鼻内切除和头骨底部重建后的磁共振成像
Paolo Rondi1, Marco Ravanelli1, Vittorio Rampinelli2
1Radiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Spedali Civili, Piazzale Spedali Civili 1, 25123 Brescia, Italy.
Journal of clinical medicine
|May 11, 2024
概括
在鼻内镜切除 (NER) 和头骨基部重建后的术后成像需要了解预期的结果. 在MRI上识别这些变化有助于检测并发症和复发.
科学领域:
- 放射学 放射学是一门学科.
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在鼻内镜切除 (NER) 和骨基重建后的术后成像呈现了解剖学复杂性.
- 由于复杂的术后和区域解剖学,解释成像是具有挑战性的.
研究的目的:
- 为了确定和描述预期的磁共振成像 (MRI) 在NER和骨底部重建后的发现.
- 建立一个基线,以区分正常的术后变化和并发症或复发.
主要方法:
- 对从2009年至2019年接受NER的患者进行了回顾性观察研究.
- 经验丰富的放射科医生在手术后6个月和12个月获得的MRI扫描的分析.
- 在特定解剖学子部位评估炎症变化,纤维化和膜活力.
主要成果:
- 在16/64个亚位点观察到炎症变化,其中8/64个亚位点在1年后出现衰退.
- 纤维化观察到在5/64个子站点,并保持不变.
- 鼻塞巴尔显示出一致的均增强;temporo-parietal膜显示出T2信号强度下降和随时间的增强.
结论:
- 在NER和骨底部重建后,识别MRI预期的术后发现至关重要.
- 这种知识对于准确识别并发症和瘤复发至关重要.
- 标准化的成像解释协议可以改善患者管理.
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