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Thyroid Cartilage Imaging With Diagnostic Ultrasound: Correlative Studies

Thyroid Cartilage Imaging With Diagnostic Ultrasound: Correlative Studies Abstract • In 1976, Noyek observed that the thyroid cartilage framework of the larynx could be imaged by diagnostic ultrasound; the image appeared uniquely independent of the presence or absence of calcification. It was suggested that ultrasound, with its simple, nonroentgenographic, noninvasive features, might permit screening detection of thyroid cartilage destruction. It might, therefore, give direction to better computed tomographic (CT) imaging, and, specifically, more effectively identify T4 laryngeal cancer. Since that time, with improving generations of ultrasound transducers, more than 130 clinically correlated laryngeal ultrasound examinations have been recorded. Thirty CT, ultrasound, and pathologically correlated advanced cases of laryngeal carcinoma were critically evaluated by the Departments of Otolaryngology and Radiology at Mount Sinai Hospital, Toronto. Our diagnostic imaging approach has resulted in remarkably improved thyroid cartilage imaging by CT when "directed" by preliminary ultrasound. (Arch Otolaryngol Head Neck Surg 1986;112:503-515) References 1. Olofsson J: Growth and spread of laryngeal carcinoma . Can J Otolaryngol 1974;3:446-459. 2. Olofsson J, van Nostrand AWP: Growth and spread of laryngeal and hypopharyngeal carcinoma with reflections on the effect of preoperative irradiation (139 cases studied by whole organ sectioning) . Acta Otolaryngol 1973, (suppl 308) , pp 1-84. 3. Kirchner JA: One hundred laryngeal cancers studied by serial section . Ann Otol 1969; 78:689-709. 4. Oguro JH: Surgical pathology of cancer of the larynx . Laryngoscope 1955;65:867-926.Crossref 5. Pressman JJ: Submucosal compartmentation of the larynx . Trans Am Laryngol Assoc 1956;77:165-172. 6. Pressman JJ, Simon MB, Mondell C: Anatomical studies related to the dissemination of cancer of the larynx . Trans Am Acad Ophthalmol Otolaryngol 1960;64:628-638. 7. Olofsson J, Renouf JHP, van Nostrand AWP: Laryngeal carcinoma: Correlation of roentgenography and histopathology: A study based on whole organ, serially sectioned laryngeal carcinoma specimens . AJR 1973;117:526-539.Crossref 8. Bryce DP, quoted in Olofsson J, van Nostrand AWP: Growth and spread of laryngeal and hypolaryngeal carcinoma with reflections on the effect of preoperative irradiation (139 cases) studied by whole organ sectioning Acta Otolaryngol 1973, (suppl 308) , pp 1-84. 9. Schild JA, Mafee MF, Valvassori GE, et al: Laryngeal malignancies and computerized tomography: A correlation of tomographic and histopathologic findings . Ann Otol Rhinol Laryngol 1982;91:571-575. 10. Hoover LA, Calcaterra TC, Larrson SG, et al: Preoperative CT scan evaluation for laryngeal carcinoma: Correlation with pathological findings . Laryngoscope 1984;94:310-315.Crossref 11. Van Nostrand AWP, quoted in van Nostrand AWP, Lundgren J, Gilbert R: Failure-analysis of T3 glottic carcinoma, in press. 12. Shulman HS, Noyek AM, Steinhardt MI: CT of the larynx . J Otolaryngol 1982;11:395-406. 13. Noyek AM, Shulman HS, Steinhardt MI: Contemporary laryngeal radiology: A clinical perspective , J Otolaryngol 1982;11:178-185. 14. Reede DL, Bergeron RT: CT of cervical lymph nodes . J Otolaryngol 1982;11:411-418. 15. Mafee MF, Schild JA, Valvassori GE, et al: Computed tomography of the larynx: Correlation with anatomic and pathologic studies in cases of laryngeal carcinoma . Radiology 1983;145:123-128.Crossref 16. Yeager VL, Archer CR: Anatomical routes for cancer invasion of the laryngeal cartilages . Laryngoscope 1982;92:449-452.Crossref 17. Lufkin RB, Larsson SG, Hanafee WN: Work in progress: NMR anatomy of the larynx and tongue base . Radiology 1983;148:173-175.Crossref 18. Stark DD, Moss AA, Gamsu G, et al: Magnetic resonance imaging of the neck: I. Normal anatomy . Radiology 1984;150:447-454.Crossref 19. Stark DD, Moss AA, Gamsu G, et al: Magnetic resonance imaging of the neck: II. Pathologic findings . Radiology 1984;150:455-461.Crossref 20. Noyek AM, Holgate RC, Wortzman G, et al: Sophisticated radiology in otolaryngology: II. Diagnostic imaging: Non-roentgenographic (non X-ray) modalities . J Otolaryngol 1977;6( (suppl 3) ):95-117. 