Widmann Gerlig
Laryngorhinootologie. 2018 Mar;97(3):206-214. doi: 10.1055/s-0044-101726. Epub 2018 Mar 1.
Magnetic resonance imaging (MRI) has become an important imaging technique for otorhinolaryngology. The aim of the present CME contribution for ENT physicians is to provide an overview of the advantages and disadvantages as well as the possibilities of head and neck MRI and to summarize the main clinical applications of the various MRI sequences. Basic sequences (T1w, T2w, T1wC+) and fat suppression sequences (TIRM/STIR, Dixon, Spectral Fat sat) are the basis for evaluating inflammation, congenital lesions and tumors. High-resolution 3D sequences - SSFP (CISS, FIESTA), SPACE, VISTA, 3D-FLAIR - are used to assess the cranial nerves, labyrinth, and endolymphatic hydrops in Morbus Menière. Vascular sequences (3D-TOF, TWIST/TRICKS) are used in vascular contact syndromes and vascular malformations. Diffusion sequences (EPI-DWI, non-EPI-DWI, RESOLVE) are used for the evaluation of cholesteatoma, assessment of malignancy and evaluation of response to radio (chemo) therapy.
磁共振成像（MRI）已成为耳鼻咽喉科重要的成像技术。本继续医学教育内容旨在为耳鼻喉科医生概述头颈部MRI的优缺点及应用可能性，并总结各种MRI序列的主要临床应用。基本序列（T1加权、T2加权、T1加权增强）和脂肪抑制序列（TIRM/STIR、Dixon、频谱脂肪抑制）是评估炎症、先天性病变和肿瘤的基础。高分辨率三维序列——稳态自由进动序列（CISS、FIESTA）、SPACE、VISTA、三维液体衰减反转恢复序列——用于评估梅尼埃病中的颅神经、迷路和内淋巴积水。血管序列（三维时间飞跃法、TWIST/TRICKS）用于血管压迫综合征和血管畸形。扩散序列（回波平面成像扩散加权成像、非回波平面成像扩散加权成像、RESOLVE）用于胆脂瘤评估、恶性肿瘤评估以及放疗（化疗）反应评估。
