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Imaging in Graves' orbitopathy

Kirsch, Eberhard and von Arx, Georg and Hammer, Beat. (2009) Imaging in Graves' orbitopathy. Orbit, Vol. 28. pp. 219-225.

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Official URL: http://edoc.unibas.ch/dok/A6007267

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Abstract

In patients with Graves' orbitopathy, magnetic resonance imaging (MRI) is a useful tool to distinguish the acute inflammatory active disease in demonstrating interstitial edema within the extraocular muscles on coronal TIRM-sequences from fibrotic, inactive endstage disease. MRI is the modality of choice to identify active inflammatory changes in order to decide on possible immunomodulatory treatment response. However, MRI should be considered in atypical cases as in asymmetrical orbital involvement, to exclude other orbital pathologies and to confirm the clinical suspicion of apical optic nerve compression in Graves' orbitopathy. Computed tomography (CT) provides precise imaging of the osseous periorbital structures and does not reveal information on the disease activity in most cases. It is therefore the method of choice to plan CT-guided orbital decompression surgery in the inactive phase of disease.
Faculties and Departments:03 Faculty of Medicine > Bereich Querschnittsfächer (Klinik) > Radiologie USB
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Querschnittsfächer (Klinik) > Radiologie USB
UniBasel Contributors:Kirsch, Eberhard
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Bibsysno:Link to catalogue
Publisher:Aeolus Press
ISSN:0167-6830
Note:Publication type according to Uni Basel Research Database: Journal item
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Last Modified:18 Jul 2014 09:10
Deposited On:18 Jul 2014 09:10

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