Braun J J, Debry C, Imperiale A, Riehm S
Service ORL-CCF, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 avenue Molière 67098 Strasbourg Cedex, France.
Service ORL-CCF, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 avenue Molière 67098 Strasbourg Cedex, France.
Clin Radiol. 2018 Sep;73(9):761-772. doi: 10.1016/j.crad.2018.03.006. Epub 2018 Apr 21.
In this review we provide comprehensive analysis of the imaging features of diseases affecting the sphenoid sinus, including a large and heterogeneous spectrum of pathologies such as sinusitis, pseudotumours, bony pathologies, and tumours. Clinical symptomatology related to sphenoid pathologies is often non-specific and patient clinical examination and endoscopic investigations are not definitive; thus, radiological imaging is mandatory for diagnosis. Strengths and limitations of both morphological and functional imaging methods such as computed tomography (CT), magnetic resonance imaging (MRI), and combined positron-emission tomography/computed tomography (PET/CT) have been considered and integrated into a well-defined clinical context in order to recognise specific imaging features and to underline their clinical relevance for an early and accurate diagnosis. An overview of several sphenoid conditions is herein selected with a didactic objective including both common and less common diseases.
在本综述中，我们对影响蝶窦疾病的影像学特征进行了全面分析，这些疾病包括范围广泛且异质性的一系列病变，如鼻窦炎、假肿瘤、骨病变和肿瘤。与蝶窦病变相关的临床症状通常不具有特异性，患者的临床检查和内镜检查也不具有决定性；因此，放射影像学检查对于诊断至关重要。我们已经考虑了形态学和功能成像方法（如计算机断层扫描（CT）、磁共振成像（MRI）以及正电子发射断层扫描/计算机断层扫描（PET/CT）联合检查）的优势和局限性，并将其整合到明确的临床背景中，以便识别特定的影像学特征，并强调它们对于早期准确诊断的临床意义。本文选择了几种蝶窦疾病进行概述，旨在进行教学，涵盖常见和罕见疾病。
