Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis

Contrast-enhanced magnetic resonance imaging is considered the imaging modality of choice for invasive fungal sinusitis (IFS); however, it is not feasible to perform emergency CEMRI especially in the setting of COVID-19. The CECT protocol for evaluation of suspected IFS can be modified by using spli...

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Autores principales: Bhalla, Ashu Seith, Manchanda, Smita, Kabilan, Kavirajan, Thakar, Alok, Sikka, Kapil, Verma, Hitesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912232/
https://www.ncbi.nlm.nih.gov/pubmed/36763194
http://dx.doi.org/10.1007/s10140-023-02117-w
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author Bhalla, Ashu Seith
Manchanda, Smita
Kabilan, Kavirajan
Thakar, Alok
Sikka, Kapil
Verma, Hitesh
author_facet Bhalla, Ashu Seith
Manchanda, Smita
Kabilan, Kavirajan
Thakar, Alok
Sikka, Kapil
Verma, Hitesh
author_sort Bhalla, Ashu Seith
collection PubMed
description Contrast-enhanced magnetic resonance imaging is considered the imaging modality of choice for invasive fungal sinusitis (IFS); however, it is not feasible to perform emergency CEMRI especially in the setting of COVID-19. The CECT protocol for evaluation of suspected IFS can be modified by using split-bolus, single-phase CT as it provides an optimal soft tissue demonstration of sinonasal disease; extrasinus spread to orbit, and intracranial involvement along with simultaneous opacification of the internal carotid artery and cavernous sinus. The extent of bone erosion can also be well delineated on the multiplanar reconstructions (MPRs) in the bone window. Further a structured reporting format can help provide optimal surgical guidance in cases of IFS.
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spelling pubmed-99122322023-02-10 Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis Bhalla, Ashu Seith Manchanda, Smita Kabilan, Kavirajan Thakar, Alok Sikka, Kapil Verma, Hitesh Emerg Radiol Technical Note Contrast-enhanced magnetic resonance imaging is considered the imaging modality of choice for invasive fungal sinusitis (IFS); however, it is not feasible to perform emergency CEMRI especially in the setting of COVID-19. The CECT protocol for evaluation of suspected IFS can be modified by using split-bolus, single-phase CT as it provides an optimal soft tissue demonstration of sinonasal disease; extrasinus spread to orbit, and intracranial involvement along with simultaneous opacification of the internal carotid artery and cavernous sinus. The extent of bone erosion can also be well delineated on the multiplanar reconstructions (MPRs) in the bone window. Further a structured reporting format can help provide optimal surgical guidance in cases of IFS. Springer International Publishing 2023-02-10 2023 /pmc/articles/PMC9912232/ /pubmed/36763194 http://dx.doi.org/10.1007/s10140-023-02117-w Text en © The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER) 2023 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Technical Note
Bhalla, Ashu Seith
Manchanda, Smita
Kabilan, Kavirajan
Thakar, Alok
Sikka, Kapil
Verma, Hitesh
Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis
title Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis
title_full Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis
title_fullStr Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis
title_full_unstemmed Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis
title_short Split-bolus, single-phase contrast enhanced CT: a one-stop shop for invasive fungal sinusitis
title_sort split-bolus, single-phase contrast enhanced ct: a one-stop shop for invasive fungal sinusitis
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912232/
https://www.ncbi.nlm.nih.gov/pubmed/36763194
http://dx.doi.org/10.1007/s10140-023-02117-w
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