Imaging of chronic rhinosinusitis with nasal polyps in the era of biological therapies.

IF 3 4区医学 Q2 ALLERGY

Current Opinion in Allergy and Clinical Immunology Pub Date : 2024-08-01 Epub Date: 2024-02-12 DOI:10.1097/ACI.0000000000000964

Remo Poto, Corrado Pelaia, Antonio di Salvatore, Hesham Saleh, Guy W Scadding, Gilda Varricchi

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引用次数: 0

Abstract

Purpose of review: Chronic rhinosinusitis (CRS) is a chronic inflammatory disorder of the sinonasal cavities classified into two major phenotypes: CRS with nasal polyps (CRSwNP) and without nasal polyps (CRSsNP). The diagnosis of CRS is based on clinical symptoms associated with imaging and/or nasal endoscopy findings of mucosal inflammation.

Recent findings: Recently, novel biological therapies have emerged as therapeutic options for CRSwNP. Imaging is helpful in deciding whether surgery is likely to be beneficial and in guiding surgery. It can also help demonstrate a clinical response to medical therapy. However, specific guidelines concerning the role of imaging in CRwNP are lacking.

Summary: This article provides a comprehensive and critical multidisciplinary review of the role of conventional radiology, computed tomography (CT), and magnetic resonance imaging (MRI) in the diagnosis and characterization of CRSwNP. Since the complete characterization of nasal polyps on CT or MR images is very challenging, we provide a critical review of the best imaging methods and essential reporting elements used to assess nasal polyps.

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生物疗法时代伴有鼻息肉的慢性鼻窦炎的成像。

审查目的：慢性鼻窦炎（CRS）是鼻窦腔的一种慢性炎症性疾病，分为两种主要表型：有鼻息肉的 CRS（CRSwNP）和无鼻息肉的 CRS（CRSsNP）：有鼻息肉的 CRS（CRSwNP）和无鼻息肉的 CRS（CRSsNP）。CRS 的诊断依据是临床症状以及影像学和/或鼻内窥镜检查发现的粘膜炎症：最近，新型生物疗法已成为 CRSwNP 的治疗选择。影像学检查有助于决定手术是否有益，并指导手术。它还可以帮助显示对药物治疗的临床反应。摘要：本文对传统放射学、计算机断层扫描（CT）和磁共振成像（MRI）在 CRSwNP 诊断和定性中的作用进行了全面、严谨的多学科综述。由于在 CT 或 MR 图像上完整描述鼻息肉的特征非常具有挑战性，因此我们对用于评估鼻息肉的最佳成像方法和基本报告要素进行了严格的审查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Allergy and Clinical Immunology 医学-过敏

CiteScore

5.90

自引率

3.60%

发文量

109

审稿时长

6-12 weeks

期刊介绍： This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on one to three topics, every issue of Current Opinion in Allergy and Clinical Immunology delivers unvarnished, expert assessments of developments from the previous year. Insightful editorials and on-the-mark invited reviews cover key subjects such as upper airway disease; mechanisms of allergy and adult asthma; paediatric asthma and development of atopy; food and drug allergies; and immunotherapy.