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Abstract #3436

Oral squamous cell carcinomas invasive to the mandible: Evaluation with thin cross-sectional multiplanar reconstruction MR images using 3D sequences on a 3T scanner

Hirofumi Kuno 1 , Hiroaki Onaya 2 , Kotaro Sekiya 1 , Satoshi Fujii 3 , and Mitsuo Satake 1

1 Diagnostic Radiology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan, 2 Diagnostic Radiology Division, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan, 3 Pathology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan

Purpose: To assess the usefulness of mandibular cross-sectional multiplanar reconstruction (CS-MPR) using 3D sequences in the preoperative evaluation of mandibular bone marrow invasion of oral carcinomas. Methods: The subjects consisted of 91 patients with primary oral SCCs. Mandibular invasion on standard 2D sequences MR images or 3D sequences images with mandibular CS-MPR was evaluated. Results: The area under the ROC curve of CS-MPR was significantly larger (P = .0024) and improve the specificity for bone marrow invasion (P= .0077). Conclusion: The mandibular CS-MPR has the potential to improve the diagnostic performance for the evaluation of mandibular invasion by SCCs.

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