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Current Allergy and Asthma Reports

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01.05.2010

The Role of CT and MRI in the Diagnosis of Chronic Rhinosinusitis

verfasst von: Neil Bhattacharyya

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 3/2010

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Abstract

Chronic rhinosinusitis (CRS) is one of the most common chronic disease conditions in the United States. Currently, diagnosis is based initially on clinical symptomatology and signs, but the final diagnosis of CRS should be confirmed by objective measures. CT of the paranasal sinuses is the most commonly obtained test to confirm or exclude a diagnosis of CRS. CT has been shown to be reliable, accurate, and effective in diagnosing CRS, but it also imparts radiation exposure. More recently, MRI of the paranasal sinuses has been explored as a diagnostic modality in CRS. Initial data suggest it may be a viable alternative to CT in the diagnosis of CRS. As clinicians are likely to begin to use MRI as a diagnostic modality in CRS, further studies are warranted with respect to its particular diagnostic validation.

Bhattacharyya N: Air quality influences the prevalence of hay fever and sinusitis. Laryngoscope 2009, 119:429–433.CrossRefPubMed

•• Bhattacharyya N: Contemporary assessment of the disease burden of sinusitis. Am J Rhinol Allergy 2009, 23:392–395. This is an important article that refreshes the information on the disease burden of sinusitis in the United States. The authors show that sinusitis is more prevalent than hay fever, peptic ulcer disease, and chronic bronchitis. Patients with sinusitis were much more likely to visit the emergency department, spend more than $500 per year on health care, and see a medical specialist than those without sinusitis. Work days lost due to sinusitis were similar to those of acute asthma.CrossRefPubMed

Bhattacharyya N: Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryngoscope 2010 Jan 7 (Epub ahead of print).

• Chester AC, Sindwani R, Smith TL, et al.: Systematic review of change in bodily pain after sinus surgery. Otolaryngol Head Neck Surg 2008, 139:759–765. This article systematically summarizes the patient’s perspective on bodily pain due to CRS and its improvement after endoscopic sinus surgery. It is important in that it keeps the disease burden of CRS in perspective.CrossRefPubMed

Chester AC, Sindwani R, Smith TL, et al.: Fatigue improvement following endoscopic sinus surgery: a systematic review and meta-analysis. Laryngoscope 2008, 118:730–739.CrossRefPubMed

•• Rosenfeld RM, Andes D, Bhattacharyya N, et al.: Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg 2007, 137:S1–S31. This is the first multidisciplinary, evidence-based clinical practice guideline concerning adult sinusitis. This article covers acute rhinosinusitis and CRS with respect to diagnosis. Very nice evidence-based summaries of imaging in acute rhinosinusitis and CRS are presented. This is important reading for those involved in the diagnosis and treatment of sinusitis.CrossRefPubMed

Pynnonen MA, Terrell JE: Conditions that masquerade as chronic rhinosinusitis: a medical record review. Arch Otolaryngol Head Neck Surg 2006, 132:748–751.CrossRefPubMed

Bhattacharyya N: Symptom and disease severity differences between nasal septal deviation and chronic rhinosinusitis. Otolaryngol Head Neck Surg 2005, 133:173–177.CrossRefPubMed

Bhattacharyya N: Radiographic stage fails to predict symptom outcomes after endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope 2006, 116:18–22.CrossRefPubMed

10.

Anzai Y, Yueh B: Imaging evaluation of sinusitis: diagnostic performance and impact on health outcome. Neuroimaging Clin N Am 2003, 13:251–263, xi.CrossRefPubMed

11.

Bhattacharyya N: Test-retest reliability of computed tomography in the assessment of chronic rhinosinusitis. Laryngoscope 1999, 109:1055–1058.CrossRefPubMed

12.

Bhattacharyya N, Fried MP: The accuracy of computed tomography in the diagnosis of chronic rhinosinusitis. Laryngoscope 2003, 113:125–129.CrossRefPubMed

13.

Wasan A, Fernandez E, Jamison RN, et al.: Association of anxiety and depression with reported disease severity in patients undergoing evaluation for chronic rhinosinusitis. Ann Otol Rhinol Laryngol 2007, 116:491–497.PubMed

14.

