CT and MR imaging of orbital inflammation

被引:61
作者
Ferreira, Teresa A. [1 ]
Saraiva, P. [2 ]
Genders, S. W. [3 ]
Buchem, M. V. [1 ]
Luyten, G. P. M. [3 ]
Beenakker, J-W [1 ,4 ]
机构
[1] Leiden Univ, Med Ctr, Dept Radiol, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
[2] Hosp Luz, Dept Radiol, Estr Nacl 10,Km 37, P-2900722 Setubal, Portugal
[3] Leiden Univ, Dept Radiol, Dept Ophthalmol, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
[4] Leiden Univ, Med Ctr, CJ Gorter Ctr High Field MRI, Dept Radiol, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
关键词
Orbital inflammation; Orbital inflammatory diseases; CT; MRI; Diffusion-weighted imaging; ISCHEMIC OPTIC NEUROPATHY; ERDHEIM-CHESTER DISEASE; IGG4-RELATED DISEASE; POSTERIOR SCLERITIS; SYSTEMIC-DISEASE; CLINICAL-FEATURES; INVOLVEMENT; DIAGNOSIS; NEURITIS; DIFFERENTIATION;
D O I
10.1007/s00234-018-2103-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
PurposeOrbital inflammation can be idiopathic or in the context of a specific disease and it can involve different anatomical orbital structures. On imaging, inflammatory disease is frequently mistaken for infection and malignant tumors, and its underlying cause is often not determined.Through this article we aim to improve orbital inflammation diagnosis and underlying inflammatory diseases recognition.MethodsThe imaging protocols and characteristics of orbital inflammation were reviewed.ResultsA decision tree for the evaluation of these patients is provided. First, a combination of clinical and radiological clues is used to recognize inflammation, in particular to differentiate it both from orbital infection and tumor. Subsequently, different radiological patterns are recognized, often allowing the differentiation of the several orbital inflammatory diseases.ConclusionThe use of adequate imaging protocols and subsequent evaluation allow the recognition of an orbital lesion as inflammatory and the diagnosis of the underlying inflammatory disease. All in all, a proper treatment can be established, and at times, a biopsy can be avoided.
引用
收藏
页码:1253 / 1266
页数:14
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