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Imaging approach for fungal sinusitis.
Richard Dagher1, Susana Calle, Kim O Learned
1Division of Diagnostic Imaging, Department of Neuroradiology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Computed tomography (CT) and magnetic resonance (MR) imaging are crucial for diagnosing fungal sinusitis. Pattern recognition of imaging findings aids in early detection and intervention, especially in invasive fungal sinusitis cases.
Area of Science:
- Radiology
- Medical Imaging
- Otolaryngology
Background:
- Fungal sinusitis encompasses invasive and noninvasive forms.
- Invasive fungal sinusitis requires prompt diagnosis and intervention.
Purpose of the Study:
- Review CT and MR imaging findings of invasive fungal sinusitis.
- Emphasize pattern recognition for interpretation.
- Provide an approach to diagnosis.
Main Methods:
- Review of computed tomography (CT) findings.
- Review of magnetic resonance (MR) imaging findings.
- Emphasis on pattern recognition and interpretation.
Main Results:
- CT excels in detecting bony erosion and hyperdense fungal elements.
- MRI is superior for soft tissue and mucosal evaluation.
- Key signs include bone destruction, sinus wall thickening, and the 'black turbinate sign'.
Conclusions:
- CT and MRI enable pattern recognition for fungal sinusitis diagnosis.
- Imaging identifies complications, facilitating reliable diagnosis and prompt intervention.
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