The role of CT and MRI in the diagnosis of chronic rhinosinusitis

Current Allergy and Asthma Reports

Volumn 10, Issue 3, 2010, Pages 171-174

  Bhattacharyya, Neil ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Chronic rhinosinusitis; Computed tomography; Diagnosis; Magnetic resonance imaging

Indexed keywords

ANXIETY DISORDER; CLINICAL EFFECTIVENESS; COMORBIDITY; COMPUTER ASSISTED TOMOGRAPHY; DEPRESSION; DIAGNOSTIC ACCURACY; DISEASE SEVERITY; HUMAN; IMAGE ANALYSIS; IMAGE QUALITY; NUCLEAR MAGNETIC RESONANCE IMAGING; PREDICTION; RELIABILITY; RHINOSINUSITIS; SHORT SURVEY;

CHRONIC DISEASE; DIAGNOSIS, DIFFERENTIAL; HUMANS; MAGNETIC RESONANCE IMAGING; PARANASAL SINUSES; RHINITIS; SEVERITY OF ILLNESS INDEX; SINUSITIS; TOMOGRAPHY SCANNERS, X-RAY COMPUTED;

EID: 77952091035     PISSN: 15297322     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11882-010-0103-5     Document Type: Short Survey

References (27)

1. N Bhattacharyya 2009 Air quality influences the prevalence of hay fever and sinusitis Laryngoscope 119 429 433 10.1002/lary.20097 19160400
2. N Bhattacharyya 2009 Contemporary assessment of the disease burden of sinusitis Am J Rhinol Allergy 23 392 395 10.2500/ajra.2009.23.3355 19671253 This is an important article that refreshes the information on the disease burden of sinusitis in the United States. The authors show that sinusitis is more prevalent than hay fever, peptic ulcer disease, and chronic bronchitis. Patients with sinusitis were much more likely to visit the emergency department, spend more than $500 per year on health care, and see a medical specialist than those without sinusitis. Work days lost due to sinusitis were similar to those of acute asthma
3. Bhattacharyya N: Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryngoscope 2010 Jan 7 (Epub ahead of print).
4. AC Chester R Sindwani TL Smith, et al. 2008 Systematic review of change in bodily pain after sinus surgery Otolaryngol Head Neck Surg 139 759 765 10.1016/j.otohns.2008.09.020 19041499 This article systematically summarizes the patient's perspective on bodily pain due to CRS and its improvement after endoscopic sinus surgery. It is important in that it keeps the disease burden of CRS in perspective
5. AC Chester R Sindwani TL Smith, et al. 2008 Fatigue improvement following endoscopic sinus surgery: a systematic review and meta-analysis Laryngoscope 118 730 739 10.1097/MLG.0b013e318161e57b 18216743 (Pubitemid 351496768)
6. RM Rosenfeld D Andes N Bhattacharyya, et al. 2007 Clinical practice guideline: adult sinusitis Otolaryngol Head Neck Surg 137 S1 S31 10.1016/j.otohns.2007.06.726 17761281 This is the first multidisciplinary, evidence-based clinical practice guideline concerning adult sinusitis. This article covers acute rhinosinusitis and CRS with respect to diagnosis. Very nice evidence-based summaries of imaging in acute rhinosinusitis and CRS are presented. This is important reading for those involved in the diagnosis and treatment of sinusitis (Pubitemid 47302529)
7. MA Pynnonen JE Terrell 2006 Conditions that masquerade as chronic rhinosinusitis: a medical record review Arch Otolaryngol Head Neck Surg 132 748 751 10.1001/archotol.132.7.748 16847183 (Pubitemid 44086437)
8. N Bhattacharyya 2005 Symptom and disease severity differences between nasal septal deviation and chronic rhinosinusitis Otolaryngol Head Neck Surg 133 173 177 10.1016/j.otohns.2005.03.082 16087008 (Pubitemid 41125661)
9. N Bhattacharyya 2006 Radiographic stage fails to predict symptom outcomes after endoscopic sinus surgery for chronic rhinosinusitis Laryngoscope 116 18 22 10.1097/01.mlg.0000192284.22703.04 16481802 (Pubitemid 44383954)
10. Y Anzai B Yueh 2003 Imaging evaluation of sinusitis: diagnostic performance and impact on health outcome Neuroimaging Clin N Am 13 251 263 10.1016/S1052-5149(03)00017-0 13677805 xi (Pubitemid 36791511)
11. N Bhattacharyya 1999 Test-retest reliability of computed tomography in the assessment of chronic rhinosinusitis Laryngoscope 109 1055 1058 10.1097/00005537-199907000-00008 1:STN:280:DyaK1MzivValtQ%3D%3D 10401840 (Pubitemid 29307531)
12. N Bhattacharyya MP Fried 2003 The accuracy of computed tomography in the diagnosis of chronic rhinosinusitis Laryngoscope 113 125 129 10.1097/00005537-200301000-00023 12514395 (Pubitemid 36050526)
