Hartman Michael J, Gentry Lindell R
Department of Radiology, University of Wisconsin Hospital, Madison, WI 53711, USA.
Magn Reson Imaging Clin N Am. 2012 Aug;20(3):447-71. doi: 10.1016/j.mric.2012.05.001. Epub 2012 Jul 5.
Although uncommon, sinonasal malignancies and aggressive inflammatory processes are entities every radiologist will encounter during the evaluation of routine sinus imaging studies. A high index of suspicion is necessary for prompt diagnosis. It is important to consider aggressive inflammatory disease in all patients having routine sinus computed tomography because any delay in diagnosis can adversely affect the patients' care. Magnetic resonance (MR) will often provide a better assessment of the lesion extent, allowing for better surgical treatment. MR is crucial for the accurate assessment of neoplastic lesions. A proficient understanding of the complex anatomy of the region is essential.
虽然鼻窦恶性肿瘤和侵袭性炎症性病变并不常见,但每位放射科医生在评估常规鼻窦影像学检查时都会遇到这些情况。高度的怀疑指数对于及时诊断是必要的。对于所有进行常规鼻窦计算机断层扫描的患者,考虑侵袭性炎症性疾病很重要,因为任何诊断延迟都可能对患者的治疗产生不利影响。磁共振成像(MR)通常能更好地评估病变范围,从而实现更好的手术治疗。MR对于准确评估肿瘤性病变至关重要。熟练掌握该区域复杂的解剖结构至关重要。