Post COVID-19 Head and Neck Mucormycosis: MR Imaging Spectrum and Staging

Faculty Medicine Year: 2022
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Academic Radiology Elsevier Inc Volume:
Keywords : Post COVID-19 Head , Neck Mucormycosis: , Imaging Spectrum , Staging    
Abstract:
Objective: To develop a systematic approach for magnetic resonance imaging (MRI) analysis, imaging spectrum, and classification system for the staging of post-COVID-19 head and neck mucormycosis. Method: The study included 63 post-COVID-19 patients with pathologically proven mucormycosis who underwent head and neck MR imaging. Three independent radiologists assessed the imaging spectrum of mucormycosis, MRI characteristics of sino-nasal mucormycosis, and extra-sinus extension, and submitted a final staging using a systematic approach and a proposed categorization system. A consensus reading was considered the reference imaging standard. The kappa statistics were used to assess the categorization system's diagnostic reliability. Results: The overall interreader agreement of the MR staging system was very good (k-score = 0.817). MR imaging spectrum involved localized sino-nasal mucormycosis (n = 7 patients, 11.1%), sino-nasal mucormycosis with maxillo-facial soft tissue extension (n = 28 patients, 44.5 %), sino-nasal mucormycosis with maxillo-facial bony extension (n = 7 patients, 11.1%), sino-naso-orbital mucormycosis (n = 13 patients, 20.6%), and sino-nasal mucormycosis with cranium or intracranial extension (n = 8 patients, 12.7%). Extra-sinus extension to the orbit and brain did not have significant association with involvement of the posterior ethmoid/sphenoid sinuses and maxillofacial regions (p > 0.05). MRI-based staging involved four stages: stage 1 (n = 7, 11.1%); stage 2 (n = 35, 55.6%), and stage 3 (n = 13, 20.6%), and stage 4 (n = 8, 12.7%). Involvement of the bone and MR-based staging were significant predictors of patients’ mortality p = 0.012 and 0.033, respectively. Conclusion: This study used a diagnostic-reliable staging method to define the imaging spectrum of post-COVID-19 head and neck mucormycosis and identify risk variables for extrasinus extension
   
     
 
       

Author Related Publications

  • Elshaumaa Fathy Mohamed Handal Elshetry, "Diagnostic accuracy and discriminative power of biparametric versus multiparametric MRI in predicting muscle-invasive bladder cancer", Elsevier B.V, 2022 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Neuroanatomical MRI study: reference values for the measurements of brainstem, cerebellar vermis, and peduncles", British Institute of Radiology, 2021 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Impact of Adding Mean Apparent Diffusion Coefficient (ADCmean) Measurements to O-RADS MRI Scoring For Adnexal Lesions Characterization: A Combined O-RADS MRI/ADCmean Approach", Elsevier Inc, 2023 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Reproducibility of MRI Diagnosis of Female Genital Anomalies", Sage Publications Inc, 2024 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Clinical utility, reproducibility, and radiologist acceptance of ILD-RADS", Elsevier B.V, 2024 More

Department Related Publications

  • Hossameldeen Mansour Abdelrahman Abdelrahman, "THE ROLE OF DIFFUSION-WEIGHTED MAGNETIC RESONANCE IMAGING IN T STAGING AND GRADING OF URINARY BLADDER CANCER.", مجلة الجمعية المصرية للأشعة والطب النووى, 2015 More
  • Mohamed Hamed Mohammed Abu Warda, "التصوير بالرنين المغناطيسي الأنتشارى و معامل الأنتشار فى تقييم الكتل داخل النقى في النخاع الشوكي.", Egyptian Journal of Radiology and Nuclear Medicine (2016) 47, 1575–1584., 2016 More
  • Mohamed Hamed Mohammed Abu Warda, "التفريق بين كسور الفقرات الانضغاطية لهشاشة العظام الحادة و كسور الفقرات الانضغاطية الخبيثة بالتصوير بالرنين المغناطيسي التقليدي والتصوير بالرنين المغناطيسي الانتشارى", The Egyptian Journal of Radiology and Nuclear Medicine, 2017 More
  • Mohamed Hamed Mohammed Abu Warda, "قيمة التصوير بالأشعة المقطعية متعددة الشرائح كفحص غير نافذ فى تشخيص العيوب الخلقية للقلب و الأوعية الدموية عند الأطفال.", The Egyptian Journal of Radiology and Nuclear Medicine, 2017 More
  • Hossameldeen Mansour Abdelrahman Abdelrahman, "DIFFERENTIATION OF ACUTE OSTEOPOROTIC FROM MALIGNANT VERTEBRAL COMPRESSION FRACTURES WITH CONVENTIONAL MRI AND DIFFUSION MR IMAGING", مجلة الجمعية المصرية للأشعة والطب النووى, 2017 More
Tweet