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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: andrew_swift123@yahoo.co.uk
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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

Information

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.

References

1Bawa, R, Allen, GC, Ramadan, HH. Cylindrical cell papilloma of the nasal septum. Ear Nose Throat J 1995;74:179–81Google Scholar
2von Buchwald, C, Bradley, PJ. Risks of malignancy in inverted papilloma of the nose and paranasal sinuses. Curr Opin Otolaryngol Head Neck Surg 2007;15:95–8Google Scholar
3Woodworth, BA, Bhargave, GA, Palmer, JN, Chiu, AG, Cohen, NA, Lanza, DC et al. Clinical outcomes of endoscopic and endoscopic-assisted resection of inverted papillomas: a 15-year experience. Am J Rhinol 2007;21:591–600Google Scholar
4Liu, Q, Yu, H, Minovi, A, Wei, W, Wang, D, Zheng, C et al. Management of maxillary sinus inverted papilloma via transnasal endoscopic anterior and medial maxillectomy. ORL J Otorhinolaryngol Relat Spec 2010;72:247–51Google Scholar
5Lund, VJ, Stammberger, H, Nicolai, P, Castelnuovo, P, Beal, T, Beham, A et al. European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base. Rhinol Suppl 2010;22:1–143Google Scholar
6Busquets, J, Hwang, P. Endoscopic resection of sinonasal papilloma: a meta analysis. Otolaryngol Head Neck Surg 2006;134:476–82Google Scholar
7Lund, VJ. Optimum management of inverted papilloma. J Laryngol Otol 2000;114:194–7Google Scholar
8Dammann, F, Pereira, P, Laniado, M, Plinkert, P, Lowenheim, H, Claussen, CD. Inverted papilloma of the nasal cavity and the paranasal sinuses: using CT for primary diagnosis and follow-up. AJR Am J Roentgenol 1999;172:543–8Google Scholar
9Gomaa, MA, Hammad, MS, Abdelmoghny, A, Elsherif, AM, Tawfik, HM. Magnetic resonance imaging versus computed tomography and different imaging modalities in evaluation of sinonasal neoplasms diagnosed by histopathology. Clin Med Insights Ear Nose Throat 2013;6:9–15Google Scholar
10Barnes, L, Bedetti, C. Oncocytic Schneiderian papilloma: a reappraisal of cylindrical cell papilloma of the sinonasal tract. Hum Pathol 1984;15:344–51Google Scholar
11Pandey, R. Anterior rhinotomy. J Laryngol Otol 1984;98:781–2Google Scholar
12Karkos, PD, Fyrmpas, G, Carrie, SC, Swift, AC. Endoscopic versus open surgical interventions for inverted nasal papilloma: a systematic review. Clin Otolaryngol 2006;31:499–503Google Scholar
13Karkos, PD, Khoo, LC, Leong, SC, Lewis-Jones, H, Swift, AC. Computed tomography and/or magnetic resonance imaging for pre-operative planning for inverted nasal papilloma: review of evidence. J Laryngol Otol 2009;123:705–9Google Scholar
14Walgama, E, Ahn, C, Batra, PS. Surgical management of frontal sinus inverted papilloma: a systematic review. Laryngoscope 2012;122:1205–9Google Scholar
15Kamel, RH, Abdel Fattah, AF, Awad, AG. Origin oriented management of inverted papilloma of the frontal sinus. Rhinology 2012;50:262–8Google Scholar
16Savy, L, Lloyd, G, Lund, VJ, Howard, D. Optimum imaging for inverted papilloma. J Laryngol Otol 2000;114:891–3Google Scholar
17Petit, P, Vivarrat-Perrin, L, Champsaur, P, Juhan, V, Chagnaud, C, Vidal, V et al. Radiological follow-up of inverted papilloma. Eur Radiol 2000;10:1184–9Google Scholar
18Head, CS, Sercarz, JA, Luu, Q, Collins, J, Blackwell, KE. Radiographic assessment of inverted papilloma. Acta Otolaryngol 2007;127:515–20Google Scholar
19Ojiri, H, Ujita, M, Tada, S, Fukuda, K. Potentially distinctive features of sinonasal inverted papilloma on MR imaging. AJR Am J Roentgenol 2000;175:465–8Google Scholar
20Maroldi, R, Farina, D, Palvarini, L, Lombardi, D, Tomenzoli, D, Nicolai, P. Magnetic resonance imaging findings of inverted papilloma: differential diagnosis with malignant sinonasal tumors. Am J Rhinol 2004;18:305–10Google Scholar
21Jeon, TY, Kim, HJ, Chung, SK, Dhong, HJ, Kim, HY, Yim, YJ et al. Sinonasal inverted papilloma: value of convoluted cerebriform pattern on MR imaging. AJNR Am J Neuroradiol 2008;29:1556–60Google Scholar
22Knechtges, PM, Carlos, RC. The evolving role of the radiologist within the health care system. J Am Coll Radiol 2007;4:626–35Google Scholar