21. Kremkau FW: Diagnostic Ultrasound: Physical Principles and Exercises . New York, Grune & Stratton, 1980. 22. Mancuso AA, Hanafee WN: Computed Tomography of the Head and Neck . Baltimore, Williams & Wilkins, 1982. 23. Reid MH: Laryngeal carcinoma: High-resolution computed tomography and thick anatomic sections . Radiology 1984;151:689-696.Crossref 24. Mafee MF, Schild JA, Michael AS, et al: Cartilage involvement in laryngeal carcinoma: Correlation of CT and pathologic macrosection studies . J Comput Assist Tomogr 1984;8:969-973.Crossref 25. Silverman PM, Bossen EH, Fisher SR, et al: Carcinoma of the larynx and hypopharynx: Computed tomographic-histopathologic correlations . Radiology 1984;151:697-702.Crossref 26. Kavanagh KT, Salazar JE, Babin RW: Bone marrow expansion of the thyroid cartilage: A source of confusion with malignant invasion of CT studies . J Comput Assist Tomogr 1985;9:177-179.Crossref 27. Kirchner J, Cornog JL, Holmes RE: Transglottic cancer: Its growth and spread within the larynx . Arch Otolaryngol Head Neck Surg 1974;99:247-251.Crossref 28. Archer CR, Yeager VL, Herbold DR: Improved diagnostic accuracy in the TNM staging of laryngeal cancer using new definition of regions based on computed tomography . J Comput Assist Tomogr 1983;7:610-617.Crossref 29. Mafee MF: CT of the normal larynx . Radiol Clin North Am 1984;22:251-264. 30. Horowitz BL, Woodsen GE, Bryan RN: CT of laryngeal tumors . Radiol Clin North Am 1984;22:265-279. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1986.03780050027005
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See Article on Publisher Site

Abstract

Abstract • In 1976, Noyek observed that the thyroid cartilage framework of the larynx could be imaged by diagnostic ultrasound; the image appeared uniquely independent of the presence or absence of calcification. It was suggested that ultrasound, with its simple, nonroentgenographic, noninvasive features, might permit screening detection of thyroid cartilage destruction. It might, therefore, give direction to better computed tomographic (CT) imaging, and, specifically, more effectively identify T4 laryngeal cancer. Since that time, with improving generations of ultrasound transducers, more than 130 clinically correlated laryngeal ultrasound examinations have been recorded. Thirty CT, ultrasound, and pathologically correlated advanced cases of laryngeal carcinoma were critically evaluated by the Departments of Otolaryngology and Radiology at Mount Sinai Hospital, Toronto. Our diagnostic imaging approach has resulted in remarkably improved thyroid cartilage imaging by CT when "directed" by preliminary ultrasound. (Arch Otolaryngol Head Neck Surg 1986;112:503-515) References 1. Olofsson J: Growth and spread of laryngeal carcinoma . Can J Otolaryngol 1974;3:446-459. 2. Olofsson J, van Nostrand AWP: Growth and spread of laryngeal and hypopharyngeal carcinoma with reflections on the effect of preoperative irradiation (139 cases studied by whole organ sectioning) . Acta Otolaryngol 1973, (suppl 308) , pp 1-84. 3. Kirchner JA: One hundred laryngeal cancers studied by serial section . Ann Otol 1969; 78:689-709. 4. Oguro JH: Surgical pathology of cancer of the larynx . Laryngoscope 1955;65:867-926.Crossref 5. Pressman JJ: Submucosal compartmentation of the larynx . Trans Am Laryngol Assoc 1956;77:165-172. 