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Fungal Sinusitis: Magnetic Resonance Image Findings on Immunocompromised Patients

  • Pediatrics (H Lederman, Section Editor)
  • Published:
Current Radiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Even though there are latest advances on immunocompromised patient care, the mortality by invasive fungal infection still high. Invasive aspergillosis is one of the main complications during immunosuppression and on hematological malignancy patients, with a mortality varying from 50 to 80%. Imaging studies are fundamental on the evaluation of fungal suspicion, and concerns related to radiation dose on image examinations are high nowadays. Magnetic resonance imaging should be considered on brain and facial sinuses evaluation to reduce radiation exposure.

Recent Findings

Whenever fungal material is present, the sinus content becomes a low STIR signal and a middle-high signal on T1. The T2 low signal or signal void is attributed to metal concentration, as well as the high protein and low free water content. Adjacent structures should also be evaluated to characterize disease involvement and its extension.

Summary

MRI should be used to reduce radiation exposure on the evaluation of fungal suspicion on immunocompromised patients.

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References

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  1. • Aribandi M, McCoy VA, Bazan C. Imaging features of invasive and non-invasive fungal sinusitis: a review. Radiographics. 2007;27:1283–96. Imaging findings review on fungal sinusitis.

    Article  PubMed  Google Scholar 

  2. Soler ZM, Schlosser RJ. The role of fungi in diseases of the nose and sinuses. Am J Rhinol Allergy. 2012;26:351–8.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gorovoy IR, Kazanjian M, Kersten RC, Kim HJ, Vagefi MR. Fungal rhinosinusitis and imaging modalities. Saudi J Ophthalmol. 2012;26:419–26.

    Article  PubMed  PubMed Central  Google Scholar 

  4. •• Mossa-Basha M, Ilica AT, Maluf F, Karakoç Ö, Izbudak I, Aygün N. The many faces of fungal disease of the paranasal sinuses: CT and MRI findings. Diagn Interv Radiol. 2013;19:195–200. CT/MRI findings review on fungal sinusitis.

    PubMed  Google Scholar 

  5. Middlebrooks EH, Frost CJ, De Jesus RO, Massini TC, Schmalfuss IM, Mancuso AA. Acute invasive fungal rhinosinusitis: a comprehensive update of CT findings and design of an effective diagnostic imaging model. AJNR Am J Neuroradiol. 2015;36:1529–35.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departamento de Diagnostico por Imagem, Universidade Federal de Sao Paulo DDI – UNIFESP, Sao Paulo, Brazil

    Vivian Siqueira Tostes, Jose Luiz de Oliveira Schiavon & Henrique Manoel Lederman

Authors
  1. Vivian Siqueira Tostes
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  2. Jose Luiz de Oliveira Schiavon
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  3. Henrique Manoel Lederman
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Corresponding author

Correspondence to Jose Luiz de Oliveira Schiavon.

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Conflict of interest

Vivian Siqueira Tostes and Jose Luiz de Oliveira Schiavon each declare no potential conflicts of interest. Henrique Manoel Lederman is a section editor for Current Radiology Reports.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical collection on Pediatrics.

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Tostes, V.S., de Oliveira Schiavon, J.L. & Lederman, H.M. Fungal Sinusitis: Magnetic Resonance Image Findings on Immunocompromised Patients. Curr Radiol Rep 5, 9 (2017). https://doi.org/10.1007/s40134-017-0202-3

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  • DOI: https://doi.org/10.1007/s40134-017-0202-3

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