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Magnetic resonance imaging of orbital tumors

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Abstract

This contribution provides an overview of diseases of eye and orbit and their appearance on magnetic resonance imaging. In recent years the diagnosis of eye and orbit pathology has profited significantly from increasingly sophisticated technical developments in the field of tomographic methods. Due to the small size of the examination area the improvement in spatial resolution and soft tissue contrast leads to an increase in image quality. In most clinical questions concerning eye and orbit pathologies magnetic resonance imaging is superior to computed tomography and should be early performed.

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References

  1. Lee AG, Brazis PW, Garrity JA, White M (2004) Imaging for neuro-ophthalmic and orbital disease. Am J Ophthalmol 138:852–862

    Article  PubMed  CAS  Google Scholar 

  2. Mafee MF, Putterman A, Valvassori GE, Campos M, Capek V (1987) Orbital space-occupying lesions: role of computed tomography and magnetic resonance imaging. An analysis of 145 cases. Radiol Clin North Am 25:529–559

    PubMed  CAS  Google Scholar 

  3. Mafee MF, Inoue Y, Mafee RF (1996) Ocular and orbital imaging. Neuroimaging Clin N Am 6:291–318

    PubMed  CAS  Google Scholar 

  4. Wichmann W (2004) Reflexions about imaging technique and examination protocol 2. MR-examination protocol. Eur J Radiol 49:6–7

    Article  PubMed  Google Scholar 

  5. Lemke AJ, Hosten N, Grote A, Felix R (1996) Anatomy and pathology of the retrobulbar space in MRI using a high-resolution surface coil. Ophthalmologe 93:292–298

    PubMed  CAS  Google Scholar 

  6. Mäurer J, Requardt H, Müller F et al (1994) Indications for the application of a high resolution coil in MR tomography. Fortschr Rontgenstr 160:353–360

    Google Scholar 

  7. Hosten N, Lemke AJ (1997) A special surface coil for high-resolution ocular MRI. Front Radiat Ther Oncol 30:20–25

    PubMed  CAS  Google Scholar 

  8. Aviv RI, Casselman J (2005) Orbital imaging. I. Normal anatomy. Clin Radiol 60:279–287

    Article  PubMed  CAS  Google Scholar 

  9. Bloching M, Beck R, Knipping S, Mir-Salim PA, Duncker GI, Berghaus A (2001) Orbital space-occupying lesions. Practical aspects of imaging. HNO 49:21–28

    Article  PubMed  CAS  Google Scholar 

  10. Wichmann W, Muller-Forell W (2004) Anatomy of the visual system. Eur J Radiol 49:8–30

    Article  PubMed  CAS  Google Scholar 

  11. Schick U, Hassler W (2003) Pediatric tumors of the orbit and optic pathway. Pediatr Neurosurg 38:113–121

    Article  PubMed  Google Scholar 

  12. Mafee MF, Dorodi S, Pai E (1999) Sarcoidosis of the eye, orbit, and central nervous system. Role of MR imaging. Radiol Clin North Am 37:73–87

    Article  PubMed  CAS  Google Scholar 

  13. Saeed P, Rootman J, Nugent RA, White VA, Mackenzie IR, Koornneef L (2003) Optic nerve sheath meningiomas. Ophthalmology 110:2019–2030

    Article  PubMed  Google Scholar 

  14. Jackson A, Patankar T, Laitt RD (2003) Intracanalicular optic nerve meningioma: a serious diagnostic pitfall. AJNR Am J Neuroradiol 24:1167–1170

    PubMed  Google Scholar 

  15. Briscoe D, Mahmood S, O’Donovan DG, Bonshek RE, Leatherbarrow B, Eyden BP (2002) Malignant peripheral nerve sheath tumor in the orbit of a child with acute proptosis. Arch Ophthalmol 120:653–655

    PubMed  Google Scholar 

  16. Jacobs DA, Galetta SL (2002) Orbital Inflammatory disease. Curr Treat Options Neurol 4:289–295

    Article  PubMed  Google Scholar 

  17. Hosten N, Schorner W, Zwicker C et al (1991) Lymphocytic infiltrations of the orbit in MRT and CT. Lymphoma, pseudolymphoma and inflammatory pseudotumor. Fortschr Rontgenstr 155:445–451

