MRI OF NASOPHARYNX

 MRI OF NASOPHARYNX 

PREPARATION

1. X-ray, USG, CT Scan , MRI Films/Images with Reports
2. Blood for Serum Creatinine (Contrast)
3. FNAC/Biopsy Test Reports
4. Old Documents
5. Operation Note (Post Oparation)

PRTOCOL

1. SURVEY
2. T2W_TSE_HR------------COR_4MM_28_IMAGE
3. STIR_longTE--------------COR_4MM_28_IMAGE.
4. T1W_TSE_HR------------COR_4MM_28_IMAGE
5. T2W ----------------------- SAG _4MM_24_IMAGE
6. T2W_TSE------------------TRA_4MM_28_IMAGE
7. T1W_TSE_HR-------------TRA_4MM_28_IMAGE
8. STIR_longTE-------------- TRA_4MM_28_IMAGE
9. T2W_FFE/GRE----------- TRA_4MM_28_IMAGE
10. DWI------------------------- TRA_4MM_28_IMAGE  
11. T1W_TRA+C-------------- TRA_4MM_28_IMAGE
12. T1W_COR+C------------- TRA_4MM_28_IMAGE
13. T1W_SAG+C------------- TRA_4MM_24_IMAGE

Indication

1. Clinical presentation is often late, only when the tumour has grown significantly in size and has invaded adjacent structures.
2. Hence, metastasis is very common at the time of presentation. 
3. Clinical presentation includes epistaxis and conductive hearing loss.
4. Early, but often ignored, symptoms include nasal obstruction, epistaxis, or conductive hearing loss due to Eustachian tube obstruction and the development of a middle ear effusion.
5. Actual presentation is often delayed until more sinister signs are evident, including nodal masses in the neck (most common), cranial nerve palsies, tinnitus, headache, or even diplopia and proptosis.
6. Diagnosis is usually achieved with endoscopic guided biopsy 
7. A minority of patients have submucosal disease, with normal-appearing overlying mucosa.
8. MRI is then essential in guiding biopsy

PLANNING

Picture: MRI of Nasopharynx Coronal Planning.


Picture: MRI of Nasopharynx Sagittal Planning

Picture: MRI of Nasopharynx Axial Planning

                                                Picture: MRI of Nasopharynx Images.

 ANATOMY

Viscera

RADIOLOGICAL ANATOMY