Usefulness of contrast enhanced-MRI in the diagnosis of unicystic ameloblastoma

Oral Oncol. 2006 May;42(5):481-6. doi: 10.1016/j.oraloncology.2005.10.001. Epub 2006 Feb 20.

Abstract

The radiographic features of unicystic ameloblastoma (UA) are typically unilocular and round area of radiolucency. Therefore, this type of lesion is often misdiagnosed as an odontogenic keratocyst or a dentigerous cyst. UA should be differentiated from odontogenic cysts because the former have a higher rate of recurrence than the latter. In the present study, we performed contrast enhanced-MRI (CE-MRI) to diagnose 13 cases of unilocular, round radiolucent lesions visualized on panoramic radiograph and/or CT. In the cases of UA, low signal intensity was observed on T1-weighted images (WIs), and a markedly high signal intensity was observed on T2-WIs; moreover, relatively thick rim-enhancement with/without small intraluminal nodules was observed upon CE-T1WIs. CE-MRI was considered useful in the diagnosis of UA, as characteristic features of this type of lesion i.e., thick enhancement of the tumor wall and small intraluminal nodules were detected only by CE-MRI in the present study.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Ameloblastoma / diagnosis*
  • Ameloblastoma / diagnostic imaging
  • Contrast Media
  • Diagnosis, Differential
  • Female
  • Humans
  • Jaw Neoplasms / diagnosis*
  • Jaw Neoplasms / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Odontogenic Cysts / diagnosis
  • Tomography, X-Ray Computed

Substances

  • Contrast Media