    CAS  Google Scholar 

  18. Thorn-Kany M, Arrue P, Delisle MB, Lacroix F, Lagarrigue J, Manelfe C (1999) Cavernous hemangiomas of the orbit: MR imaging. J Neuroradiol 26:79–86

    PubMed  CAS  Google Scholar 

  19. Bilaniuk LT (1999) Orbital vascular lesions. Role of imaging. Radiol Clin North Am 37:169–183

    Article  PubMed  CAS  Google Scholar 

  20. Selva D, Strianese D, Bonavolonta G, Rootman J (2001) Orbital venous-lymphatic malformations (lymphangiomas) mimicking cavernous hemangiomas. Am J Ophthalmol 131:364–370

    Article  PubMed  CAS  Google Scholar 

  21. Issing PR, Ruh S, Kloss A, Kuske M, Lenarz T (1997) Diagnosis and therapy of lymphoid tumors of the orbits. HNO 45:545–550

    Article  PubMed  CAS  Google Scholar 

  22. Wasmeier C, Pfadenhauer K, Rosler A (2002) Idiopathic inflammatory pseudotumor of the orbit and Tolosa-Hunt syndrome—are they the same disease? J Neurol 249:1237–1241

    Article  PubMed  CAS  Google Scholar 

  23. Wei R, Cai J, Ma X, Zhu H, Li Y (2002) Imaging diagnosis of enlarged superior ophthalmic vein. Zhonghua Yan Ke Za Zhi 38:402–404

    PubMed  Google Scholar 

  24. Yazici B, Yazici Z, Gelisken O (1999) An unusual case: bilateral orbital varices. Acta Ophthalmol Scand 77:453–455

    Article  PubMed  CAS  Google Scholar 

  25. Lacey B, Rootman J, Marotta TR (1999) Distensible venous malformations of the orbit: clinical and hemodynamic features and a new technique of management. Ophthalmology 106:1197–1209

    Article  PubMed  CAS  Google Scholar 

  26. Shields CL, Shields JA, Honavar SG, Demirci H (2001) Clinical spectrum of primary ophthalmic rhabdomyosarcoma. Ophthalmology 108:2284–2292

    Article  PubMed  CAS  Google Scholar 

  27. Nishida Y, Tian S, Isberg B, Hayashi O, Tallstedt L, Lennerstrand G (2002) Significance of orbital fatty tissue for exophthalmos in thyroid-associated ophthalmopathy. Graefes Arch Clin Exp Ophthalmol 240:515–520

    Article  PubMed  Google Scholar 

  28. Hosten N, Cordes M, Sander B, Schörner W, Wenzel KW, Felix R (1990) Magnetic resonance tomographic differentiation of ocular muscle changes in endocrine orbitopathy. Fortschr Rontgenstr 152:388–392

    CAS  Google Scholar 

  29. Hosten N, Sander B, Cordes M, Schubert CJ, Schörner W, Felix R (1989) Graves ophthalmopathy: MR imaging of the orbits. Radiology 172:759–762

    PubMed  CAS  Google Scholar 

  30. Sillaire I, Ravel A, Dalens H, Garcier JM, Boyer L (2003) Graves’ ophthalmopathy: usefulness of T2 weighted muscle signal intensity. J Radiol 84:139–142

    PubMed  CAS  Google Scholar 

  31. Hosten N, Schubert C, Cordes M, Schneider R, Felix R (1988) Magnetic resonance tomography of the orbit in endocrine orbitopathy. Rontgenpraxis 41:400–405

    PubMed  CAS  Google Scholar 

  32. Hosten N, Lietz A, Noske W, Bechrakis NE (1993) Endocrine orbitopathy. Correlation of magnetic resonance tomographic and histopathologic findings. Rofo 159:304–306

    PubMed  CAS  Google Scholar 

  33. Nimsgern C, Tetz MR (1998) Orbital tumor in infancy. Capillary hemangioma of the orbits. Ophthalmologe 95:442–443

    Article  PubMed  CAS  Google Scholar 

  34. Akansel G, Hendrix L, Erickson BA et al (2005) MRI patterns in orbital malignant lymphoma and atypical lymphocytic infiltrates. Eur J Radiol 53:175–181

