Neuroradiology

, Volume 52, Issue 9, pp 785–807 | Cite as

Diffusion-weighted magnetic resonance imaging of the temporal bone

  • B. De Foer
  • J-P. Vercruysse
  • M. Spaepen
  • T. Somers
  • M. Pouillon
  • E. Offeciers
  • J. W. Casselman
Topic Article

Abstract

This paper summarizes the value of diffusion-weighted magnetic resonance imaging in the evaluation of temporal bone pathology. It highlights the use of different types of diffusion-weighted magnetic resonance imaging in the different types of cholesteatoma, prior to first stage surgery and prior to second look surgery. The value of diffusion-weighted magnetic resonance imaging in the evaluation of pathology of the apex of the petrous bone and the cerebellopontine angle is also discussed.

Keywords

Temporal bone Magnetic resonance imaging CT Diffusion-weighted MRI Cholesteatoma Petrous apex Cholesterol granuloma Pneumatization of petrous apex Cerebellopontine angle Epidermoid 

Notes

Conflict of interest

We declare that we have no conflict of interest.

References

  1. 1.
    Thoeny HC, Keyzer D (2007) Extracranial applications of diffusion-weighted magnetic resonance imaging. Eur Radiol 17:1385–1393CrossRefPubMedGoogle Scholar
  2. 2.
    Bammer R, Holdsworth SJ, Veldhuis WB, Skare ST (2009) New methods in diffusion-weighted and diffusion tensor imaging. Magn Reson Imaging Clin N Am 17:175–204CrossRefPubMedGoogle Scholar
  3. 3.
    De Foer B, Vercruysse JP, Pilet B et al (2006) Single-shot, turbo spin-echo, diffusion-weighted imaging versus spin-echo planar, diffusion-weighted imaging in the detection of acquired middle ear cholesteatoma. ANJR Am J Neuroradiol 27:1480–1482Google Scholar
  4. 4.
    Dubrulle F, Souillard R, Chechin D et al (2006) Diffusion-weighted MR imaging sequence in the detection of postoperative recurrent cholesteatoma. Radiology 238:604–610CrossRefPubMedGoogle Scholar
  5. 5.
    Lehmann P, Saliou G, Brochart C et al (2009) 3 T MR imaging of postoperative recurrent middle ear cholesteatomas: value of periodically rotated overlapping parallel lines with enhanced reconstruction diffusion-weighted MR imaging. AJNR Am J Neuroradiol 30:423–427CrossRefPubMedGoogle Scholar
  6. 6.
    Nelson M, Roger G, Koltai PJ et al (2002) Congenital cholesteatoma: classification, management and outcome. Arch Otolaryngol Head Neck Surg 128:810–814PubMedGoogle Scholar
  7. 7.
    Kutz JW Jr, Friedman RA (2007) Congenital middle ear cholesteatoma. Ear Nose Throat J 86:654Google Scholar
  8. 8.
    Lemmerling M, De Foer B (2004) Imaging of cholesteatomatous and non-cholesteatomatouvarga, cholesteatomas middle ear disease. In: Lemmerling M, Kollias SS (eds) Radiology of the petrous bone. Springer, New York, pp 31–47Google Scholar
  9. 9.
    Barath K, Huber AM, Stämpfli P, Varga P, Kollias S (2010) Neuroradiology of cholesteatomas. AJNR Am J Neuroradiol Apr 1 (Epub ahead of print).Google Scholar
  10. 10.
    Brown JS (1982) A ten year statistical follow-up of 1142 consecutive cases of cholesteatoma: the closed versus the open technique. Laryngoscope 92:390–396PubMedGoogle Scholar
  11. 11.
    Schilder AG, Govaerts PJ, Somers T, Offeciers FE (1997) Tympano-ossicular allografts for cholesteatoma in children. Int J Pediatr Otorhinolaryngol 42:31–40CrossRefPubMedGoogle Scholar
  12. 12.
    Mercke U (1987) The cholesteatomatous ear one year after surgery with obliteration technique. Am J Otol 8:534–536PubMedGoogle Scholar
  13. 13.
    Gantz BJ, Wilkinson EP, Hansen MR (2005) Canal wall reconstruction tympanomastoidectomy with mastoid obliteration. Laryngoscope 115:1734–1740CrossRefPubMedGoogle Scholar
