Avner A, Dobson J M, Sales J I, Herrtage M E
The Queen's Veterinary School Hospital, University of Cambridge, Madingley Road, Cambridge, CB3 0ES.
J Small Anim Pract. 2008 May;49(5):233-9. doi: 10.1111/j.1748-5827.2007.00512.x. Epub 2008 Mar 26.
Low-field magnetic resonance imaging machines are being used more often in veterinary practice for the investigation of sinonasal disease. The aim of this retrospective study was to describe and characterise the low-field magnetic resonance imaging features of nasal tumours in dogs.
The Queen's Veterinary School Hospital magnetic resonance imaging database (2001-2005) was searched for dogs with a magnetic resonance imaging diagnosis of a nasal tumour. Fifty cases with histological diagnosis of nasal tumour were found. The appearance and extent of the nasal tumour as well as the involvement of adjacent anatomic structures were examined against a checklist.
The most common magnetic resonance imaging findings were as follows. (1) Soft tissue mass replacing the destroyed nasal conchae and/or ethmoturbinates (98 per cent of cases). (2) Nasal septum destruction (68 per cent of cases). (3) Retained secretions with or without mass caudally in frontal sinuses (62 per cent of cases). (4) Nasal/frontal bone destruction (52 per cent of cases). Low-field magnetic resonance imaging allowed differentiation of tumour tissue from retained secretions or necrotic tissue. Magnetic resonance imaging was invaluable in assessing the extension of the tumour into the maxillary recesses, caudal recesses, nasopharynx, adjacent bones and cranial cavity. The tumour often extended caudally into the frontal sinuses, nasopharynx and perhaps most importantly into the caudal recesses. Tumour extension into the cranial cavity was not common (16 per cent), and only three of these cases showed neurological signs. However, 54 per cent of cases showed focal meningeal (dural) hyperintensity, although the significance of this is unclear. A significant difference (P<0.05) in tumour signal intensity between the sarcomas and carcinomas was found.
The use of a low-field magnetic resonance imaging technique is excellent for the diagnosis and determination of extent of sinonasal tumours.
低场磁共振成像机器在兽医临床中越来越多地用于鼻窦疾病的检查。本回顾性研究的目的是描述和表征犬鼻肿瘤的低场磁共振成像特征。
检索女王兽医学院医院磁共振成像数据库(2001 - 2005年)中磁共振成像诊断为鼻肿瘤的犬。发现50例经组织学诊断为鼻肿瘤的病例。根据检查表检查鼻肿瘤的外观和范围以及相邻解剖结构的受累情况。
最常见的磁共振成像表现如下。(1)软组织肿块取代被破坏的鼻甲和/或筛鼻甲(98%的病例)。(2)鼻中隔破坏(68%的病例)。(3)额窦尾部有或无肿块的潴留分泌物(62%的病例)。(4)鼻/额骨破坏(52%的病例)。低场磁共振成像能够区分肿瘤组织与潴留分泌物或坏死组织。磁共振成像在评估肿瘤向颌窦隐窝、尾侧隐窝、鼻咽、相邻骨骼和颅腔的扩展方面具有重要价值。肿瘤常向尾侧延伸至额窦、鼻咽,也许最重要的是延伸至尾侧隐窝。肿瘤延伸至颅腔并不常见(16%),其中只有3例出现神经症状。然而,54%的病例显示局灶性脑膜(硬脑膜)高信号,但其意义尚不清楚。肉瘤和癌之间的肿瘤信号强度存在显著差异(P<0.05)。
低场磁共振成像技术在鼻鼻窦肿瘤的诊断和范围确定方面表现出色。