Imaging dei seni paranasali
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L'imaging delle patologie sinusali, sia benigne che maligne, ha subito cambiamenti radicali rispetto all'era della radiografia su pellicola. L'attuale applicazione della TC ad alta risoluzione e della RM a questa regione anatomica ha portato benefici ai pazienti, ridotto gli interventi chirurgici non necessari e consentito l'introduzione di una tecnica chirurgica completamente nuova nell'uso comune. La TC � accettata come gold standard per la valutazione anatomopatologica delle patologie dei seni paranasali; la TC � considerata in particolare una parte obbligatoria della pianificazione delle procedure chirurgiche. Le indicazioni per la TC dei seni paranasali includono traumi, malattie maligne e sinusiti croniche, che rappresentano la maggior parte degli esami. A causa del carattere benigno della malattia e dell'et� relativamente moderata dei pazienti coinvolti, la dose di radiazioni della TC dei seni paranasali gioca un ruolo importante. L'uso di una tecnica TC spirale a basso dosaggio e la riformazione di immagini coronali dai dati TC assiali invece di una scansione coronale diretta aggiuntiva consentono di ridurre la dose efficace della TC dei seni paranasali all'ordine di una radiografia del torace.
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