Resonancia magnética en el diagnóstico y seguimiento de la patología nasosinusal
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.
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Chung SK, Chang BC, Dhong HJ. Surgical, radiologic, and histologic findings of the antrochoanal polyp. American journal of rhinology. 2002;16(2):71-6 - PMid:12030360
Connor SE. The Skull Base in the Evaluation of Sinonasal Disease: Role of Computed Tomography and MR Imaging. Neuroimaging clinics of North America. 2015;25(4):619-51 - https://doi.org/10.1016/j.nic.2015.07.007 - PMid:26476383
Cornelius RS, Martin J, Wippold FJ, 2nd, Aiken AH, Angtuaco EJ, Berger KL, et al. ACR appropriateness criteria sinonasal disease. Journal of the American College of Radiology : JACR. 2013;10(4):241-6 - https://doi.org/10.1016/j.jacr.2013.01.001 - PMid:23420025
deShazo RD, O'Brien M, Chapin K, Soto-Aguilar M, Gardner L, Swain R. A new classification and diagnostic criteria for invasive fungal sinusitis. Archives of otolaryngology--head & neck surgery. 1997;123(11):1181-8 - https://doi.org/10.1001/archotol.1997.01900110031005
Erdogan N, Demir U, Songu M, Ozenler NK, Uluc E, Dirim B. A prospective study of paranasal sinus osteomas in 1,889 cases: changing patterns of localization. The Laryngoscope. 2009;119(12):2355-9 - https://doi.org/10.1002/lary.20646 - PMid:19780030
Huang BY, Senior BA, Castillo M. Current Trends in Sinonasal Imaging. Neuroimaging clinics of North America. 2015;25(4):507-25 - https://doi.org/10.1016/j.nic.2015.07.001 - PMid:26476377
Joshi VM, Sansi R. Imaging in Sinonasal Inflammatory Disease. Neuroimaging clinics of North America. 2015;25(4):549-68 - https://doi.org/10.1016/j.nic.2015.07.003 - PMid:26476379
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Maroldi R, Farina D, Battaglia G, Maculotti P, Nicolai P, Chiesa A. MR of malignant nasosinusal neoplasms. Frequently asked questions. European journal of radiology. 1997;24(3):181-90 - https://doi.org/10.1016/S0720-048X(97)01183-2
Maroldi R, Ravanelli M, Farina D, Facchetti L, Bertagna F, Lombardi D, et al. Post-treatment Evaluation of Paranasal Sinuses After Treatment of Sinonasal Neoplasms. Neuroimaging clinics of North America. 2015;25(4):667-85 - https://doi.org/10.1016/j.nic.2015.07.009 - PMid:26476385
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Rak KM, Newell JD, 2nd, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: significance of mucosal thickening. AJR American journal of roentgenology. 1991;156(2):381-4 - https://doi.org/10.2214/ajr.156.2.1898819 - PMid:1898819
Raz E, Win W, Hagiwara M, Lui YW, Cohen B, Fatterpekar GM. Fungal Sinusitis. Neuroimaging clinics of North America. 2015;25(4):569-76 - https://doi.org/10.1016/j.nic.2015.07.004 - PMid:26476380
Sasaki M, Eida S, Sumi M, Nakamura T. Apparent diffusion coefficient mapping for sinonasal diseases: differentiation of benign and malignant lesions. AJNR American journal of neuroradiology. 2011;32(6):1100-6 - https://doi.org/10.3174/ajnr.A2434 - PMid:21393402
Sasaki M, Sumi M, Eida S, Ichikawa Y, Sumi T, Yamada T, et al. Multiparametric MR imaging of sinonasal diseases: time-signal intensity curve- and apparent diffusion coefficient-based differentiation between benign and malignant lesions. AJNR American journal of neuroradiology. 2011;32(11):2154-9 - https://doi.org/10.3174/ajnr.A2675 - PMid:21920869
Scholl RJ, Kellett HM, Neumann DP, Lurie AG. Cysts and cystic lesions of the mandible: clinical and radiologic-histopathologic review. Radiographics : a review publication of the Radiological Society of North America, Inc. 1999;19(5):1107-24 - https://doi.org/10.1148/radiographics.19.5.g99se021107 - PMid:10489168
Sen S, Chandra A, Mukhopadhyay S, Ghosh P. Imaging Approach to Sinonasal Neoplasms. Neuroimaging clinics of North America. 2015;25(4):577-93 - https://doi.org/10.1016/j.nic.2015.07.005 - PMid:26476381
Sen S, Chandra A, Mukhopadhyay S, Ghosh P. Sinonasal Tumors: Computed Tomography and MR Imaging Features. Neuroimaging clinics of North America. 2015;25(4):595-618 - https://doi.org/10.1016/j.nic.2015.07.006 - PMid:26476382
Som PM, Shapiro MD, Biller HF, Sasaki C, Lawson W. Sinonasal tumors and inflammatory tissues: differentiation with MR imaging. Radiology. 1988;167(3):803-8 - https://doi.org/10.1148/radiology.167.3.3363145 - PMid:3363145
