Difference between revisions of "CT of vestibular schwannoma"

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==Planning==
 
==Planning==
 
===Choice of exam===
 
===Choice of exam===
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===Configurations===
 
===Configurations===
 
[[Contrast CT]] is necessary.<ref name="LinCrane2017"/> It should cover the temporal bone, and include thin slices for bone evaluation, as well as thicker slices for soft-tissue evaluation.
 
[[Contrast CT]] is necessary.<ref name="LinCrane2017"/> It should cover the temporal bone, and include thin slices for bone evaluation, as well as thicker slices for soft-tissue evaluation.
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==Evaluation==
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Bone evaluation may show erosion and widening of the internal acoustic canal by the tumor.<ref name=Gaillard>{{cite web|url=https://radiopaedia.org/articles/acoustic-schwannoma-1|title=Acoustic schwannoma|author=A.Prof Frank Gaillard|website=Radiopaedia|accessdate=2018-10-25}}</ref>
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The tumor itself may be difficult to see on CT. It may have hemorrhagic areas, and typically has no calcification.<ref name=Gaillard/>
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Latest revision as of 18:24, 25 October 2018

Author: Mikael Häggström [notes 1]

Planning

Choice of exam

In suspected vestibular schwannoma, MRI is the preferred modality and can provide tumor characterization, surgical planning and post-therapeutic evaluation. Where MRI is contraindicated CT of vestibular schwannoma can serve as an alternative.[1]

Configurations

Contrast CT is necessary.[1] It should cover the temporal bone, and include thin slices for bone evaluation, as well as thicker slices for soft-tissue evaluation.

Evaluation

Bone evaluation may show erosion and widening of the internal acoustic canal by the tumor.[2]

The tumor itself may be difficult to see on CT. It may have hemorrhagic areas, and typically has no calcification.[2]

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. 1.0 1.1 Lin, E.P.; Crane, B.T. (2017). "The Management and Imaging of Vestibular Schwannomas ". American Journal of Neuroradiology 38 (11): 2034–2043. doi:10.3174/ajnr.A5213. ISSN 0195-6108. 
  2. 2.0 2.1 A.Prof Frank Gaillard. Acoustic schwannoma. Radiopaedia. Retrieved on 2018-10-25.