Infraorbital nerve involvement on magnetic resonance imaging in European patients with IgG4-related ophthalmic disease: a specific sign

Objectives To measure the frequency of infraorbital nerve enlargement (IONE) on magnetic resonance imaging (MRI) in European patients suffering from an IgG4-related ophthalmic disease (IgG4-ROD) as compared to patients suffering from non-IgG4-related ophthalmic disease (non-IgG4-ROD). Methods From J...

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Veröffentlicht in:European radiology 2017-04, Vol.27 (4), p.1335-1343
Hauptverfasser: Soussan, J. Ben, Deschamps, R., Sadik, J. C., Savatovsky, J., Deschamps, L., Puttermann, M., Zmuda, M., Heran, F., Galatoire, O., Picard, H., Lecler, A.
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container_end_page 1343
container_issue 4
container_start_page 1335
container_title European radiology
container_volume 27
creator Soussan, J. Ben
Deschamps, R.
Sadik, J. C.
Savatovsky, J.
Deschamps, L.
Puttermann, M.
Zmuda, M.
Heran, F.
Galatoire, O.
Picard, H.
Lecler, A.
description Objectives To measure the frequency of infraorbital nerve enlargement (IONE) on magnetic resonance imaging (MRI) in European patients suffering from an IgG4-related ophthalmic disease (IgG4-ROD) as compared to patients suffering from non-IgG4-related ophthalmic disease (non-IgG4-ROD). Methods From January 2006 through April 2015, 132 patients were admitted for non-lymphoma, non-thyroid-related orbital inflammation. Thirty-eight had both pre-therapeutic orbital MRI and histopathological IgG4 immunostaining. Fifteen patients were classified as cases of IgG4-ROD and 23 patients as cases of non-IgG4-ROD. Two readers performed blinded analyses of MRI images. The main criterion was the presence of an IONE, defined as the infraorbital nerve diameter being greater than the optic nerve diameter in the coronal section. Results IONE was present in 53% (8/15) of IgG4-ROD cases whereas it was never present (0/23) in cases of non-IgG4-ROD ( P < 0.0001). IONE was only present in cases where, on MRI, the inflammation of the inferior quadrant was present and in direct contact with the ION canal. Conclusions In European patients suffering from orbital inflammation, the presence of IONE on an MRI is a specific sign of IgG4-ROD. Recognition of this pattern may facilitate the accurate diagnosis for clinicians and allow for the adequate management and appropriate care of their patients. Key points • IONE on an MRI is a specific sign of IgG4-ROD. • IONE recognition allows for a quicker diagnosis and appropriate management. • IONE appears when inflammation is in direct contact with the ION canal.
doi_str_mv 10.1007/s00330-016-4481-5
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Ben ; Deschamps, R. ; Sadik, J. C. ; Savatovsky, J. ; Deschamps, L. ; Puttermann, M. ; Zmuda, M. ; Heran, F. ; Galatoire, O. ; Picard, H. ; Lecler, A.</creator><creatorcontrib>Soussan, J. Ben ; Deschamps, R. ; Sadik, J. C. ; Savatovsky, J. ; Deschamps, L. ; Puttermann, M. ; Zmuda, M. ; Heran, F. ; Galatoire, O. ; Picard, H. ; Lecler, A.</creatorcontrib><description>Objectives To measure the frequency of infraorbital nerve enlargement (IONE) on magnetic resonance imaging (MRI) in European patients suffering from an IgG4-related ophthalmic disease (IgG4-ROD) as compared to patients suffering from non-IgG4-related ophthalmic disease (non-IgG4-ROD). Methods From January 2006 through April 2015, 132 patients were admitted for non-lymphoma, non-thyroid-related orbital inflammation. Thirty-eight had both pre-therapeutic orbital MRI and histopathological IgG4 immunostaining. Fifteen patients were classified as cases of IgG4-ROD and 23 patients as cases of non-IgG4-ROD. Two readers performed blinded analyses of MRI images. The main criterion was the presence of an IONE, defined as the infraorbital nerve diameter being greater than the optic nerve diameter in the coronal section. Results IONE was present in 53% (8/15) of IgG4-ROD cases whereas it was never present (0/23) in cases of non-IgG4-ROD ( P &lt; 0.0001). IONE was only present in cases where, on MRI, the inflammation of the inferior quadrant was present and in direct contact with the ION canal. Conclusions In European patients suffering from orbital inflammation, the presence of IONE on an MRI is a specific sign of IgG4-ROD. Recognition of this pattern may facilitate the accurate diagnosis for clinicians and allow for the adequate management and appropriate care of their patients. Key points • IONE on an MRI is a specific sign of IgG4-ROD. • IONE recognition allows for a quicker diagnosis and appropriate management. • IONE appears when inflammation is in direct contact with the ION canal.