  14. 14.
    Offeciers E, Vercruysse JP, De Foer B, Casselman J, Somers T (2008) Mastoid and epitympanic obliteration. The obliteration technique. In: Ars B (ed) Chronic otitis media. Pathogenesis oriented therapeutic treatment. Kugler, Amsterdam, pp 299–327Google Scholar
  15. 15.
    Vercruysse JP, De Foer B, Somers T, Casselman JW, Offeciers E (2008) Mastoid and epitympanic bony obliteration in pediatric cholesteatoma. Otol Neurotol 29:953–960CrossRefPubMedGoogle Scholar
  16. 16.
    Martin N, Sterkers O, Nahum (1990) Chronic inflammatory disease of the middle ear cavities: Gd-DTPA-enhanced MR imaging. Radiology 176:39–405Google Scholar
  17. 17.
    Fitzek C, Mewes T, Fitzek S et al (2002) Diffusion-weighted MRI of cholesteatomas of the petrous bone. J Magn Reson Imaging 15:636–641CrossRefPubMedGoogle Scholar
  18. 18.
    Vercruysse JP, De Foer B, Pouillon M et al (2006) The value of diffusion-weighted MR imaging in the diagnosis of primary acquired and residual cholesteatoma: a surgical verified study of 100 patients. Eur Radiol 16:1461–1467CrossRefPubMedGoogle Scholar
  19. 19.
    De Foer B, Vercruysse JP, Bernaerts A et al (2007) The value of single-shot turbo spin-echo diffusion-weighted MR imaging in the detection of middle ear cholesteatoma. Neuroradiology 49:841–848CrossRefPubMedGoogle Scholar
  20. 20.
    7Lemmerling MM, De Foer B, VandeVyver V, Vercruysse JP, Kl V (2008) Imaging of the opacified middle ear. Eur J Radiol 66:363–371CrossRefPubMedGoogle Scholar
  21. 21.
    Lemmerling MM, De Foer B, Verbist BM, VandeVyver V (2009) Imaging of inflammatory and infectious diseases in the temporal bone. Neuroimaging Clin N Am 19:321–337CrossRefPubMedGoogle Scholar
  22. 22.
    De Foer B, Vercruysse JP, Bernaerts A et al (2010) Middle ear cholesteatoma: non-echo-planar diffusion-weighted MR imaging versus delayed gadolinium-enhanced T1-weighted MR—value in detection. Radiology 255:866–872CrossRefPubMedGoogle Scholar
  23. 23.
    Venail F, Bonafe A, Poirrier V, Mondain M, Uziel A (2008) Comparison of echo-planar diffusion-weighted imaging and delayed postcontrast T1-weighted MR imaging for the detection of residual cholesteatoma. AJNR Am J Neuroradiol 29:1363–1368CrossRefPubMedGoogle Scholar
  24. 24.
    Jeunen G, Desloovere C, Hermans R, Vandecavye V (2008) The value of magnetic resonance imaging in the diagnosis of residual or recurrent acquired cholesteatoma after canal wall-up tympanoplasty. Otol Neurotol 29:16–18CrossRefPubMedGoogle Scholar
  25. 25.
    Sheehy JL, Brackman DE, Graham MD (1977) Cholesteatoma surgery: residual and recurrent disease. A review of 1024 cases. Ann Otol Rhinol Laryngol 86:451–462PubMedGoogle Scholar
  26. 26.
    Brackman DE (1993) Tympanoplasty with mastoidectomy: canal wall up procedures. Am J Otol 14:380–382Google Scholar
  27. 27.
    Vanden Abeele D, Coen E, Parizel PM, Van de Heyning P (1999) Can MRI replace a second look operation in cholesteatoma surgery? Acta Otolaryngol 119:555–561CrossRefPubMedGoogle Scholar
  28. 28.
    Williams MT, Ayache D, Albert C et al (2003) Detection of postoperative residual cholesteatoma with delayed contrast-enhanced MR imaging: initial findings. Eur Radiol 13:169–174PubMedGoogle Scholar
  29. 29.
    Ayache D, Williams MT, Lejeune D, Corré A (2005) Usefulness of delayed postcontrast magnetic resonance imaging in the detection of residual cholesteatoma after canal wall-up tympanoplasty. Laryngoscope 115:607–610PubMedGoogle Scholar
