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Radiology of Abnormal Globe Contour
Abhinav P Patel1, Alok A Bhatt2, Alexander T Kessler3
1Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, 648, 14642, Rochester, NY, USA.
Clinical Neuroradiology
|June 25, 2021
Summary
Radiologists can identify orbital pathology on CT and MRI scans by examining globe morphology. Awareness of common and uncommon causes of altered globe contour is crucial for accurate diagnosis.
Area of Science:
- Ophthalmology
- Radiology
- Medical Imaging
Background:
- The orbits, housing the eyeballs, are readily visualized using computed tomography (CT) and magnetic resonance imaging (MRI) of the head and neck.
- The globe's structure is a prominent feature within the orbit and a key indicator of potential pathological conditions.
- Various disease processes can significantly alter the globe's morphology, necessitating a comprehensive understanding by radiologists.
Purpose of the Study:
- To provide an image-rich review of emergent and non-emergent pathologies affecting the orbital globe.
- To highlight the importance of recognizing altered globe contour as a diagnostic clue.
- To equip radiologists with knowledge of both common and uncommon etiologies of globe morphology changes.
Main Methods:
- Review of imaging findings from computed tomography (CT) and magnetic resonance imaging (MRI) of the head and neck.
- Compilation of a diverse range of pathologies affecting the orbital globe.
- Image analysis focusing on alterations in globe contour and morphology.
Main Results:
- Demonstration of how various pathologies manifest as changes in globe morphology on CT and MRI.
- Identification of key imaging features indicative of specific orbital diseases.
- Categorization of pathologies based on urgency (emergent vs. non-emergent).
Conclusions:
- Altered globe contour on routine head and neck CT and MRI is a significant finding.
- Radiologists must be aware of a broad spectrum of pathologies, including rare conditions, that affect globe morphology.
- Accurate interpretation of globe contour changes is essential for diagnosing orbital diseases.
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