Nasopharyngeal carcinoma MRI

Nasopharyngeal carcinoma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]

Overview

Head and neck MRI may be helpful in the diagnosis of nasopharyngeal carcinoma. Findings on MRI suggestive of nasopharyngeal carcinoma include dural thickening and bone marrow infilteration.

MRI

MRI may be diagnostic of nasopharyngeal carcinoma. Findings on MRI scan suggestive of nasopharyngeal carcinoma include:

MRI Component	Features
T1​	typically isointense to muscle
T1 C+ (Gd)	post contrast sequences should be fat saturated prominent heterogeneous enhancement is typical perineural extension should be sought
T2	isointense to somewhat hyperintense to muscle fat saturation fluid in the middle ear is a helpful marker