Kasbekar A V, Swords C, Attlmayr B, Kulkarni T, Swift A C
Department of Otorhinolaryngology,Nottingham University Hospitals NHS Trust and Nottingham Biomedical Research Centre,UK.
Department of Otolaryngology,Addenbrooke's Hospital,Cambridge,UK.
J Laryngol Otol. 2018 Jul;132(7):584-590. doi: 10.1017/S0022215118000804. Epub 2018 Jun 18.
Computed tomography is the standard pre-operative imaging modality for sinonasal papilloma. The complementary use of magnetic resonance imaging as an additional investigation is debated. This study aimed to establish whether magnetic resonance imaging can accurately detect tumour extent and is a useful adjunct to computed tomography.
A retrospective review was conducted on 19 patients with sinonasal papilloma. The interpretation of computed tomography and magnetic resonance imaging scans, by three clinicians, was conducted by comparing prediction of tumour extent. The perceived necessity of magnetic resonance imaging was compared between clinicians.
The addition of magnetic resonance imaging improved accuracy of pre-operative interpretation; specifically, this finding was significant in cases with frontal sinus involvement. Surgeons were more likely than a radiologist to request magnetic resonance imaging, particularly when computed tomography indicated frontal sinus disease.
Pre-operative combined magnetic resonance imaging and computed tomography helped predict disease in the frontal sinus better than computed tomography alone. A close working relationship between the ENT and radiology departments is important for accurate tumour localisation.
计算机断层扫描是鼻窦乳头状瘤术前的标准成像方式。对于将磁共振成像作为额外检查手段的辅助使用存在争议。本研究旨在确定磁共振成像是否能准确检测肿瘤范围，以及是否是计算机断层扫描的有用辅助手段。
对19例鼻窦乳头状瘤患者进行回顾性研究。由三名临床医生通过比较肿瘤范围预测结果来解读计算机断层扫描和磁共振成像扫描。比较临床医生之间对磁共振成像必要性的认识。
增加磁共振成像提高了术前解读的准确性；具体而言，这一发现在累及额窦的病例中具有显著意义。外科医生比放射科医生更有可能要求进行磁共振成像检查，尤其是当计算机断层扫描显示额窦疾病时。
术前联合磁共振成像和计算机断层扫描比单独使用计算机断层扫描能更好地预测额窦疾病。耳鼻喉科和放射科之间密切的工作关系对于准确的肿瘤定位很重要。
