Yeming Zhong, Jie Cui, Caiyun Zou, Xuan Wei, Zigang Che
{"title":"慢性上颌窦炎骨重塑的评价:CT和MRI模式的比较研究。","authors":"Yeming Zhong, Jie Cui, Caiyun Zou, Xuan Wei, Zigang Che","doi":"10.2174/0115734056363249250403111549","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54215,"journal":{"name":"Current Medical Imaging Reviews","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of Bone Remodeling in Chronic Maxillary Sinusitis: A Comparative Study on CT and MRI Modalities.\",\"authors\":\"Yeming Zhong, Jie Cui, Caiyun Zou, Xuan Wei, Zigang Che\",\"doi\":\"10.2174/0115734056363249250403111549\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":54215,\"journal\":{\"name\":\"Current Medical Imaging Reviews\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-04-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Medical Imaging Reviews\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2174/0115734056363249250403111549\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Medical Imaging Reviews","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2174/0115734056363249250403111549","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
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.
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.