Fungal sinusitis: diagnosis with CT and MR imaging.

Abstract:

:Of 293 patients who underwent computed tomography (CT), surgery, and pathologic examination for chronic sinusitis, 25 had a diagnosis of fungal sinusitis at pathologic examination. Of these, 22 had foci of increased attenuation at CT (in four patients the mean representative CT number [Hounsfied unit] was 122.2 HU [SD, 8.2 HU]), and three did not. Of the 22, 19 patients (76%) met the CT criterion of this study (there was a 12% false-positive and a 12% false-negative diagnostic rate). Six of the 19 patients and one additional patient underwent magnetic resonance (MR) imaging, and all demonstrated remarkably hypointense signal characteristics on T2-weighted images. The findings at MR imaging therefore appear more characteristic of fungal sinusitis than the findings at CT. Furnace atomic absorption spectrometry showed increased concentrations of iron and manganese in mycetoma compared with their concentrations in bacterially infected mucus. This finding and the presence of calcium in the fungal concretion may explain the hypointense T2-weighted signal on MR images.

journal_name

Radiology

journal_title

Radiology

authors

Zinreich SJ,Kennedy DW,Malat J,Curtin HD,Epstein JI,Huff LC,Kumar AJ,Johns ME,Rosenbaum AE

doi

10.1148/radiology.169.2.3174990

subject

Has Abstract

pub_date

1988-11-01 00:00:00

pages

439-44

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

169

pub_type

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