Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1989 February; 82(2): 84–87.
PMCID: PMC1291999

Magnetic resonance imaging of the nose and paranasal sinuses.


Seventy-five patients with a wide range of sinus disease have been investigated by magnetic resonance (MR): these included congenital conditions, allergic and inflammatory sinus disease, fungus infections, and the necrotizing granulomata. In addition, a variety of benign and malignant tumours have been examined, and in the more recent sinus malignancies the paramagnetic contrast agent, Gadolinium (Gd) DTPA (Schering Health Care) has been used. This experience of magnetic resonance scanning has shown that it is superior to computed tomography in demonstrating the extent of malignant disease in the nose and sinuses; most especially when Gd DTPA is used, reaching an accuracy of over 96% by biopsy correlation. An additional advantage of this technique is the wide coverage of the head and neck for the assessment of malignant disease, provided by direct 3 plane imaging and the multislice facility. The main disadvantage of magnetic resonance of the sinuses is the poor demonstration of calcification and bone. For this reason the MR scans may need to be augmented by high resolution CT performed specifically to show bone detail.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.1M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Hawkes RC, Holland GN, Moore WS, Worthington BS. Nuclear magnetic resonance (NMR) tomography of the brain: a preliminary clinical assessment with demonstration of pathology. J Comput Assist Tomogr. 1980 Oct;4(5):577–586. [PubMed]
  • Holland GN, Hawkes RC, Moore WS. Nuclear magnetic resonance (NMR) tomography of the brain: coronal and sagittal sections. J Comput Assist Tomogr. 1980 Aug;4(4):429–433. [PubMed]
  • Doyle FH, Gore JC, Pennock JM, Bydder GM, Orr JS, Steiner RE, Young IR, Burl M, Clow H, Gilderdale DJ, et al. Imaging of the brain by nuclear magnetic resonance. Lancet. 1981 Jul 11;2(8237):53–57. [PubMed]
  • Lloyd GA, Phelps PD. Juvenile angiofibroma: imaging by magnetic resonance, CT and conventional techniques. Clin Otolaryngol Allied Sci. 1986 Aug;11(4):247–259. [PubMed]
  • Lloyd GA, Lund VJ, Phelps PD, Howard DJ. Magnetic resonance imaging in the evaluation of nose and paranasal sinus disease. Br J Radiol. 1987 Oct;60(718):957–968. [PubMed]
  • Gomori JM, Grossman RI, Goldberg HI, Zimmerman RA, Bilaniuk LT. Intracranial hematomas: imaging by high-field MR. Radiology. 1985 Oct;157(1):87–93. [PubMed]
  • Smith MA. The technology of magnetic resonance imaging. Clin Radiol. 1985 Nov;36(6):553–559. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press