  30. 30.
    Aikele P, Kittner T, Offergeld C et al (2003) Diffusion-weighted MR imaging of cholesteatoma tin pediatric and adult patients who have undergone middle ear surgery. AJR Am J Roentgenol 181:261–265PubMedGoogle Scholar
  31. 31.
    Stasolla A, Magliulo G, Parrotto D, Luppi G, Marini M (2004) Detection of postoperative relapsing/residual cholesteatoma with diffusion-weighted echo-planar magnetic resonance imaging. Otol Neurotol 25:879–884CrossRefPubMedGoogle Scholar
  32. 32.
    De Foer B, Vercruysse JP, Bernaert A et al (2008) Detection of postoperative residual cholesteatoma with non-echo-planar diffusion-weighted magnetic resonance imaging. Otol Neurotol 29:513–517CrossRefPubMedGoogle Scholar
  33. 33.
    Dhenpnorrarat RC, Wood B, Rajan GP (2009) Postoperative non-echo-planar diffusion-weighted magnetic resonance imaging changes after cholesteatoma surgery: implications for cholesteatoma screening. Otol Neurotol 30:54–58CrossRefGoogle Scholar
  34. 34.
    Rajan GP, Ambett R, Wun L et al (2010) Preliminary outcomes of cholesteatoma screening in children using non-echo-planar diffusion-weighted magnetic resonance imaging. Int J Pediatr Otorhinolaryngol 74:297–301CrossRefPubMedGoogle Scholar
  35. 35.
    De Foer B, Vercruysse JP, Pouillon M et al (2007) Value of high-resolution computed tomography and magnetic resonance imaging in the detection of residual cholesteatoma in primary bony obliterated mastoids. Am J Otolaryngol 28:230–234CrossRefPubMedGoogle Scholar
  36. 36.
    Vercruysse JP, De Foer B, Somers T, Casselman J, Offeciers E (2010) Lont-term follow up after bony mastoid and epitympanic obliteration: radiological findings. J Laryngol Otol 124:37–43CrossRefPubMedGoogle Scholar
  37. 37.
    Lemmerling M (2004) Petrous apex lesions. In: Lemmerling M, Kollias SS (eds) Radiology of the petrous bone. Springer, New York, pp 171–179Google Scholar
  38. 38.
    Schmalfuss IM (2009) Petrous apex. Neuroimaging Clin N Am 19:367–391CrossRefPubMedGoogle Scholar
  39. 39.
    Silveira Filho LG, Ayache D, Sterkers O, Williams MT (2010) Middle ear cholesteatoma extending into the petrous apex. Otol Neurotol 31:544–545CrossRefPubMedGoogle Scholar
  40. 40.
    Alkilic-Genauzeau I, Boukobza M, Lot G, George B, Merland JJ (2007) CT and MRI features of arachnoid cyst of the petrous apex: report of 3 cases. J Radiol 88:1179–1183CrossRefPubMedGoogle Scholar
  41. 41.
    Bonneville SJ, Chiras J (2007) Imaging of cerebellopontine angle lesions: an update. Part 1: enhancing extra-axial lesions. Eur Radiol 17:2472–2482CrossRefPubMedGoogle Scholar
  42. 42.
    Bonneville F, Savatovsky J, Chiras J (2007) Imaging of cerebellopontine angle lesions: an update. Part 2: intra-axial lesions, skull base lesions that may invade the CPA region, and non-enhancing extra-axial lesions. Eur Radiol 17:2908–2920CrossRefPubMedGoogle Scholar
  43. 43.
    Liu P, Saida Y, Yoshioka H, Itai Y (2003) MR imaging of epidermoids at the cerebellopontine angle. Magn Reson Med Sci 2:109–115CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • B. De Foer
    • 1
  • J-P. Vercruysse
    • 2
  • M. Spaepen
    • 1
  • T. Somers
    • 2
  • M. Pouillon
    • 1
  • E. Offeciers
    • 2
  • J. W. Casselman
    • 1
    • 3
  1. 1.Department of RadiologyGZA Hospitals Sint-AugustinusWilrijk (Antwerp)Belgium
  2. 2.University Department of ENTGZA Hospitals Sint-AugustinusWilrijk (Antwerp)Belgium
  3. 3.Department of RadiologyAZ Sint-Jan AVBrugesBelgium

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