Phillips C D, Platts-Mills T A
Department of Radiology, University of Virginia Health Sciences Center, Charlottesville 22908.
AJR Am J Roentgenol. 1995 Jan;164(1):185-7. doi: 10.2214/ajr.164.1.7998536.
An interdisciplinary study from the University of Virginia was reported in a recent issue of the Journal of the American Medical Association (JAMA) [1]. The results of that study are pertinent to radiologists who interpret CT scans for patients with chronic sinus disease. The study examined the relationship among eosinophilia, asthma, allergy, and sinusitis and assessed the findings obtained for the paranasal sinuses by high-resolution CT. Soft-tissue disease seen within the paranasal sinuses on CT scans is often described as mucosal thickening or mucoperiosteal thickening, with little attention to its exact nature. The JAMA article showed that for patients properly prepared for sinus CT, the thickened mucosa depicted within the sinonasal cavity is a significant site of functional, immunologically active tissue. The purpose of this article is to bring the findings of the JAMA report to the attention of radiologists and to emphasize the imaging technique, findings, and clinical relevance of the results.
弗吉尼亚大学的一项跨学科研究发表在最近一期的《美国医学会杂志》(JAMA)上[1]。该研究结果与为慢性鼻窦疾病患者解读CT扫描的放射科医生相关。该研究考察了嗜酸性粒细胞增多、哮喘、过敏和鼻窦炎之间的关系,并评估了通过高分辨率CT获得的鼻窦检查结果。CT扫描显示的鼻窦内软组织病变通常被描述为黏膜增厚或黏膜骨膜增厚,而很少关注其确切性质。JAMA上的这篇文章表明,对于为鼻窦CT做好适当准备的患者,鼻窦腔内显示的增厚黏膜是功能性免疫活性组织的重要部位。本文旨在让放射科医生关注JAMA报告的结果,并强调该结果的成像技术、检查结果及临床相关性。