Correlation of quantitative MR imaging findings with symptoms in patients with incidentally detected inflammatory sinonasal disease
Diagnostic and Interventional Imaging, cilt.99, sa.2, ss.65-72, 2018 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 99 Sayı: 2
- Basım Tarihi: 2018
- Doi Numarası: 10.1016/j.diii.2017.05.012
- Dergi Adı: Diagnostic and Interventional Imaging
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.65-72
- Anahtar Kelimeler: Paranasal sinus, Sinusitis, Magnetic resonance imaging (MRI), Diffusion-weighted MRI
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To assess the relationships between mucosal thickness, T1-weighted, T2-weighted signals and restricted diffusion on magnetic resonance imaging (MRI) with the degree of symptoms in patients with incidentally detected inflammatory sinonasal disease. Materials and methods: Conventional and diffusion-weighted MRI of 100 patients with incidental sinonasal mucosal thickening were prospectively evaluated. There were 53 men and 47 women, with a mean age of 44.6 years ± 15.17 (SD) (range: 18–81 years). Correlations between quantitative values (T1-signal, T2-signal and apparent diffusion coefficient [ADC]) and three different quality of life questionnaires (chronic sinusitis survey, sinonasal outcomes test-22 and nasal obstruction and septoplasty effectiveness scale [NOSE]) were searched using the Spearman correlation test. Results: The mean SNOT-22 score was 35.81 ± 20.36 (SD) (range: 0–83), CSS score was 4.64 ± 3.42 (SD) (range: 0–14), and NOSE score was 5.91 ± 4.84 (range: 0–18). All patients (100%) had maxillary sinus involvement. Ethmoidal sinus involvement was present in 57% of patients, frontal sinus involvement in 33% and sphenoidal sinus involvement in 27%. Morphologically, 40 patients (40%) had septal deviation, 41 (41%) had maxillary sinus retention cyst and 78 (78%) had hypertrophy of the conchae. No correlations were found between morphological abnormalities, quantitative values and patient scores in none of the questionnaires. Conclusion: Incidental morphological abnormalities or restricted diffusion of the paranasal sinuses on MRI do not correlate with the degree of symptoms in patients with incidentally detected inflammatory sinonasal disease.