13. A Wasan E Fernandez RN Jamison, et al. 2007 Association of anxiety and depression with reported disease severity in patients undergoing evaluation for chronic rhinosinusitis Ann Otol Rhinol Laryngol 116 491 497 17727079 (Pubitemid 47080808)
14. N Bhattacharyya A Wasan 2008 Do anxiety and depression confound symptom reporting and diagnostic accuracy in chronic rhinosinusitis? Ann Otol Rhinol Laryngol 117 18 23 18254366 Clinicians are often faced with separating symptom amplification from symptoms that truly reflect underlying CRS. This article nicely shows that use of existing diagnostic guidelines is not hampered by symptom amplification. In other words, cardinal symptoms of CRS still predict true radiographic CRS, even in the face of psychiatric comorbidities (Pubitemid 351219752)
15. N Bhattacharyya 2005 A comparison of symptom scores and radiographic staging systems in chronic rhinosinusitis Am J Rhinol 19 175 179 15921217 (Pubitemid 40775021)
16. Y Anzai EA Weymuller Jr B Yueh, et al. 2004 The impact of sinus computed tomography on treatment decisions for chronic sinusitis Arch Otolaryngol Head Neck Surg 130 423 428 10.1001/archotol.130.4.423 15096424 (Pubitemid 38456316)
17. N Bhattacharyya 2006 Clinical and symptom criteria for the accurate diagnosis of chronic rhinosinusitis Laryngoscope 116 1 22 10.1097/01.mlg. 0000224508.59725.19 16826087 (Pubitemid 44651960)
18. M Pynnonen K Fowler JE Terrell 2007 Clinical predictors of chronic rhinosinusitis Am J Rhinol 21 159 163 10.2500/ajr.2007.21.3006 17424871 This is a helpful article outlining specific symptoms that have increased odds ratios for underlying diagnosis of CRS. It also points out pitfalls and other conditions that masquerade as CRS and diagnostic dilemmas (Pubitemid 46846344)
19. VJ Lund DW Kennedy 1997 Staging for rhinosinusitis Otolaryngol Head Neck Surg 117 S35 S40 10.1016/S0194-5998(97)70005-6 1:STN:280:DyaK2svnsFalsA%3D%3D 9334786
20. N Ashraf N Bhattacharyya 2001 Determination of the "incidental" Lund score for the staging of chronic rhinosinusitis Otolaryngol Head Neck Surg 125 483 486 1:STN:280:DC%2BD3MnkvVWmtg%3D%3D 11700446 (Pubitemid 33662692)
21. N Bhattacharyya KH Lee 2005 Chronic recurrent rhinosinusitis: disease severity and clinical characterization Laryngoscope 115 306 310 10.1097/01.mlg.0000154738.40690.dd 15689756 (Pubitemid 40216709)
22. DM Poetker JR Litvack JC Mace, et al. 2008 Recurrent acute rhinosinusitis: presentation and outcomes of sinus surgery Am J Rhinol 22 329 333 10.2500/ajr.2008.22.3177 18588769 (Pubitemid 351846818)
23. Alkire BC, Bhattacharyya N: An assessment of sinonasal anatomic variants potentially associated with recurrent acute rhinosinusitis. Laryngoscope 2010 Feb 3 (Epub ahead of print). This was the first article to examine RARS with respect to potential underlying anatomic etiologies. The authors use CT scan to identify anatomic abnormalities-such as septal deviation, concha bullosa, and Haller cells-that may predispose to RARS. They found that only Haller cells were implicated in this diagnosis.
24. N Bhattacharyya 2006 Surgical treatment of chronic recurrent rhinosinusitis: a preliminary report Laryngoscope 116 1805 1808 10.1097/01.mlg.0000231786.10969.3f 17003725 (Pubitemid 44511365)
25. A Berrington de Gonzalez M Mahesh KP Kim, et al. 2009 Projected cancer risks from computed tomographic scans performed in the United States in 2007 Arch Intern Med 169 2071 2077 10.1001/archinternmed.2009.440 20008689 This is a very important article that outlines the risks associated with the use (and overuse) of CT due to its associated radiation exposure. This article will likely lead to decreased reliance on CT scan and increased reliance on MRI in the diagnosis of CRS
26. N Bhattacharyya DT Jones M Hill, et al. 2004 The diagnostic accuracy of computed tomography in pediatric chronic rhinosinusitis Arch Otolaryngol Head Neck Surg 130 1029 1032 10.1001/archotol.130.9.1029 15381587 (Pubitemid 39195383)
27. HW Lin N Bhattacharyya 2009 Diagnostic and staging accuracy of magnetic resonance imaging for the assessment of sinonasal disease Am J Rhinol Allergy 23 36 39 10.2500/ajra.2009.23.3260 19379610 This is the only article to date that systematically examines the diagnostic accuracy of MRI in CRS relative to the gold standard, CT. The authors found that MRI and CT correlated strongly and that at least initially, MRI seems to be quite viable in diagnosing CRS