Cited 49 times in
Radiologic characteristics of sinonasal fungus ball: an analysis of 119 cases
DC Field | Value | Language |
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dc.contributor.author | 김규보 | - |
dc.contributor.author | 김진아 | - |
dc.contributor.author | 김창훈 | - |
dc.contributor.author | 윤주헌 | - |
dc.contributor.author | 이정권 | - |
dc.date.accessioned | 2014-12-20T17:35:11Z | - |
dc.date.available | 2014-12-20T17:35:11Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0284-1851 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/94880 | - |
dc.description.abstract | BACKGROUND: It is important to differentiate sinonasal fungus ball from non-fungal sinusitis and other forms of fungal sinusitis in order to determine the optimal treatment. In particular, a sinonasal fungus ball, a non-invasive fungal sinusitis, can be characterized by radiologic findings before surgery. PURPOSE: To differentiate a sinonasal fungus ball from other types of sinusitis and determine optimal treatment on the basis of radiologic findings before surgery. MATERIAL AND METHODS: We studied 119 patients with clinically and pathologically proven sinonasal fungus balls. Their condition was evaluated radiologically with contrast-enhanced CT (99 patients), non-contrast CT (18 patients) and/or MRI (17 patients) prior to sinonasal surgery. RESULTS: Calcifications were found in 78 of 116 (67.2%) patients who underwent CT scans for fungus ball. As opposed to non-contrast CT scans, contrast CT scans revealed hyperattenuating fungal ball in 82.8% and enhanced inflamed mucosa in 65.5% of the patients, respectively. On MRI, most sinonasal fungal balls showed iso- or hypointensity on T1-weighted images and marked hypointensity on T2-weighted images. Inflamed mucosal membranes were noted and appeared as hypointense on T1-weighted images (64.7%) and hyperintense on T2-weighted images (88.2%). CONCLUSION: When there are no calcifications visible on the CT scan, a hyperattenuating fungal ball located in the central area of the sinus with mucosal thickening on enhanced CT scans is an important feature of a non-invasive sinonasal fungus ball. On MRI, a sinonasal fungus ball has typical features of a marked hypointense fungus ball with a hyperintense mucosal membrane in T2-weighted images. A contrast-enhanced CT scan or MRI provides sufficient information for the preoperative differentiation of a sinonasal fungus ball from other forms of sinusitis. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 790~795 | - |
dc.relation.isPartOf | ACTA RADIOLOGICA | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Contrast Media | - |
dc.subject.MESH | Diagnosis, Differential | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Magnetic Resonance Imaging* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Mycoses/diagnosis* | - |
dc.subject.MESH | Paranasal Sinus Diseases/diagnosis* | - |
dc.subject.MESH | Paranasal Sinus Diseases/diagnostic imaging | - |
dc.subject.MESH | Paranasal Sinus Diseases/microbiology* | - |
dc.subject.MESH | Tomography, X-Ray Computed* | - |
dc.title | Radiologic characteristics of sinonasal fungus ball: an analysis of 119 cases | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Young-Joon Seo | - |
dc.contributor.googleauthor | Jinna Kim | - |
dc.contributor.googleauthor | Kyubo Kim | - |
dc.contributor.googleauthor | Jeung-Gweon Lee | - |
dc.contributor.googleauthor | Chang-Hoon Kim | - |
dc.contributor.googleauthor | Joo-Heon Yoon | - |
dc.identifier.doi | 10.1258/ar.2011.110021 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01022 | - |
dc.contributor.localId | A01050 | - |
dc.contributor.localId | A00323 | - |
dc.contributor.localId | A02604 | - |
dc.contributor.localId | A03095 | - |
dc.relation.journalcode | J00033 | - |
dc.identifier.eissn | 1600-0455 | - |
dc.identifier.pmid | 21525111 | - |
dc.identifier.url | http://acr.sagepub.com/content/52/7/790.long | - |
dc.subject.keyword | Sinonasal fungus ball | - |
dc.subject.keyword | radiologic features | - |
dc.subject.keyword | contrast computed tomography | - |
dc.subject.keyword | magnetic resonance imaging | - |
dc.contributor.alternativeName | Kim, Kyu Bo | - |
dc.contributor.alternativeName | Kim, Jinna | - |
dc.contributor.alternativeName | Kim, Chang Hoon | - |
dc.contributor.alternativeName | Yoon, Joo Heon | - |
dc.contributor.alternativeName | Lee, Jeung Gweon | - |
dc.contributor.affiliatedAuthor | Kim, Jinna | - |
dc.contributor.affiliatedAuthor | Kim, Chang Hoon | - |
dc.contributor.affiliatedAuthor | Kim, Kyu Bo | - |
dc.contributor.affiliatedAuthor | Yoon, Joo Heon | - |
dc.contributor.affiliatedAuthor | Lee, Jeung Gweon | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 52 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 790 | - |
dc.citation.endPage | 795 | - |
dc.identifier.bibliographicCitation | ACTA RADIOLOGICA, Vol.52(7) : 790-795, 2011 | - |
dc.identifier.rimsid | 27822 | - |
dc.type.rims | ART | - |
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