AIM: To investigate the frequency of anatomical variations in sinonasal region and association of these variations with mucosal diseases. METHODS: The study included 400 cases(191 female and 209 male) who were conside...AIM: To investigate the frequency of anatomical variations in sinonasal region and association of these variations with mucosal diseases. METHODS: The study included 400 cases(191 female and 209 male) who were considered to have preliminary diagnoses of sinonasal pathology and who had paranasal sinus computed tomography(CT) examination in axial plane. Reformatted CT images were studied in all planes.RESULTS: Age range of the patients was 20-83(mean 40.26 ± 14.85). Most commonly detected anatomical variation was Agger nasi cell(74.8%). There was a significant association between clinoid process pneumatization and protrusion of internal carotid arteries and optic nerves into sphenoid sinus(P < 0.001). Besides,the relationships between pterygoid process pneumatization and protrusion of vidian nerve into sphenoid sinus,and between pneumatization of large sphenoid wing and protrusion of maxillary nerves into sphenoid sinus were also significant(P < 0.001). Uncinate bulla and giant ethmoid bulla were found to be significantly associated with sinonasal mucosal diseases(P = 0.004 and P = 0.002,respectively).CONCLUSION: Sinonasal region has a great number of variations,and some of them have been determined to be associated with sinonasal mucosal disease. It is necessary to know that some of these variations are associated with protrusion of significant structures such as carotid artery or optic nerve into the sinus and care should be observed in surgeries on patients carrying these variations.展开更多
This review aims to familiarize the radiologist with the common types of sinus surgery including their indications and techniques.We also illustrate how surgeons interpret 3D sinus anatomy when evaluating computed tom...This review aims to familiarize the radiologist with the common types of sinus surgery including their indications and techniques.We also illustrate how surgeons interpret 3D sinus anatomy when evaluating computed tomography(CT)studies.Preoperative evaluation by CT is mandatory for all patients undergoing functional endoscopic sinus surgery(FESS).In the past decade in particular,CT of the paranasal sinuses has become a roadmap for FESS.The radiologist's goal is to report on five key points:the extent of sinus opacification,opacification of sinus drainage pathways,anatomical variants,critical variants,and condition of surrounding soft tissues of the neck,brain and orbits.We present a systematic approach to the use of coronal,axial,and sagittal images in CT evaluation before FESS.展开更多
Objective: The aim of this study was to evaluate intra- and inter-observer reproducibility of sinus x-rays in comparison to sinus computed tomography (CT) in chronic rhinosinusitis (CRS) patients. Methods: This was a ...Objective: The aim of this study was to evaluate intra- and inter-observer reproducibility of sinus x-rays in comparison to sinus computed tomography (CT) in chronic rhinosinusitis (CRS) patients. Methods: This was a prospective controlled study for which 14 adult CRS patients were recruited. Patients underwent a sinus multi-detector CT scan as well as additional sinus x-rays at the same time. Symptom interview and skin prick tests were performed. Lund-Mackay (LM) scores and 43 other findings in paranasal sinuses were analyzed by three blinded observers from CT-scans and x-rays. We compared agreement between sinus CT and x-rays (intra-observer reproducibility) and between three observers (inter-observer reproducibility) by Cohen’s kappa. Results: In at least 90% of the cases, the status of 47/49 structures was detectable in CT scans, whereas the status of only 8/49 structures was detectable in x-rays. The majority of the 25 visualized structures had poor intra-observer and inter-observer reproducibility. Conclusion: Only a few structures can be visualized in paranasal sinus x-rays and compared to paranasal sinus CT-scans, their reproducibility is poor. Our results strongly support the current consensus of radiation dose reduction by limiting the number of x-rays.展开更多
Objective To evaluate the significance of multidetector CT 3D reconstruction technique inshowing anatomy of ethmoid sinus, at the same time, anatomic variations of ethmoid sinus and its clinical significance were also...Objective To evaluate the significance of multidetector CT 3D reconstruction technique inshowing anatomy of ethmoid sinus, at the same time, anatomic variations of ethmoid sinus and its clinical significance were also discussed. Methods 250 cases of ethmoid sinuses were scanned transversally by multidetector scaner, coronal and sagittal views were reconstructed. Results Coronal and sagittal views were good enough to make diagnosis. 5 kinds of common ethmoid sinus variations were seen, including pneumatization of ethmoid bulla (56. 5% ) , Onodi air cell(26% ) , Haller cell(6. 5% ) ,low ethmoid foveolas(4. 3% )and over intromigratiny lamella papyracea (6. 5% ). Conclusion The coronal and other special views of ethmoid sinus are showed clearly by 3D reconstruction which can provide detailed image informations for functional endoscopic sinus surgery.展开更多
