Preview

Radiology - Practice

Advanced search

Features of Computed Tomography of the Head and Neck Area in Oncological Practice

https://doi.org/10.52560/2713-0118-2025-2-42-54

Abstract

Objective. To demonstrate different approaches to head and neck computed tomography in cancer patients depending on the presumed or established diagnosis.

Materials and Methods. A search was conducted for scientific publications and information- analytical systems PubMed, eLibrary, Google Scholar by key words: CT head and neck protocol, CT dynamic maneuver, CT head and neck protocol contrast administration, CT head and neck scanning protocol.

Results. On the basis of the data of the scientific literature analysis and our own experience the peculiarities of contrast administration during CT of the head and neck region in oncologic practice with the use of monoand biphasic scanning protocols, as well as the patient's performance of additional commands during the study are presented.

Conclusion. Despite the standardization of computed tomography, there are different approaches to the CT head and neck protocol in the form of monophasic and biphasic contrasting, as well as the use of various functional tests by the patient. To improve visualization and adequate assessment of the tumor process, it is advisable to apply in practice CT with additional functional tests during scanning depending on the presumed or established diagnosis.

About the Authors

V. A. Nechaev
Moscow State Budgetary Healthcare Institution «Moscow City Hospital named after S. S. Yudin, Moscow Healthcare Department»
Russian Federation

Nechaev Valentin Aleksandrovich, Ph. D. Med., Head of the Center for Comprehensive Diagnostics

Moscow



A. V. Golovyakhina
Moscow State Budgetary Healthcare Institution «Moscow City Hospital named after S. S. Yudin, Moscow Healthcare Department»
Russian Federation

Golovyakhina Alla Vladislavovna, Radiologist, Radiology Department

Moscow



Е. A. Kulikova
Moscow State Budgetary Healthcare Institution «Moscow City Hospital named after S. S. Yudin, Moscow Healthcare Department»
Russian Federation

Kulikova Evgeniya Aleksandrovna, Head of the Radiology Department

Moscow



S. A. Kravtsov
Moscow State Budgetary Healthcare Institution «Moscow City Hospital named after S. S. Yudin, Moscow Healthcare Department»
Russian Federation

Kravcov Sergej Anatol'evich, M.D. Med, Head of the Department of Head and Neck Tumor Surgery

Moscow



References

1. Bolotina L. V., Vladimirova L. Yu., Den'gina N. V., Novik A. V., Romanov I. S. Prakticheskie rekomendacii po lecheniyu zlokachestvennyh opuholej golovy i shei. Zlokachestvennye opuholi. 2021;11(3s2-1):91-106. (In Russ.).

2. Kaprin A. D., Starinskij V. V., Shahzadova A. O. Sostoyanie onkologicheskoj pomoshchi naseleniyu Rossii v 2023 godu — Moskva: MNIOI im. P. A. Gercena — filial FGBU «NMIC radiologii» Minzdrava Rossii, 2024. 262 р. (In Russ.).

3. Yudin A. L., Shchetinin N. I., Afanas'eva E. A., Yumatova E. A., Shatalov K. M. Multislice computed tomography methods with tongue and mouth cancer. Zhurnal Rossijskogo Nauchnogo Centra rentgenoradiologii. 2016; 16(1):1-16. (In Russ.).

4. Ait Idir M., Trinh J. M., Chanson A., Salleron J., Henrot P. Impact of systematic dynamic maneuvers during computed tomography scan on the T classification of head and neck cancers. Clin. Imaging. 2024;105:110023. https://doi.org/10.1016/j.clinimag.2023.110023

5. Ansari S., Vattoth S., Basappa E. R., Suthar P. P., Gaddikeri S., Jhaveri M. D. Revisiting the «Puffed Cheek» technique: advantages, fallacies, and potential solutions. Radiol. Imaging Cancer. 2024;6(3):e230211. https://doi.org/10.1148/rycan.230211

6. Babji D., Nayak R., Bhat K., Kotrashetti V., Hosmani J., Dindawar S., Pattanshetty S. Comparative Evaluation of Immunohistochemical Expression of p16 with p16 Microsatellite Marker by PCR in Surgical Margins of Oral Squamous Cell Carcinoma. Indian J. Otolaryngol. Head. Neck. Surg. 2019;71:716-723. https://doi.org/10.1007/s12070-018-1517-y

7. Bartz B. H., Case I. C., Srinivasan A., Mukherji S. K. Delayed MDCT imaging results in increased enhancement in patients with head and neck neoplasms. J. Comput. Assist. Tomogr. 2006;30:972-974. https://doi.org/10.1097/01.rct.0000224622.71832.11

8. Bron G., Scemama U., Villes V., Fakhry N., Salas S., Chagnaud C., Bendahan D., Varoquaux A. A new CT dynamic maneuver «Mouth Opened with Tongue Extended» can improve the clinical TNM staging of oral cavity and oropharynx squamous cell carcinomas. Oral. Oncol. 2019;94:41- 46. https://doi.org/10.1016/j.oraloncology.2019.04.023

9. Celebi I., Oz A., Sasani M., Bayındır P., Sözen E., Vural C., Başak M. Using dynamic maneuvers in the computed tomography/magnetic resonance assessment of lesions of the head and neck. Can. Assoc. Radiol. J. 2013; 64(4): 351-357. https://doi.org/10.1016/j.carj.2012.04.006

10. Groell R., Doerfler O., Schaffler G. J., Habermann W. Contrast-enhanced helical CT of the head and neck: improved conspicuity of squamous cell carcinoma on delayed scans. AJR Am. J. Roentgenol. 2001;176(6):1571- 1575. https://doi.org/10.2214/ajr.176.6.1761571

11. Hamada M., Yura Y. Efficient Delivery and Replication of Oncolytic Virus for Successful Treatment of Head and Neck Cancer. Int. J. Mol. Sci. 2020;21(19):7073. https://doi.org/10.3390/ijms21197073

12. Kodzwa R. ACR Manual on Contrast Media: 2018 Updates. Radiol. Technol. 2019; 91:97-100.

13. Madhavan A. A., Carr C. M., Carlson M. L., Lane J. I. Imaging Findings Related to the Valsalva Maneuver in Head and Neck Radiology. AJNR Am. J. Neuroradiol. 2019;40(12):1987- 1993. https://doi.org/10.3174/ajnr.A6309

14. Tomar S. L., Hecht S. S., Jaspers I., Gregory R. L., Stepanov I. Oral health effects of combusted and smokeless tobacco products. Adv. Dent. Res. 2019;30(1):4-10. https://doi.org/10.1177/0022034519872480


Review

For citations:


Nechaev V.A., Golovyakhina A.V., Kulikova Е.A., Kravtsov S.A. Features of Computed Tomography of the Head and Neck Area in Oncological Practice. Radiology - Practice. 2025;(2):42-54. (In Russ.) https://doi.org/10.52560/2713-0118-2025-2-42-54

Views: 182


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2713-0118 (Online)