Document Detail


Topical contrast-enhanced CT and MR dacryocystography: imaging the lacrimal drainage apparatus of healthy volunteers.
MedLine Citation:
PMID:  9843278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to evaluate the feasibility of administering topical contrast material during helical CT dacryocystography and topical saline solution during MR dacryocystography to reveal the lacrimal drainage apparatus. SUBJECTS AND METHODS: Fourteen healthy volunteers underwent helical CT dacryocystography, MR dacryocystography, or both. Eight of the 14 subjects underwent both techniques; three subjects underwent MR dacryocystography, and three subjects underwent CT dacryocystography. Images were evaluated by two radiologists for degree of visualization of components of the lacrimal drainage apparatus. Each volunteer was questioned about the relative discomfort of contrast material and saline solution administration. RESULTS: The lacrimal drainage system was seen on both CT dacryocystography and MR dacryocystography. CT dacryocystography allowed two-dimensional and three-dimensional reconstructions on which adjacent bone anatomy could be seen. The MR dacryocystography two-dimensional reconstructions and maximum intensity projections also showed the drainage apparatus. However, smaller drainage structures were more consistently seen on CT dacryocystography than on MR dacryocystography. Saline solution was more comfortable than contrast material. CONCLUSION: CT dacryocystography and MR dacryocystography reproducibly and non-invasively revealed the lacrimal drainage apparatus and allowed a better physiologic examination than cannulation dacryocystography. MR dacryocystography can be performed without administration of ionizing radiation or contrast material, but this technique cannot show adjacent bone anatomy and less consistently showed the smaller drainage structures than CT dacryocystography.
Authors:
K S Caldemeyer; S M Stockberger; L S Broderick
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  171     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1998-12-16     Completed Date:  1998-12-16     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1501-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Indiana University School of Medicine, Indianapolis 46202-5253, USA.
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MeSH Terms
Descriptor/Qualifier:
Contrast Media*
Humans
Image Processing, Computer-Assisted
Iopamidol / diagnostic use
Lacrimal Apparatus / anatomy & histology*,  radiography*
Magnetic Resonance Imaging*
Reference Values
Sodium Chloride / diagnostic use
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
0/Contrast Media; 62883-00-5/Iopamidol; 7647-14-5/Sodium Chloride
Comments/Corrections
Comment In:
AJR Am J Roentgenol. 1999 Dec;173(6):1708-9   [PMID:  10584824 ]

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


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