Role of dynamic contrast enhanced magnetic resonance imaging in the diagnosis and management of vascular lesions of the head and neck

  • Raluca Petea-Balea Department of Radiology and Medical Imaging, County Clinical Emergency Hospital, Cluj-Napoca, Romania
  • Manuela Lenghel Department of Radiology, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Radiology, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania https://orcid.org/0000-0002-7341-498X
  • Horatiu Rotar Department of Cranio-Maxillofacial Surgery, “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania https://orcid.org/0000-0003-2138-3322
  • Cristian Dinu Department of Maxillofacial Surgery and Implantology, Faculty of Dentistry, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania https://orcid.org/0000-0002-1073-9402
  • Simion Bran Department of Maxillofacial Surgery and Implantology, Faculty of Dentistry, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca
  • Florin Onisor Department of Cranio-Maxillofacial Surgery and Radiology, Faculty of Dental Medicine, Iuliu Hatieganu University Of Medicine and Pharmacy Cluj-Napoca, Romania https://orcid.org/0000-0003-1076-7726
  • Rares Roman Department of Cranio-Maxillofacial Surgery, “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania https://orcid.org/0000-0003-0620-2845
  • Simona Senila Department of Dermatology, “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
  • Csaba Csutak Department of Radiology, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Cranio-Maxillofacial Surgery, “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania https://orcid.org/0000-0001-6669-6483
  • Anca Ciurea Department of Radiology, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania https://orcid.org/0000-0001-9685-0904
Keywords: Vascular malformation, dynamic contrast-enhanced magnetic resonance, head and neck, hemangioma, post-therapeutic evaluation

Abstract

Vascular anomalies comprise a wide and heterogeneous group of lesions that may be found in all parts of the body, with most of the cases of vascular malformations involving the head and neck region. Ultrasound (US) is the reliable first-line imaging technique to assess flow parameters. However, in some cases, US fails to depict the real extent of the lesions. On the other hand, magnetic resonance imaging (MRI) allows the evaluation of the full extension and anatomic relationship of the vascular anomalies with the neighboring structures and provides hemodynamic characterization using dynamic contrast enhanced MRI (DCE-MRI), avoiding unnecessary invasive catheter-based procedures. DCE-MRI angiography can make a distinction between low and high flow vascular anomalies and it is useful for selecting adequate therapy and appreciating prognosis. The aim of this paper is to review the role of DCE -MRI in the evaluation of flow characteristics and lesion extent in vascular anomalies of the head and neck region.

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Role of dynamic contrast enhanced magnetic resonance imaging in the diagnosis and management of vascular lesions of the head and neck
Published
2021-08-19
How to Cite
1.
Petea-Balea R, Lenghel M, Rotar H, Dinu C, Bran S, Onisor F, Roman R, Senila S, Csutak C, Ciurea A. Role of dynamic contrast enhanced magnetic resonance imaging in the diagnosis and management of vascular lesions of the head and neck. Bosn J of Basic Med Sci [Internet]. 2021Aug.19 [cited 2021Sep.18];. Available from: https://www.bjbms.org/ojs/index.php/bjbms/article/view/6019
Section
Reviews