Imaging of human papilloma virus (HPV) related oropharynx tumour: what we know to date

Infectious Agents and Cancer

Review

Leonardo Calamandrei¹  Federica De Muzio²  Francesco Mungai³  Vittorio Miele³  Luigi Bonasera³  Eleonora Bicci³  Vincenza Granata⁴  Roberta Fusco⁵ 

[1] Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence - Azienda Ospedaliero-Universitaria Careggi, 50134, Florence, Italy;Department of Medicine and Health Sciences V. Tiberio, University of Molise, 86100, Campobasso, Italy;Department of Radiology, University of Florence - Azienda Ospedaliero-Universitaria Careggi, 50134, Florence, Italy;Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131, Naples, Italy;Medical Oncology Division, Igea SpA, 80013, Naples, Italy;Italian Society of Medical and Interventional Radiology (SIRM), SIRM Foundation, 20122, Milan, Italy;

关键词: Oropharynx;    HPV;    Head and Neck;    Oncology;    Magnetic resonance imaging;    Ultrasound;    Computed tomography;    Radiomics;   

DOI  :  10.1186/s13027-023-00530-x

 received in 2023-05-23, accepted in 2023-09-11,  发布年份 2023

来源: Springer

【 摘 要 】

The tumours of head and neck district are around 3% of all malignancies and squamous cell carcinoma is the most frequent histotype, with rapid increase during the last two decades because of the increment of the infection due to human papilloma virus (HPV). Even if the gold standard for the diagnosis is histological examination, including the detection of viral DNA and transcription products, imaging plays a fundamental role in the detection and staging of HPV + tumours, in order to assess the primary tumour, to establish the extent of disease and for follow-up. The main diagnostic tools are Computed Tomography (CT), Positron Emission Tomography-Computed Tomography (PET-CT) and Magnetic Resonance Imaging (MRI), but also Ultrasound (US) and the use of innovative techniques such as Radiomics have an important role. Aim of our review is to illustrate the main imaging features of HPV + tumours of the oropharynx, in US, CT and MRI imaging. In particular, we will outline the main limitations and strengths of the various imaging techniques, the main uses in the diagnosis, staging and follow-up of disease and the fundamental differential diagnoses of this type of tumour. Finally, we will focus on the innovative technique of texture analysis, which is increasingly gaining importance as a diagnostic tool in aid of the radiologist.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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