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Neuroradiology
Published in: Neuroradiology 12/2018

Open Access 01-12-2018 | Review

CT and MR imaging of orbital inflammation

Authors: Teresa A. Ferreira, P. Saraiva, S. W. Genders, M. V. Buchem, G. P. M. Luyten, J-W Beenakker

Published in: Neuroradiology | Issue 12/2018

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Abstract

Purpose

Orbital inflammation can be idiopathic or in the context of a specific disease and it can involve different anatomical orbital structures. On imaging, inflammatory disease is frequently mistaken for infection and malignant tumors, and its underlying cause is often not determined. Through this article we aim to improve orbital inflammation diagnosis and underlying inflammatory diseases recognition.

Methods

The imaging protocols and characteristics of orbital inflammation were reviewed.

Results

A decision tree for the evaluation of these patients is provided. First, a combination of clinical and radiological clues is used to recognize inflammation, in particular to differentiate it both from orbital infection and tumor. Subsequently, different radiological patterns are recognized, often allowing the differentiation of the several orbital inflammatory diseases.

Conclusion

The use of adequate imaging protocols and subsequent evaluation allow the recognition of an orbital lesion as inflammatory and the diagnosis of the underlying inflammatory disease. All in all, a proper treatment can be established, and at times, a biopsy can be avoided.
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Metadata
Title
CT and MR imaging of orbital inflammation
Authors
Teresa A. Ferreira
P. Saraiva
S. W. Genders
M. V. Buchem
G. P. M. Luyten
J-W Beenakker
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Neuroradiology / Issue 12/2018
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-018-2103-4

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