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    Table 1.1.5: Imaging in Different Clinical Scenarios

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    Zhyema Zhyedee
    This document provides tables and figures describing the use of various imaging modalities for different clinical scenarios. Table 1.1.5 discusses imaging for craniofacial malformations and craniosynostosis, noting that low dose CT with post-processing is most definitive for defining areas of sutural closure and surgical planning. Table 1.1.6 covers imaging for facial/craniofacial trauma, stating that while plain radiographs can evaluate many uncomplicated injuries, CT is required to delineate fractures fully and is necessary for orbital or cranial complications or complex fractures requiring modeling for surgery.

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    Table 1.1.5: Imaging in Different Clinical Scenarios

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    Zhyema Zhyedee
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    This document provides tables and figures describing the use of various imaging modalities for different clinical scenarios. Table 1.1.5 discusses imaging for craniofacial malformations and craniosynostosis, noting that low dose CT with post-processing is most definitive for defining areas of sutural closure and surgical planning. Table 1.1.6 covers imaging for facial/craniofacial trauma, stating that while plain radiographs can evaluate many uncomplicated injuries, CT is required to delineate fractures fully and is necessary for orbital or cranial complications or complex fractures requiring modeling for surgery.

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    This document provides tables and figures describing the use of various imaging modalities for different clinical scenarios. Table 1.1.5 discusses imaging for craniofacial malformations and craniosynostosis, noting that low dose CT with post-processing is most definitive for defining areas of sutural closure and surgical planning. Table 1.1.6 covers imaging for facial/craniofacial trauma, stating that while plain radiographs can evaluate many uncomplicated injuries, CT is required to delineate fractures fully and is necessary for orbital or cranial complications or complex fractures requiring modeling for surgery.

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    23 views1 page

    Table 1.1.5: Imaging in Different Clinical Scenarios

    Uploaded by

    Zhyema Zhyedee
    This document provides tables and figures describing the use of various imaging modalities for different clinical scenarios. Table 1.1.5 discusses imaging for craniofacial malformations and craniosynostosis, noting that low dose CT with post-processing is most definitive for defining areas of sutural closure and surgical planning. Table 1.1.6 covers imaging for facial/craniofacial trauma, stating that while plain radiographs can evaluate many uncomplicated injuries, CT is required to delineate fractures fully and is necessary for orbital or cranial complications or complex fractures requiring modeling for surgery.

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    8 Imaging techniques, including computed tomography-guided biopsy and FDG-PET

    and 99mTc-HMPAO-labelled
    leukocytes together with 67Ga-gallium citrate for the
    diagnosis and localization of infection or inflammation
    in soft tissues.
    3 99mTc-pertechnetate for dynamic salivary gland imaging
    or to detect ectopic thyroid tissue.

    111Indium-labelled

    IMAGING IN DIFFERENT CLINICAL SCENARIOS


    Tables 1.1.51.1.16 and Figures 1.1.71.1.14 provide
    information on imaging in different clinical scenarios.

    Table 1.1.5 Imaging of craniofacial malformations and craniosynostosis.


    Imaging modality

    Imaging issues

    Radiography: OPG,
    cephalometry, skull series

    Comment
    Isolated sagittal, metopic or unilateral coronal synostosis may be confirmed
    with radiography

    Low dose CT 3D data


    (cranial or craniofacial)
    with post-processing

    Define foci of sutural synostosis


    for surgical planning
    3D assessment of facial deformity
    and orofacial clefts

    Cranial CT/CTV/MRI

    Detect intracranial malformations


    and venous stenosis in the setting
    of complex synostosis

    CT with post-processing is more definitive and superior for defining foci of


    sutural closure. Required for surgical planning and for assessment of
    complex craniofacial anomalies/petrous temporal bone anomalies
    3D data set may be used for preoperative surgical stimulation with
    stereolithography or fused deposition modelling

    CT, computed tomography; CTV, computed tomography venogram; MRI, magnetic resonance imaging.

    Table 1.1.6 Imaging of facial/craniofacial trauma.


    Imaging modality
    Radiographs:
    Standard midfacial series is OM,
    OM 15/30 and lateral

    Imaging issues

    Comment

    Screen for fractures and assess need


    for further CT
    `

    Most uncomplicated zygomatic, orbital and mandibular injuries


    may be evaluated with plain radiography alone

    Standard mandibular series is OPG


    (lateral obliques if not
    available/impractical) and frontal
    Low dose CT with 3D post
    processing

    Delineate extent and displacement of Always consider intracranial and cervical spine imaging in the
    fractures
    early management of high energy facial injury

    Standard CT

    Review key sites, e.g. displaced


    fractures of frontal sinus posterior
    wall

    CT is also required for suspected craniofacial injury or when


    there is orbital dysfunction (Figure 1.1.7), fractures are
    severe/comminuted or as a precursor to surgery
    Standard (non low dose) CT may be used to evaluate orbital or
    cranial soft tissue complications
    3D data set post processing may be used for modeling of
    implants and to aid surgical planning in patients with complex
    fracture geometry (Figure 1.1.8)

    MRI

    Soft tissue (including intracranial)


    complications

    Others: ocular ultrasound,


    dacrocystography, sialography,
    CT cisternography

    Soft tissue complications

    CT, computed tomography; MRI, magnetic resonance imaging.

    Selected cases depending on clinical findings

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