Objective:This study aimed to determine whether there is a clinical-radiological correlation in chronic rhinosinusitis (CRS),to compare operative findings with those of computed tomography (CT) imaging,and to determin...Objective:This study aimed to determine whether there is a clinical-radiological correlation in chronic rhinosinusitis (CRS),to compare operative findings with those of computed tomography (CT) imaging,and to determine the importance of a CT score and staging in management of CRS.Methods:This study is a prospective study.Adult patients meeting diagnostic criteria for CRS were prospectively studied using the Lund-Mackay (LM) symptom score and sinus CT scan.The symptom scores were correlated with CT stage according to the Kennedy and LM staging systems.Similarly,the intraoperative findings were correlated with the Kennedy staging system.The spectrum of anatomical variations in our study population was compared with the findings of symptomatic patients in various other studies.Results:Thirty-four adult patients (13 females,21 males,mean age:33 years) met our inclusion criteria.Most of the patients presented with nasal obstruction,headache,and hyposmia.Nasal polyposis was the most common finding in CT scans,with many cases of retention cysts reported as polyps.In total,50％ of patients had a deviated septum.Concha bullosa was the most common finding among the various anatomical variations encroaching the ostiomeatal complex (OMC).In 60％-70％ of cases,the CT scan grading correlated with operative findings.LM symptoms scores showed a poor correlation with both LM CT scores and the Kennedy stage.Conclusions:Although CT provided detailed information on sinus involvement;its relation with symptom severity is not reliable.The Kennedy CT staging system correlated better with CRS symptoms.Thus,use of Kennedy staging could be useful to endoscopic sinus surgeons as it provides an insight into the pathophysiology,can guide treatment,and facilitate prognosis prediction in CRS.展开更多
No-tillage seeding has become an important approach to improve crop productivity,which needs colters of high performance to cut the root-stubble-soil composite.However,the difficulty of maize root-stubbles three-dimen...No-tillage seeding has become an important approach to improve crop productivity,which needs colters of high performance to cut the root-stubble-soil composite.However,the difficulty of maize root-stubbles three-dimensional(3D)modeling hinders finite element(FE)simulation to improve development efficiency of such colters because of maize root system complexity and opaque nature of the soil.Fortunately,the non-destructive 3D geometric model of the maize root-stubble in-situ can be established via X-ray computed tomography(CT)following by a systematic procedure.The whole procedure includes CT scanning of the maize root-stubble-soil composite sample,image reconstruction via filtered back-projection(FBP)with the Hanning filter,segmentation of root-stubble via a variational level set method,and post-processing via morphological operations.The 3D reconstruction model of the maize root-stubble in-situ presents a complete,complex and in-situ geometrical morphology,which cannot be realized via other methods,including the destructive modelling after washing via CT.This study is the first to build a 3D geometric model of a maize root-stubble in-situ via CT,which opens up new possibilities for simulation of root-stubble-soil cutting using FEM,and much other research related to plant root-stubbles.展开更多
文摘AIM: To investigate the frequency of anatomical variations in sinonasal region and association of these variations with mucosal diseases. METHODS: The study included 400 cases(191 female and 209 male) who were considered to have preliminary diagnoses of sinonasal pathology and who had paranasal sinus computed tomography(CT) examination in axial plane. Reformatted CT images were studied in all planes.RESULTS: Age range of the patients was 20-83(mean 40.26 ± 14.85). Most commonly detected anatomical variation was Agger nasi cell(74.8%). There was a significant association between clinoid process pneumatization and protrusion of internal carotid arteries and optic nerves into sphenoid sinus(P < 0.001). Besides,the relationships between pterygoid process pneumatization and protrusion of vidian nerve into sphenoid sinus,and between pneumatization of large sphenoid wing and protrusion of maxillary nerves into sphenoid sinus were also significant(P < 0.001). Uncinate bulla and giant ethmoid bulla were found to be significantly associated with sinonasal mucosal diseases(P = 0.004 and P = 0.002,respectively).CONCLUSION: Sinonasal region has a great number of variations,and some of them have been determined to be associated with sinonasal mucosal disease. It is necessary to know that some of these variations are associated with protrusion of significant structures such as carotid artery or optic nerve into the sinus and care should be observed in surgeries on patients carrying these variations.
文摘This review aims to familiarize the radiologist with the common types of sinus surgery including their indications and techniques.We also illustrate how surgeons interpret 3D sinus anatomy when evaluating computed tomography(CT)studies.Preoperative evaluation by CT is mandatory for all patients undergoing functional endoscopic sinus surgery(FESS).In the past decade in particular,CT of the paranasal sinuses has become a roadmap for FESS.The radiologist's goal is to report on five key points:the extent of sinus opacification,opacification of sinus drainage pathways,anatomical variants,critical variants,and condition of surrounding soft tissues of the neck,brain and orbits.We present a systematic approach to the use of coronal,axial,and sagittal images in CT evaluation before FESS.