• Bhattacharyya N, Wasan A: Do anxiety and depression confound symptom reporting and diagnostic accuracy in chronic rhinosinusitis? Ann Otol Rhinol Laryngol 2008, 117:18–23. Clinicians are often faced with separating symptom amplification from symptoms that truly reflect underlying CRS. This article nicely shows that use of existing diagnostic guidelines is not hampered by symptom amplification. In other words, cardinal symptoms of CRS still predict true radiographic CRS, even in the face of psychiatric comorbidities.PubMed

15.

Bhattacharyya N: A comparison of symptom scores and radiographic staging systems in chronic rhinosinusitis. Am J Rhinol 2005, 19:175–179.PubMed

16.

Anzai Y, Weymuller EA Jr, Yueh B, et al.: The impact of sinus computed tomography on treatment decisions for chronic sinusitis. Arch Otolaryngol Head Neck Surg 2004, 130:423–428.CrossRefPubMed

17.

Bhattacharyya N: Clinical and symptom criteria for the accurate diagnosis of chronic rhinosinusitis. Laryngoscope 2006, 116:1–22.CrossRefPubMed

18.

• Pynnonen M, Fowler K, Terrell JE: Clinical predictors of chronic rhinosinusitis. Am J Rhinol 2007, 21:159–163. This is a helpful article outlining specific symptoms that have increased odds ratios for underlying diagnosis of CRS. It also points out pitfalls and other conditions that masquerade as CRS and diagnostic dilemmas.CrossRefPubMed

19.

Lund VJ, Kennedy DW: Staging for rhinosinusitis. Otolaryngol Head Neck Surg 1997, 117:S35–S40.CrossRefPubMed

20.

Ashraf N, Bhattacharyya N: Determination of the “incidental” Lund score for the staging of chronic rhinosinusitis. Otolaryngol Head Neck Surg 2001, 125:483–486.PubMed

21.

Bhattacharyya N, Lee KH: Chronic recurrent rhinosinusitis: disease severity and clinical characterization. Laryngoscope 2005, 115:306–310.CrossRefPubMed

22.

Poetker DM, Litvack JR, Mace JC, et al.: Recurrent acute rhinosinusitis: presentation and outcomes of sinus surgery. Am J Rhinol 2008, 22:329–333.CrossRefPubMed

23.

• Alkire BC, Bhattacharyya N: An assessment of sinonasal anatomic variants potentially associated with recurrent acute rhinosinusitis. Laryngoscope 2010 Feb 3 (Epub ahead of print). This was the first article to examine RARS with respect to potential underlying anatomic etiologies. The authors use CT scan to identify anatomic abnormalities—such as septal deviation, concha bullosa, and Haller cells—that may predispose to RARS. They found that only Haller cells were implicated in this diagnosis.

24.

Bhattacharyya N: Surgical treatment of chronic recurrent rhinosinusitis: a preliminary report. Laryngoscope 2006, 116:1805–1808.CrossRefPubMed

25.

•• Berrington de Gonzalez A, Mahesh M, Kim KP, et al.: Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009, 169:2071–2077. This is a very important article that outlines the risks associated with the use (and overuse) of CT due to its associated radiation exposure. This article will likely lead to decreased reliance on CT scan and increased reliance on MRI in the diagnosis of CRS.CrossRefPubMed

26.

Bhattacharyya N, Jones DT, Hill M, et al.: The diagnostic accuracy of computed tomography in pediatric chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 2004, 130:1029–1032.CrossRefPubMed

27.

•• Lin HW, Bhattacharyya N: Diagnostic and staging accuracy of magnetic resonance imaging for the assessment of sinonasal disease. Am J Rhinol Allergy 2009, 23:36–39. This is the only article to date that systematically examines the diagnostic accuracy of MRI in CRS relative to the gold standard, CT. The authors found that MRI and CT correlated strongly and that at least initially, MRI seems to be quite viable in diagnosing CRS.CrossRefPubMed

Titel: The Role of CT and MRI in the Diagnosis of Chronic Rhinosinusitis
verfasst von: Neil Bhattacharyya
Publikationsdatum: 01.05.2010
Verlag: Current Science Inc.
Erschienen in: Current Allergy and Asthma Reports / Ausgabe 3/2010
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI: https://doi.org/10.1007/s11882-010-0103-5

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The Role of CT and MRI in the Diagnosis of Chronic Rhinosinusitis

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