慢性上颌窦炎骨重塑的评价:CT和MRI模式的比较研究。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Yeming Zhong, Jie Cui, Caiyun Zou, Xuan Wei, Zigang Che
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引用次数: 0

摘要

背景:本研究旨在探讨慢性上颌窦炎患者骨重塑的CT和MRI特征,并探讨其临床意义。方法:回顾性研究2020年1月至2022年12月我院收治的单侧慢性上颌窦炎伴骨重塑患者。最终共纳入31例患者。对入组患者进行影像学和临床资料分析,包括多层螺旋计算机断层扫描(MSCT)检查和测量,以及MRI平扫和增强扫描。对受影响的样本和健康样本进行了比较分析。采用“LIAT”系统评价方法对CT图像进行评价,重点评价病灶位置、肌外壁侵犯情况、密度、厚度。并对不同类型的骨重塑进行CT与MRI的对比分析,强调其周围软组织的影像学特征,包括粘膜和骨膜。结果:31例慢性鼻窦炎患者CT示皮质样骨重构26例,松质样骨重构5例。对于皮质样骨重塑,上颌窦后外壁最厚的部分使用3mm阈值来区分轻度和中度至重度病例。其中,轻者15例,MRI表现为窦黏膜增厚,窦壁外血供正常;中重度11例,MRI表现为窦黏膜分离,粘膜下水肿,窦壁外血管明显增生。在松质样骨重塑的病例中,MRI显示窦黏膜增厚不均,窦壁外有轻度血管增生。其中交叉缝合征象21例,血管隧道征象13例,神经管周围浸润6例。结论:慢性上颌窦炎骨重塑在CT上表现为皮质样骨重塑和松质样骨重塑两种形式。MRI可以检测重塑部位周围软组织的形态学和信号改变。分析慢性上颌窦炎患者骨重塑的影像学特征,可以提高对疾病进展的认识和诊断的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Bone Remodeling in Chronic Maxillary Sinusitis: A Comparative Study on CT and MRI Modalities.

Background: This study aimed to investigate the computed tomography (CT) and magnetic resonance imaging (MRI) characteristics of bone remodeling in chronic maxillary sinusitis and assess their clinical significance.

Methods: This retrospective study included patients with unilateral chronic maxillary sinusitis and bone remodeling who were admitted to our hospital from January, 2020 to December, 2022. A total of 31 patients were ultimately included. Imaging and clinical data analyses were conducted on the enrolled patients, including multislice spiral computed tomography (MSCT) examination and measurements, as well as plain and enhanced MRI scans. A comparative analysis was performed between the affected and healthy samples. The CT images were evaluated using the "LIAT" systematic assessment method, with a focus on lesion location, extrasinus wall invasion, density, and thickness. Furthermore, a comparative analysis between CT and MRI was carried out for various types of bone remodeling, emphasizing the imaging features of the surrounding soft tissues, including the mucosa and periosteum.

Results: Among the 31 patients with chronic sinusitis, CT revealed 26 cases of cortical-like bone remodeling and 5 cases of cancellous-like bone remodeling. For cortical-like bone remodeling, the thickest part of the posterolateral wall of the maxillary sinus was used to differentiate between mild and moderate-to-severe cases using a 3 mm threshold. Specifically, 15 mild cases exhibited sinus mucosa thickening and a normal blood supply outside the sinus wall on MRI, whereas 11 moderate-to-severe cases exhibited sinus mucosa separation, submucosal edema, and significant vessel proliferation outside the sinus wall on MRI. In cases of cancellous-like bone remodeling, MRI revealed uneven sinus mucosa thickening and mild vessel proliferation outside the sinus wall. Specifically, 21 patients exhibited cross-suture signs, 13 patients exhibited vascular tunnel signs, and 6 patients exhibited nerve canal perineural infiltration.

Conclusion: Chronic maxillary sinusitis bone remodeling appeared in two forms on CT images: cortical-like bone remodeling and cancellous-like bone remodeling. MRI can detect morphological and signal alterations in the soft tissues around the remodeling site. Analyzing the imaging features of bone remodeling in chronic maxillary sinusitis patients can increase the understanding of disease progression and diagnostic accuracy.

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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
246
审稿时长
1 months
期刊介绍: Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
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