文摘Objective: The aim of this study was to evaluate intra- and inter-observer reproducibility of sinus x-rays in comparison to sinus computed tomography (CT) in chronic rhinosinusitis (CRS) patients. Methods: This was a prospective controlled study for which 14 adult CRS patients were recruited. Patients underwent a sinus multi-detector CT scan as well as additional sinus x-rays at the same time. Symptom interview and skin prick tests were performed. Lund-Mackay (LM) scores and 43 other findings in paranasal sinuses were analyzed by three blinded observers from CT-scans and x-rays. We compared agreement between sinus CT and x-rays (intra-observer reproducibility) and between three observers (inter-observer reproducibility) by Cohen’s kappa. Results: In at least 90% of the cases, the status of 47/49 structures was detectable in CT scans, whereas the status of only 8/49 structures was detectable in x-rays. The majority of the 25 visualized structures had poor intra-observer and inter-observer reproducibility. Conclusion: Only a few structures can be visualized in paranasal sinus x-rays and compared to paranasal sinus CT-scans, their reproducibility is poor. Our results strongly support the current consensus of radiation dose reduction by limiting the number of x-rays.
文摘Objective To evaluate the significance of multidetector CT 3D reconstruction technique inshowing anatomy of ethmoid sinus, at the same time, anatomic variations of ethmoid sinus and its clinical significance were also discussed. Methods 250 cases of ethmoid sinuses were scanned transversally by multidetector scaner, coronal and sagittal views were reconstructed. Results Coronal and sagittal views were good enough to make diagnosis. 5 kinds of common ethmoid sinus variations were seen, including pneumatization of ethmoid bulla (56. 5% ) , Onodi air cell(26% ) , Haller cell(6. 5% ) ,low ethmoid foveolas(4. 3% )and over intromigratiny lamella papyracea (6. 5% ). Conclusion The coronal and other special views of ethmoid sinus are showed clearly by 3D reconstruction which can provide detailed image informations for functional endoscopic sinus surgery.
文摘Objective:This study aimed to determine whether there is a clinical-radiological correlation in chronic rhinosinusitis (CRS),to compare operative findings with those of computed tomography (CT) imaging,and to determine the importance of a CT score and staging in management of CRS.Methods:This study is a prospective study.Adult patients meeting diagnostic criteria for CRS were prospectively studied using the Lund-Mackay (LM) symptom score and sinus CT scan.The symptom scores were correlated with CT stage according to the Kennedy and LM staging systems.Similarly,the intraoperative findings were correlated with the Kennedy staging system.The spectrum of anatomical variations in our study population was compared with the findings of symptomatic patients in various other studies.Results:Thirty-four adult patients (13 females,21 males,mean age:33 years) met our inclusion criteria.Most of the patients presented with nasal obstruction,headache,and hyposmia.Nasal polyposis was the most common finding in CT scans,with many cases of retention cysts reported as polyps.In total,50％ of patients had a deviated septum.Concha bullosa was the most common finding among the various anatomical variations encroaching the ostiomeatal complex (OMC).In 60％-70％ of cases,the CT scan grading correlated with operative findings.LM symptoms scores showed a poor correlation with both LM CT scores and the Kennedy stage.Conclusions:Although CT provided detailed information on sinus involvement;its relation with symptom severity is not reliable.The Kennedy CT staging system correlated better with CRS symptoms.Thus,use of Kennedy staging could be useful to endoscopic sinus surgeons as it provides an insight into the pathophysiology,can guide treatment,and facilitate prognosis prediction in CRS.
基金The work is financially supported by the National Natural Science Foundation of China(Grant No.51705227)University of Science and Technology Liaoning Talent Project Grants(Grant No.601011507-19)+1 种基金and Special Scientific Research Foundation of University of Science and Technology Liaoning(Grant No.2016YY02)We thank Jiuming Su for his lab assistance,and also thank Zong Zhang and Xinrui Xu for their analysis assistance.
文摘No-tillage seeding has become an important approach to improve crop productivity,which needs colters of high performance to cut the root-stubble-soil composite.However,the difficulty of maize root-stubbles three-dimensional(3D)modeling hinders finite element(FE)simulation to improve development efficiency of such colters because of maize root system complexity and opaque nature of the soil.Fortunately,the non-destructive 3D geometric model of the maize root-stubble in-situ can be established via X-ray computed tomography(CT)following by a systematic procedure.The whole procedure includes CT scanning of the maize root-stubble-soil composite sample,image reconstruction via filtered back-projection(FBP)with the Hanning filter,segmentation of root-stubble via a variational level set method,and post-processing via morphological operations.The 3D reconstruction model of the maize root-stubble in-situ presents a complete,complex and in-situ geometrical morphology,which cannot be realized via other methods,including the destructive modelling after washing via CT.This study is the first to build a 3D geometric model of a maize root-stubble in-situ via CT,which opens up new possibilities for simulation of root-stubble-soil cutting using FEM,and much other research related to plant root-stubbles.
