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Sinonasal papilloma: what influences the decision to request a magnetic resonance imaging scan?

Published online by Cambridge University Press:  18 June 2018

A V Kasbekar ,
C Swords ,
B Attlmayr ,
T Kulkarni  and
A C Swift
A V Kasbekar
Affiliation:
Department of Otorhinolaryngology, Nottingham University Hospitals NHS Trust and Nottingham Biomedical Research Centre, UK
C Swords
Affiliation:
Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK
B Attlmayr
Affiliation:
Department of Otorhinolaryngology, Head and Neck and Thyroid Surgery, Liverpool, UK
T Kulkarni
Affiliation:
Department of Radiology, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK
A C Swift*
Affiliation:
Department of Otorhinolaryngology, Head and Neck and Thyroid Surgery, Liverpool, UK
*
Author for correspondence: Mr Andrew C Swift, Department of Otolaryngology, Aintree University Hospitals NHS Foundation Trust, Liverpool L9 7AL, UK Fax: 0151 529 5263 E-mail: [email protected]
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Abstract

Background

Computed tomography is the standard pre-operative imaging modality for sinonasal papilloma. The complementary use of magnetic resonance imaging as an additional investigation is debated. This study aimed to establish whether magnetic resonance imaging can accurately detect tumour extent and is a useful adjunct to computed tomography.

Methods

A retrospective review was conducted on 19 patients with sinonasal papilloma. The interpretation of computed tomography and magnetic resonance imaging scans, by three clinicians, was conducted by comparing prediction of tumour extent. The perceived necessity of magnetic resonance imaging was compared between clinicians.

Results

The addition of magnetic resonance imaging improved accuracy of pre-operative interpretation; specifically, this finding was significant in cases with frontal sinus involvement. Surgeons were more likely than a radiologist to request magnetic resonance imaging, particularly when computed tomography indicated frontal sinus disease.

Conclusion

Pre-operative combined magnetic resonance imaging and computed tomography helped predict disease in the frontal sinus better than computed tomography alone. A close working relationship between the ENT and radiology departments is important for accurate tumour localisation.

Keywords

Inverted PapillomaFrontal SinusParanasal Sinus DiseasesMagnetic Resonance ImagingComputed Tomography, X-Ray
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 7 , July 2018 , pp. 584 - 590
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Mr A C Swift takes responsibility for the integrity of the content of the paper

An earlier version of this work was presented at the 15th British Academic Conference in Otolaryngology, 8–10 July 2015, Liverpool, UK.

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