Tufano RP, Mokadam NA, Montone KT, Weinstein GS, Chalian AA, Wolf PF, et al. Malignant tumors of the nose and paranasal sinuses: hospital of the University of Pennsylvania experience 1990-1997. American journal of rhinology. 1999;13(2):117-23 - https://doi.org/10.2500/105065899782106698 - PMid:10219440
Vaid S, Vaid N. Normal Anatomy and Anatomic Variants of the Paranasal Sinuses on Computed Tomography. Neuroimaging clinics of North America. 2015;25(4):527-48 - https://doi.org/10.1016/j.nic.2015.07.002 - PMid:26476378
Wang X, Zhang Z, Chen X, Li J, Xian J. Value of magnetic resonance imaging including dynamic contrast-enhanced magnetic resonance imaging in differentiation between inverted papilloma and malignant tumors in the nasal cavity. Chinese medical journal. 2014;127(9):1696-701
Ward BE, Fechner RE, Mills SE. Carcinoma arising in oncocytic Schneiderian papilloma. The American journal of surgical pathology. 1990;14(4):364-9 - https://doi.org/10.1097/00000478-199004000-00008 - PMid:2321700
Yoon JH, Na DG, Byun HS, Koh YH, Chung SK, Dong HJ. Calcification in chronic maxillary sinusitis: comparison of CT findings with histopathologic results. AJNR American journal of neuroradiology. 1999;20(4):571-4 - PMid:10319962
Yousem DM. Imaging of sinonasal inflammatory disease. Radiology. 1993;188(2):303-14 - https://doi.org/10.1148/radiology.188.2.8327669 - PMid:8327669
Carrillo JF, Albores O, Ramirez-Ortega MC, Aiello-Crocifoglio V, Onate-Ocana LF. An audit of nasopharyngeal fibromas. European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology. 2007;33(5):655-61 - https://doi.org/10.1016/j.ejso.2007.01.008 - PMid:17329064
Chakrabarti A, Denning DW, Ferguson BJ, Ponikau J, Buzina W, Kita H, et al. Fungal rhinosinusitis: a categorization and definitional schema addressing current controversies. The Laryngoscope. 2009;119(9):1809-18 - https://doi.org/10.1002/lary.20520 - PMid:19544383 PMCid:PMC2741302
Chung SK, Chang BC, Dhong HJ. Surgical, radiologic, and histologic findings of the antrochoanal polyp. American journal of rhinology. 2002;16(2):71-6 - PMid:12030360
Connor SE. The Skull Base in the Evaluation of Sinonasal Disease: Role of Computed Tomography and MR Imaging. Neuroimaging clinics of North America. 2015;25(4):619-51 - https://doi.org/10.1016/j.nic.2015.07.007 - PMid:26476383
Cornelius RS, Martin J, Wippold FJ, 2nd, Aiken AH, Angtuaco EJ, Berger KL, et al. ACR appropriateness criteria sinonasal disease. Journal of the American College of Radiology : JACR. 2013;10(4):241-6 - https://doi.org/10.1016/j.jacr.2013.01.001 - PMid:23420025
deShazo RD, O'Brien M, Chapin K, Soto-Aguilar M, Gardner L, Swain R. A new classification and diagnostic criteria for invasive fungal sinusitis. Archives of otolaryngology--head & neck surgery. 1997;123(11):1181-8 - https://doi.org/10.1001/archotol.1997.01900110031005
Erdogan N, Demir U, Songu M, Ozenler NK, Uluc E, Dirim B. A prospective study of paranasal sinus osteomas in 1,889 cases: changing patterns of localization. The Laryngoscope. 2009;119(12):2355-9 - https://doi.org/10.1002/lary.20646 - PMid:19780030
Huang BY, Senior BA, Castillo M. Current Trends in Sinonasal Imaging. Neuroimaging clinics of North America. 2015;25(4):507-25 - https://doi.org/10.1016/j.nic.2015.07.001 - PMid:26476377
Joshi VM, Sansi R. Imaging in Sinonasal Inflammatory Disease. Neuroimaging clinics of North America. 2015;25(4):549-68 - https://doi.org/10.1016/j.nic.2015.07.003 - PMid:26476379
Loevner LA, Sonners AI. Imaging of neoplasms of the paranasal sinuses. Neuroimaging clinics of North America. 2004;14(4):625-46 - https://doi.org/10.1016/j.nic.2004.07.005 - PMid:15489145
MacDonald-Jankowski DS. Fibro-osseous lesions of the face and jaws. Clinical radiology. 2004;59(1):11-25 - https://doi.org/10.1016/j.crad.2003.07.003 - PMid:14697371
Madani G, Beale TJ. Sinonasal inflammatory disease. Seminars in ultrasound, CT, and MR. 2009;30(1):17-24 - https://doi.org/10.1053/j.sult.2008.10.014 - https://doi.org/10.1053/j.sult.2008.10.012
Maroldi R, Farina D, Battaglia G, Maculotti P, Nicolai P, Chiesa A. MR of malignant nasosinusal neoplasms. Frequently asked questions. European journal of radiology. 1997;24(3):181-90 - https://doi.org/10.1016/S0720-048X(97)01183-2