    Article  PubMed  Google Scholar 

  35. Weber AL, Jakobiec FA, Sabates NR (1996) Lymphoproliferative disease of the orbit. Neuroimaging Clin N Am 6:93–111

    PubMed  CAS  Google Scholar 

  36. Naja A, Chellaoui A, Ibahioin K et al (2002) Subperiosteal hematoma of the orbit associated with subfrontal extradural hematoma. Neurochirurgie 48:101–103

    PubMed  CAS  Google Scholar 

  37. Bitar SR, Selhorst JB, Archer CR (1993) Epidermoid-induced pulsating eye. Ann Ophthalmol 25:45–49

    PubMed  CAS  Google Scholar 

  38. Curtin HD, Rabinov JD (1998) Extension to the orbit from paraorbital disease. The sinuses. Radiol Clin North Am 36:1201–1213

    Article  PubMed  CAS  Google Scholar 

  39. Wells TS, Harris GJ (2004) Orbital dermoid cyst and sinus tract presenting with acute infection. Ophthal Plast Reconstr Surg 20:465–467

    Article  PubMed  Google Scholar 

  40. Born C, Rademaker J, Hosten N, Felix R (2001) Hemorrhagic cavernoma or ruptured dermoid of the orbit: diagnosis with MRI. Orbit 20:291–295

    Article  PubMed  Google Scholar 

  41. Lemke AJ, Hosten N, Grote A, Felix R (1996) Differentiation of lacrimal gland tumors with high resolution computerized tomography in comparison with magnetic resonance tomography. Ophthalmologe 93:284–291

    PubMed  CAS  Google Scholar 

  42. Sbarbati A, Calderan L, Nicolato E et al (2002) Magnetic resonance imaging of the rat Harderian gland. J Anat 201:231–238

    Article  PubMed  Google Scholar 

  43. Sadick H, Riedel F, Naim R, Gossler U, Hormann K, Bergler WF (2003) Benign mixed tumor of the lacrimal gland. Clinical diagnosis and surgical management. ORL J Otorhinolaryngol Relat Spec 65:295–299

    PubMed  Google Scholar 

  44. Kamei I, Yoshida N, Yukawa S et al (1992) Malignant transformation of benign mixed tumor of lacrimal gland to squamous cell carcinoma 19 years after initial surgery: report of a case. No Shinkei Geka 20:79–83

    PubMed  CAS  Google Scholar 

  45. Lemke AJ, Hosten N, Bornfeld N et al (1998) Appearance of choroidal melanoma on high resolution MRI using 1.5 T with a dedicated surface coil in 200 consecutive patients. Fortschr Rontgenstr 169:471–478

    Article  CAS  Google Scholar 

  46. Escott EJ (2001) A variety of appearances of malignant melanoma in the head: a review. Radiographics 21:625–639

    PubMed  CAS  Google Scholar 

  47. Lemke AJ, Hosten N, Wiegel T et al (2001) Intraocular metastases: differential diagnosis from uveal melanomas with high-resolution MRI using a surface coil. Eur Radiol 11:2593–2601

    Article  PubMed  CAS  Google Scholar 

  48. Stroszczynski C, Hosten N, Bornfeld N et al (1998) Choroidal hemangioma: MR findings and differentiation from uveal melanoma. AJNR 19:1441–1447

    PubMed  CAS  Google Scholar 

  49. Schueler AO, Hosten N, Bechrakis NE et al (2003) High resolution magnetic resonance imaging of retinoblastoma. Br J Ophthalmol 87:330–335

    Article  PubMed  CAS  Google Scholar 

  50. Sterker I, Grafe G (2004) Periocular hemangiomas in childhood-functional and esthetic results. Strabismus 12:103–110

    Article  PubMed  Google Scholar 

  51. Hoffmann KT, Hosten N, Lemke AJ, Sander B, Zwicker C, Felix R (1998) Septum orbitale: high-resolution MR in orbital anatomy. AJNR 19:91–94

    PubMed  CAS  Google Scholar 

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Lemke, A.J., Kazi, I. & Felix, R. Magnetic resonance imaging of orbital tumors. Eur Radiol 16, 2207–2219 (2006). https://doi.org/10.1007/s00330-006-0227-0

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