The Value of Surveillance Imaging of Oral Squamous Cell Carcinoma

Oliver Bissinger, Anne Von den Hoff, Elisabeth Maier, Katharina Theresa Obermeier, Herbert Stimmer, Andreas Kolk, Klaus Dietrich Wolff, Carolin Götz

Research output: Contribution to journalArticlepeer-review

Abstract

The evaluation of surveillance imaging of OSCC patients is a difficult task physicians have to face daily. Multiple patients experience a recurrence of this disease, which underlines the importance of regular patient monitoring programs. Our study analysed the value of surveillance imaging, such as computed tomography (CT) and nuclear magnetic resonance imaging (NMRI), as a patient monitoring programme and its effectiveness in achieving improvement in early recurrence detection. The study comprised 125 patients, out of which 56 (n = 56) showed radiological and 69 (n = 69) showed clinical and radiological conspicuous patterns in domestic follow-ups, respectively. The use of CT and NMRI showed a significant dependence on the histological result (p = 0.03). However, the different groups showed no significant dependence on the histological result (p = 0.96). The distribution of the histological biopsies, which were taken due to radiological changes, were prone to wrong positive diagnoses (false positives) in 71 percent. To conclude, imaging modalities should be chosen for each patient individually to reduce false positives, improve the early detection of recurrence, and increase the cure rate.

Original languageEnglish
Article number207
JournalCancers
Volume16
Issue number1
DOIs
StatePublished - Jan 2024
Externally publishedYes

Keywords

  • CT/NMRI
  • false positives
  • follow-up
  • oral squamous cell carcinoma
  • surveillance imaging

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