Maroldi R, Ravanelli M, Farina D, Facchetti L, Bertagna F, Lombardi D, et al. Post-treatment Evaluation of Paranasal Sinuses After Treatment of Sinonasal Neoplasms. Neuroimaging clinics of North America. 2015;25(4):667-85 - https://doi.org/10.1016/j.nic.2015.07.009 - PMid:26476385
Ozcan M, Ozlugedik S, Ikinciogullari A. Simultaneous antrochoanal and sphenochoanal polyps: a rare clinical entity. The Journal of laryngology and otology. 2005;119(2):152-4 - https://doi.org/10.1258/0022215053419899 - PMid:15829072
Rak KM, Newell JD, 2nd, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: significance of mucosal thickening. AJR American journal of roentgenology. 1991;156(2):381-4 - https://doi.org/10.2214/ajr.156.2.1898819 - PMid:1898819
Raz E, Win W, Hagiwara M, Lui YW, Cohen B, Fatterpekar GM. Fungal Sinusitis. Neuroimaging clinics of North America. 2015;25(4):569-76 - https://doi.org/10.1016/j.nic.2015.07.004 - PMid:26476380
Sasaki M, Eida S, Sumi M, Nakamura T. Apparent diffusion coefficient mapping for sinonasal diseases: differentiation of benign and malignant lesions. AJNR American journal of neuroradiology. 2011;32(6):1100-6 - https://doi.org/10.3174/ajnr.A2434 - PMid:21393402
Sasaki M, Sumi M, Eida S, Ichikawa Y, Sumi T, Yamada T, et al. Multiparametric MR imaging of sinonasal diseases: time-signal intensity curve- and apparent diffusion coefficient-based differentiation between benign and malignant lesions. AJNR American journal of neuroradiology. 2011;32(11):2154-9 - https://doi.org/10.3174/ajnr.A2675 - PMid:21920869
Scholl RJ, Kellett HM, Neumann DP, Lurie AG. Cysts and cystic lesions of the mandible: clinical and radiologic-histopathologic review. Radiographics : a review publication of the Radiological Society of North America, Inc. 1999;19(5):1107-24 - https://doi.org/10.1148/radiographics.19.5.g99se021107 - PMid:10489168
Sen S, Chandra A, Mukhopadhyay S, Ghosh P. Imaging Approach to Sinonasal Neoplasms. Neuroimaging clinics of North America. 2015;25(4):577-93 - https://doi.org/10.1016/j.nic.2015.07.005 - PMid:26476381
Sen S, Chandra A, Mukhopadhyay S, Ghosh P. Sinonasal Tumors: Computed Tomography and MR Imaging Features. Neuroimaging clinics of North America. 2015;25(4):595-618 - https://doi.org/10.1016/j.nic.2015.07.006 - PMid:26476382
Som PM, Shapiro MD, Biller HF, Sasaki C, Lawson W. Sinonasal tumors and inflammatory tissues: differentiation with MR imaging. Radiology. 1988;167(3):803-8 - https://doi.org/10.1148/radiology.167.3.3363145 - PMid:3363145
Tufano RP, Mokadam NA, Montone KT, Weinstein GS, Chalian AA, Wolf PF, et al. Malignant tumors of the nose and paranasal sinuses: hospital of the University of Pennsylvania experience 1990-1997. American journal of rhinology. 1999;13(2):117-23 - https://doi.org/10.2500/105065899782106698 - PMid:10219440
Vaid S, Vaid N. Normal Anatomy and Anatomic Variants of the Paranasal Sinuses on Computed Tomography. Neuroimaging clinics of North America. 2015;25(4):527-48 - https://doi.org/10.1016/j.nic.2015.07.002 - PMid:26476378
Wang X, Zhang Z, Chen X, Li J, Xian J. Value of magnetic resonance imaging including dynamic contrast-enhanced magnetic resonance imaging in differentiation between inverted papilloma and malignant tumors in the nasal cavity. Chinese medical journal. 2014;127(9):1696-701
Ward BE, Fechner RE, Mills SE. Carcinoma arising in oncocytic Schneiderian papilloma. The American journal of surgical pathology. 1990;14(4):364-9 - https://doi.org/10.1097/00000478-199004000-00008 - PMid:2321700
Yoon JH, Na DG, Byun HS, Koh YH, Chung SK, Dong HJ. Calcification in chronic maxillary sinusitis: comparison of CT findings with histopathologic results. AJNR American journal of neuroradiology. 1999;20(4):571-4 - PMid:10319962
Yousem DM. Imaging of sinonasal inflammatory disease. Radiology. 1993;188(2):303-14 - https://doi.org/10.1148/radiology.188.2.8327669 - PMid:8327669
Blanco-Hernández, R., Martín-García, I., Tabernero-Rico, R. D., Gonzalo-Domínguez, M., Hernández-Rodríguez, C., & Martín-Pérez, M. Ángel. (2017). Resonancia magnética en el diagnóstico y seguimiento de la patología nasosinusal. Revista ORL, 8(2), 125–140. https://doi.org/10.14201/orl.14827
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