Document Detail


Imaging for staging of rhinosinusitis.
MedLine Citation:
PMID:  15174756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although clinical judgment is sufficient to diagnose rhinosinusitis in many cases, a number of patients with recurrent or complicated sinus disease require imaging studies. Advances in the field of diagnostic imaging techniques such as computed x-ray tomography (CT) and magnetic resonance imaging have enhanced our understanding and management of the disease. Magnetic resonance imaging excels in displaying soft tissue resolution and is superior in demonstrating the presence of neoplasia and fungal sinusitis. but has limited advantages over CT scanning in demonstrating the regional anatomy (bony structure) and in the diagnosis of chronic rhinosinusitis. Computed tomography provides greater detailed information about the paranasal sinuses than do plain radiographic films. Rhinosinusitis staging systems utilizing CT techniques are reviewed. Although results from the Lund-Mackay system appear to be easily reproducible. there are still clinical challenges not addressed by this method of classification. Considering the patency of specific ostiomeatal channels and quantifying the volume of disease may add to the clinical value of future classification systems.
Authors:
S James Zinreich
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology & laryngology. Supplement     Volume:  193     ISSN:  0096-8056     ISO Abbreviation:  Ann Otol Rhinol Laryngol Suppl     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-03     Completed Date:  2004-06-17     Revised Date:  2008-02-21    
Medline Journal Info:
Nlm Unique ID:  1256156     Medline TA:  Ann Otol Rhinol Laryngol Suppl     Country:  United States    
Other Details:
Languages:  eng     Pagination:  19-23     Citation Subset:  IM    
Affiliation:
Department of Radiology, Johns Hopkins University, Baltimore, Maryland 21287, USA.
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MeSH Terms
Descriptor/Qualifier:
Chronic Disease
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Nasal Mucosa / pathology
Nose Neoplasms / diagnosis,  pathology
Paranasal Sinus Neoplasms / diagnosis,  pathology
Rhinitis / diagnosis*,  pathology
Sinusitis / diagnosis*,  pathology
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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