Department of Radiology, University of Washington School of Medicine, Seattle, Washington, USA.
Diagn Interv Radiol. 2013 May-Jun;19(3):195-200. doi: 10.5152/dir.2012.003.
The prevalence of fungal rhinosinusitis has increased worldwide over the last two decades. Fungal rhinosinusitis includes a wide variety of infections, from relatively innocent to rapidly fatal processes. Fungal infection may be one of the most challenging forms of sinonasal pathology to manage, especially the invasive forms, which have high mortality rates. Therefore, it is essential to correctly diagnose and classify fungal disease of paranasal sinuses in order to accurately predict prognosis and implement effective therapy. This essay describes the different manifestations of fungal sinusitis on computed tomography and magnetic resonance imaging to optimize differentiation, and includes correlation with the pathologic classifications.
过去二十年，全球范围内真菌性鼻窦炎的患病率不断增加。真菌性鼻窦炎包括了多种感染，从轻症到快速致命的过程均有涉及。真菌感染可能是鼻腔鼻窦病理中最具挑战性的形式之一，尤其是侵袭性形式，其死亡率很高。因此，正确诊断和分类鼻窦真菌病对于准确预测预后和实施有效治疗至关重要。本文描述了鼻窦真菌病在 CT 和 MRI 上的不同表现，以优化鉴别诊断，并与病理分类相关联。