6. Pressman JJ, Simon MB, Mondell C: Anatomical studies related to the dissemination of cancer of the larynx . Trans Am Acad Ophthalmol Otolaryngol 1960;64:628-638. 7. Olofsson J, Renouf JHP, van Nostrand AWP: Laryngeal carcinoma: Correlation of roentgenography and histopathology: A study based on whole organ, serially sectioned laryngeal carcinoma specimens . AJR 1973;117:526-539.Crossref 8. Bryce DP, quoted in Olofsson J, van Nostrand AWP: Growth and spread of laryngeal and hypolaryngeal carcinoma with reflections on the effect of preoperative irradiation (139 cases) studied by whole organ sectioning Acta Otolaryngol 1973, (suppl 308) , pp 1-84. 9. Schild JA, Mafee MF, Valvassori GE, et al: Laryngeal malignancies and computerized tomography: A correlation of tomographic and histopathologic findings . Ann Otol Rhinol Laryngol 1982;91:571-575. 10. Hoover LA, Calcaterra TC, Larrson SG, et al: Preoperative CT scan evaluation for laryngeal carcinoma: Correlation with pathological findings . Laryngoscope 1984;94:310-315.Crossref 11. Van Nostrand AWP, quoted in van Nostrand AWP, Lundgren J, Gilbert R: Failure-analysis of T3 glottic carcinoma, in press. 12. Shulman HS, Noyek AM, Steinhardt MI: CT of the larynx . J Otolaryngol 1982;11:395-406. 13. Noyek AM, Shulman HS, Steinhardt MI: Contemporary laryngeal radiology: A clinical perspective , J Otolaryngol 1982;11:178-185. 14. Reede DL, Bergeron RT: CT of cervical lymph nodes . J Otolaryngol 1982;11:411-418. 15. Mafee MF, Schild JA, Valvassori GE, et al: Computed tomography of the larynx: Correlation with anatomic and pathologic studies in cases of laryngeal carcinoma . Radiology 1983;145:123-128.Crossref 16. Yeager VL, Archer CR: Anatomical routes for cancer invasion of the laryngeal cartilages . Laryngoscope 1982;92:449-452.Crossref 17. Lufkin RB, Larsson SG, Hanafee WN: Work in progress: NMR anatomy of the larynx and tongue base . Radiology 1983;148:173-175.Crossref 18. Stark DD, Moss AA, Gamsu G, et al: Magnetic resonance imaging of the neck: I. Normal anatomy . Radiology 1984;150:447-454.Crossref 19. Stark DD, Moss AA, Gamsu G, et al: Magnetic resonance imaging of the neck: II. Pathologic findings . Radiology 1984;150:455-461.Crossref 20. Noyek AM, Holgate RC, Wortzman G, et al: Sophisticated radiology in otolaryngology: II. Diagnostic imaging: Non-roentgenographic (non X-ray) modalities . J Otolaryngol 1977;6( (suppl 3) ):95-117. 21. Kremkau FW: Diagnostic Ultrasound: Physical Principles and Exercises . New York, Grune & Stratton, 1980. 22. Mancuso AA, Hanafee WN: Computed Tomography of the Head and Neck . Baltimore, Williams & Wilkins, 1982. 23. Reid MH: Laryngeal carcinoma: High-resolution computed tomography and thick anatomic sections . Radiology 1984;151:689-696.Crossref 24. Mafee MF, Schild JA, Michael AS, et al: Cartilage involvement in laryngeal carcinoma: Correlation of CT and pathologic macrosection studies . J Comput Assist Tomogr 1984;8:969-973.Crossref 25. Silverman PM, Bossen EH, Fisher SR, et al: Carcinoma of the larynx and hypopharynx: Computed tomographic-histopathologic correlations . Radiology 1984;151:697-702.Crossref 26. Kavanagh KT, Salazar JE, Babin RW: Bone marrow expansion of the thyroid cartilage: A source of confusion with malignant invasion of CT studies . J Comput Assist Tomogr 1985;9:177-179.Crossref 27. Kirchner J, Cornog JL, Holmes RE: Transglottic cancer: Its growth and spread within the larynx . Arch Otolaryngol Head Neck Surg 1974;99:247-251.Crossref 28. Archer CR, Yeager VL, Herbold DR: Improved diagnostic accuracy in the TNM staging of laryngeal cancer using new definition of regions based on computed tomography . J Comput Assist Tomogr 1983;7:610-617.Crossref 29. Mafee MF: CT of the normal larynx . Radiol Clin North Am 1984;22:251-264. 30. Horowitz BL, Woodsen GE, Bryan RN: CT of laryngeal tumors . Radiol Clin North Am 1984;22:265-279.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: May 1, 1986

References