Resonancia magnética en el diagnóstico y seguimiento de la patología nasosinusal

Rodrigo BLANCO-HERNÁNDEZ, Ignacio MARTÍN-GARCÍA, Roberto Domingo TABERNERO-RICO, Miguel GONZALO-DOMÍNGUEZ, Cristina HERNÁNDEZ-RODRÍGUEZ, Manuel Ángel MARTÍN-PÉREZ

Resumen


Introducción y objetivo: La resonancia magnética (RM) no se utiliza habitualmente como primera técnica en el estudio de las patologías nasosinusales, sino que suele ser complementaria a la tomografía computarizada (TC), sin embargo resulta muy útil para la valoración de algunas patología y respuesta al tratamiento. Método: Se realiza una revisión bibliográfica actualizada y un estudio de los protocolos y casos más representativos que hemos realizado en nuestro centro durante los últimos 5 años Resultados: Se exponen las principales ventajas y utilidades de la RM en el diagnóstico y seguimiento de la patología nasosinusal. Se repasa la anatomía de los senos paranasales y fosas nasales a través de imágenes de RM en los tres planos del espacio, se analizan las secuencias de RM empleadas, se muestran las indicaciones de las pruebas de imagen según la patología y se explican los hallazgos en RM de la patología nasosinusal, tanto inflamatoria como tumoral. Conclusiones: Si bien la RM está por detrás de la TC en cuanto opciones de diagnóstico por imagen en el estudio de la patología nasosinusal, resulta especialmente útil para la valoración de patología tumoral dada su capacidad para distinguir entre diferentes tejidos y facilitar de esta manera el diagnóstico de extensión local del tumor. Además la RM suele ser la técnica de elección para la valoración post-tratamiento.

Palabras clave


diagnóstico por imagen; radiología, resonancia magnética; rinitis; sinusitis; neoplasias de senos paranasales

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Referencias


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DOI: http://dx.doi.org/10.14201/orl201782.14827

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