Predictive value of neck imaging reporting and data system in CECT/CEMRI of laryngeal and oral cavity squamous cell carcinoma

Background The neck imaging reporting and data system (NI-RADS) is a structured reporting algorithm linked with further patient management recommendations. This study was conducted to assess the overall and time point predictive value of the NI-RADS in laryngeal and oral cavity squamous cell carcino...

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Published in:Egyptian journal of radiology and nuclear medicine 2020-11, Vol.51 (1), p.241-13
Main Authors: Abdelrahman, Ahmed S, Ashour, Manar Maamoun Mohamed, Abdelaziz, Tougan Taha
Format: Article
Language:English
Subjects:
Algorithms
Cancer
CT imaging
Data imaging
Diagnostic imaging
Edema
Laryngeal SCC
Magnetic resonance imaging
Medical research
Medicine, Experimental
Metastasis
Morphology
NI-RADS
Oral cavity SCC
Ostomy
Patients
Squamous cell carcinoma
Surveillance
Tongue
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Summary:Background The neck imaging reporting and data system (NI-RADS) is a structured reporting algorithm linked with further patient management recommendations. This study was conducted to assess the overall and time point predictive value of the NI-RADS in laryngeal and oral cavity squamous cell carcinoma (SCC) using contrast-enhanced magnetic resonance imaging (CEMRI) and contrast-enhanced computed tomography (CECT). Results The rate of tumor recurrence was statistically different among the NI-RADS 1-3 categories with recurrence trend for higher NI-RADS scores. The overall negative predictive value (NPV) of the NI-RADS 1 and 2 were 94.3%, 74.3% respectively, and the positive predictive value (PPV) of the NI-RADS 3 was 80.8%. The overall recurrence rate of NI-RADS 3 was higher in oral cavity SCC (87.5%) compared to the laryngeal SCC (70%). The PPV of overall NI-RADS 3 in the follow-up scans (77.8%) was higher than in the first scan (70.6%). The odd ratio of tumor recurrence in NI-RADS 3 primary lesion was 19.6. Conclusion The predictive value of NI-RADS was significantly different among its categories. Increasing NI-RADS score is associated with increased recurrence among the treated laryngeal and oral cavity SCC. The morphological and enhancement lexicon features equally assign the NI-RADS 3 score.
ISSN:0378-603X
2090-4762
DOI:10.1186/s43055-020-00366-0