Different characteristics of a single sinonasal inverted papilloma from sequential PET-CT

Kim, Jong Seung; Kwon, Sam Hyun

doi:10.1097/md.0000000000009557

Cited by 3 publications

(2 citation statements)

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“…Inverted papilloma (IP) is a common but benign sinonasal neoplasm that has recently drawn much attention in the realm of otolaryngology, given its potential for local invasion/recurrence or malignant transformation [1]. IP typically originates from the lateral wall of nasal cavity, middle turbinate, or ethmoid recess [2], often signaled by maxillary and ethmoid sinus dilatation. Frontal and sphenoidal sinuses are rarely affected [3,4].…”

Section: Introductionmentioning

confidence: 99%

Deep Learning Framework for Preoperative Recognition of Inverted Papilloma and Nasal Polyp

Ren

Tian

et al. 2021

IEEE Access

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Surgery is the most commonly used method of curing inverted papilloma (IP) or nasal polyp (NP). Although accurate preoperative recognition by computed tomography (CT) is a critical aspect of surgical planning, the minor CT imaging differences in such lesions may be a challenge. Therefore, we have devised a deep learning framework for automatic recognition of IP and NP in CT. The proposed framework involves two major steps: (a) use of a convolutional neural network (CNN) to preclassify lesions and (b) automatic IP/NP recognition. The preclassify CNN enables classification of CT slices according to anatomic structure. Separate networks are then implemented to differentiate IP and NP accordingly. Once the framework was trained using a CT dataset (5681 slices) from 136 patients, it outperformed other methods during evaluation, achieving 89.30% accuracy (area under the curve [AUC]=0.95) in classification. The proposed framework has clear potential as a clinical tool, enabling effective and highly accurate preoperative recognition of IP and NP. INDEX TERMS Deep learning, inverted papilloma, nasal polyp, pre-classify, recognition.

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Section: Introductionmentioning

confidence: 99%

Deep Learning Framework for Preoperative Recognition of Inverted Papilloma and Nasal Polyp

Ren

Tian

et al. 2021

IEEE Access

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“…Although the tumor can be removed without difficulty when it is small, removal of a tumor occupying most of the sphenoid sinus is difficult, as in this case. 2 A variety of instruments is required, including electrocautery and diamond drilling, for complete removal to prevent recurrences. In our case, the inverted papilloma occupied most of the sphenoid sinus, so drilling could not be performed because of the risk of damage to vital organs such as the internal carotid artery and optic nerve.…”

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confidence: 99%

Endoscopic Findings of Inverted Papilloma in the Sphenoid Sinus

Kim

Lee

2019

Ear Nose Throat J

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An inverted papilloma is a benign tumor of the nose, well known for its local invasiveness, recurrence, and malignant potential. A 57-year-old man presented at our otolaryngologic clinic with a lesion in the sphenoid sinus. An outpatient biopsy indicated an inflammatory polyp. Endoscopic sinus surgery was used to remove the mass filling the sphenoid sinus. On operating endoscopy, we observed a convoluted mass inside the sphenoid sinus (Figure 1A), which was present along its entire wall. The mass was removed with a Freer Elevator and a curved curette. It was a white transparent convoluted mass with dimensions of 2.5 Â 1.5 cm (Figure 1B).

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Clinical evidence based review and systematic scientific review in the identification of malignant transformation of inverted papilloma

Long

Jabarin

Harvey

et al. 2020

Journal of Otolaryngology - Head & Neck Surgery

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Background: Inverted papilloma (IP) is an unusual type of benign tumor that has high recurrence rates and the potential to transform into squamous cell carcinomas (SCC). The mechanism of the transformation process from IP to IP-SCC is uncertain and there is no consensus regarding the best practice for IP-SCC detection. The goal of this study is to identify the best clinical methods to detect for IP-SCC. Methods: An evidence-based review was performed using Medline and Ovid to obtain all articles up to October 10th, 2019 pertaining to identification of IP malignant transformation. All manuscripts discussing clinical methods or biomarkers were included. Results: Based on clinical research studies, convoluted cerebriform pattern and apparent diffusion coefficient values on Magnetic Resonance Imaging (MRI) can help differentiate benign IP from SCC and increased SUVmax on PET/CT is associated with higher probability of malignancy although not as specific. No consensus about the best biomarker for IP-SCC has been reached among researchers and continues to be exploratory. Conclusion: Endoscopy with biopsy is the gold standard practice to identify IP-SCC; however, MRI is the preferred imaging modality to recognize malignant transformation in cases where biopsy is difficult. Multiple biomarkers have shown positive results, but no single indicator with clinical significance for monitoring malignant transformation process has been found.

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Different characteristics of a single sinonasal inverted papilloma from sequential PET-CT

Cited by 3 publications

References 8 publications

Deep Learning Framework for Preoperative Recognition of Inverted Papilloma and Nasal Polyp

Deep Learning Framework for Preoperative Recognition of Inverted Papilloma and Nasal Polyp

Endoscopic Findings of Inverted Papilloma in the Sphenoid Sinus

Clinical evidence based review and systematic scientific review in the identification of malignant transformation of inverted papilloma

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