Nasopharyngeal carcinoma MRI

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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 infiltration.

MRI

MRI may be diagnostic of nasopharyngeal carcinoma. Findings on MRI scan suggestive of nasopharyngeal carcinoma include:[1]

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

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