramic radiography in the evaluation and differential diagnosis of maxillary and mandibular lesions, CT and MRI evaluations can provide helpful information to the surgeon and pathologist in making the diagnosis and may further help plan the operation.
Açıklama
Anahtar Kelimeler
Radicular Cyst, Odontogenic Keratocyst, Dentigerous Cyst, Computed Tomography, Pathologist, Magnetic Resonance Imaging
Kaynak
Current Medical Imaging
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
Sayı
Künye
Yalçin BK, Berberoğlu HK, Aralaşmak A, Köseoğlu BG, Çakarer S, Tekkesin MS, Çarpar E, Kula O. EVALUATION OF CT AND MRI IMAGING RESULTS OF RADICULAR CYSTS, ODONTOGENIC KERATOCYSTS, AND DENTIGEROUS CYSTS AND THEIR CONTRIBUTION TO THE DIFFERENTIAL DIAGNOSIS. Curr Med Imaging. 2022 May 9. doi: 10.2174/1573405618666220509114859. Epub ahead of print. PMID: 35579139.
