Medical Radiology and Radiation Safety. 2025. Vol. 70. № 1

DOI:10.33266/1024-6177-2025-70-1-74-80

Y.A. Vasilev, D.S. Kontorovich, R.V. Reshetnikov, I.A. Blokhin, D.S. Semenov

Priority Imaging Technique in Patients with Head 
and Neck Cancer and Dental Hardware: a Literature Review

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies, Moscow, Russia

Contact person: D.S. Kontorovich, e-mail: Этот адрес электронной почты защищен от спам-ботов. У вас должен быть включен JavaScript для просмотра.

 

ABSTRACT

Purpose: To systematize the data on the possibilities of head and neck cancer visualization in patients with dental metal constructions using radial diagnostic methods and to choose the most informative one.

Material and methods: We searched for scientific publications in the information and analytical system PubMed up to 2024 inclusive by keywords: metal artifact, head and neck neoplasms, oropharyngeal cancer. A total of 26 articles were analyzed. When choosing the localization of masses, the exclusion criteria were the possibility of using the method and the probable presence of metal structures in the scanning area. The choice of localization was based on the data on the average age of patients with first-diagnosed head and neck neoplasms and extended mainly to the anatomical areas that are most susceptible to artifacts from dental metal structures: the nasopharynx, tongue, and soft tissues of the floor of the mouth.

Results: Studying of the materials allowed to systematize modern data on the possibilities of radial diagnostics in visualization of head and neck tumors in patients with metal structures in the oral cavity and to conclude that the methods of choice in this pathology are PET-CT and MRI with CT, their numerical indices in tumor detection are 89 % for PET-CT and 84% for MRI with CT, respectively. If it is impossible to perform the above methods, it is worth to perform additional examination with the help of additional methods: SCT plus SII, MAR*, dual-energy CT (DECT). 

Conclusion: We have performed a comparative analysis in this review of the methods of radial diagnostics that are used to suppress metallic artifacts in patients with TNF OGSS and the most preferable ones are indicated when choosing a scanning method. Thus, the competent choice and consistent application of various methods of radial diagnostics taking into account their capabilities and limitations is a key factor for accurate preoperative assessment of head and neck masses in the presence of artifacts from dental structures in patients.

Keywords: head and neck cancer, dental hardware, CT, MRI, PET/CT, image artifacts

For citation: Vasilev YA, Kontorovich DS, Reshetnikov RV, Blokhin IA, Semenov DS. Priority Imaging Technique in Patients with Head and Neck Cancer and Dental Hardware: a Literature Review. Medical Radiology and Radiation Safety. 2025;70(1):74–80. (In Russian). DOI:10.33266/1024-6177-2025-70-1-74-80

 

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Conflict of interest. The authors declare no conflict of interest.

Financing. This paper was prepared by a group of authors as a part of the research and development effort titled “Scientific evidence for using radiomics-guided medical imaging to diagnose cancer”, (USIS No. 123031500005-2) in accordance with the Order No. 1196 dated December 21, 2022 “On approval of state assignments funded by means of allocations from the budget of the city of Moscow to the state budgetary (autonomous) institutions subordinate to the Moscow Health Care Department, for 2023 and the planned period of 2024 and 2025” issued by the Moscow Health Care Department.

Contribution. All authors confirm that their authorship meets the international ICMJE criteria (all authors have made a significant contribution to the development of the concept, research and preparation of the article, read and approved the final version before publication). D.S. Kontorovich – literature review, collection and analysis of literary sources, writing the text. R.V. Reshetnikov, I.A. Blokhin – collection and analysis of literary sources and editing the article.

Article received: 20.10.2024. Accepted for publication: 25.11.2024.