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-016-4481-5</identifier><identifier>PMID: 27436015</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Diagnostic Radiology ; Disease ; Europe ; Exocrine glands ; Female ; Head and Neck ; Hospitals ; Humans ; Hypertrophy ; Imaging ; Immunoglobulin G - blood ; Inflammation ; Internal Medicine ; Interventional Radiology ; Lymphoma ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neuroradiology ; Optic Nerve - diagnostic imaging ; Optic Nerve - pathology ; Orbital Diseases - blood ; Orbital Diseases - diagnostic imaging ; Orbital Diseases - pathology ; Paraproteinemias - blood ; Paraproteinemias - diagnostic imaging ; Paraproteinemias - pathology ; Pathology ; Patients ; Radiology ; Retrospective Studies ; Thyroid gland ; Ultrasound</subject><ispartof>European radiology, 2017-04, Vol.27 (4), p.1335-1343</ispartof><rights>European Society of Radiology 2016</rights><rights>European Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-9b54d01b16da822cb07fe879628e5b5e976106f39177e8be1891f1d6b75f8a3d3</citedby><cites>FETCH-LOGICAL-c372t-9b54d01b16da822cb07fe879628e5b5e976106f39177e8be1891f1d6b75f8a3d3</cites><orcidid>0000-0001-7869-1815</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-016-4481-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-016-4481-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27436015$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soussan, J. Ben</creatorcontrib><creatorcontrib>Deschamps, R.</creatorcontrib><creatorcontrib>Sadik, J. C.</creatorcontrib><creatorcontrib>Savatovsky, J.</creatorcontrib><creatorcontrib>Deschamps, L.</creatorcontrib><creatorcontrib>Puttermann, M.</creatorcontrib><creatorcontrib>Zmuda, M.</creatorcontrib><creatorcontrib>Heran, F.</creatorcontrib><creatorcontrib>Galatoire, O.</creatorcontrib><creatorcontrib>Picard, H.</creatorcontrib><creatorcontrib>Lecler, A.</creatorcontrib><title>Infraorbital nerve involvement on magnetic resonance imaging in European patients with IgG4-related ophthalmic disease: a specific sign</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives To measure the frequency of infraorbital nerve enlargement (IONE) on magnetic resonance imaging (MRI) in European patients suffering from an IgG4-related ophthalmic disease (IgG4-ROD) as compared to patients suffering from non-IgG4-related ophthalmic disease (non-IgG4-ROD). Methods From January 2006 through April 2015, 132 patients were admitted for non-lymphoma, non-thyroid-related orbital inflammation. Thirty-eight had both pre-therapeutic orbital MRI and histopathological IgG4 immunostaining. Fifteen patients were classified as cases of IgG4-ROD and 23 patients as cases of non-IgG4-ROD. Two readers performed blinded analyses of MRI images. The main criterion was the presence of an IONE, defined as the infraorbital nerve diameter being greater than the optic nerve diameter in the coronal section. Results IONE was present in 53% (8/15) of IgG4-ROD cases whereas it was never present (0/23) in cases of non-IgG4-ROD ( P &lt; 0.0001). IONE was only present in cases where, on MRI, the inflammation of the inferior quadrant was present and in direct contact with the ION canal. Conclusions In European patients suffering from orbital inflammation, the presence of IONE on an MRI is a specific sign of IgG4-ROD. Recognition of this pattern may facilitate the accurate diagnosis for clinicians and allow for the adequate management and appropriate care of their patients. 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Ben</au><au>Deschamps, R.</au><au>Sadik, J. C.</au><au>Savatovsky, J.</au><au>Deschamps, L.</au><au>Puttermann, M.</au><au>Zmuda, M.</au><au>Heran, F.</au><au>Galatoire, O.</au><au>Picard, H.</au><au>Lecler, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infraorbital nerve involvement on magnetic resonance imaging in European patients with IgG4-related ophthalmic disease: a specific sign</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>27</volume><issue>4</issue><spage>1335</spage><epage>1343</epage><pages>1335-1343</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives To measure the frequency of infraorbital nerve enlargement (IONE) on magnetic resonance imaging (MRI) in European patients suffering from an IgG4-related ophthalmic disease (IgG4-ROD) as compared to patients suffering from non-IgG4-related ophthalmic disease (non-IgG4-ROD). Methods From January 2006 through April 2015, 132 patients were admitted for non-lymphoma, non-thyroid-related orbital inflammation. Thirty-eight had both pre-therapeutic orbital MRI and histopathological IgG4 immunostaining. Fifteen patients were classified as cases of IgG4-ROD and 23 patients as cases of non-IgG4-ROD. Two readers performed blinded analyses of MRI images. The main criterion was the presence of an IONE, defined as the infraorbital nerve diameter being greater than the optic nerve diameter in the coronal section. Results IONE was present in 53% (8/15) of IgG4-ROD cases whereas it was never present (0/23) in cases of non-IgG4-ROD ( P &lt; 0.0001). IONE was only present in cases where, on MRI, the inflammation of the inferior quadrant was present and in direct contact with the ION canal. Conclusions In European patients suffering from orbital inflammation, the presence of IONE on an MRI is a specific sign of IgG4-ROD. Recognition of this pattern may facilitate the accurate diagnosis for clinicians and allow for the adequate management and appropriate care of their patients. Key points • IONE on an MRI is a specific sign of IgG4-ROD. • IONE recognition allows for a quicker diagnosis and appropriate management. • IONE appears when inflammation is in direct contact with the ION canal.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27436015</pmid><doi>10.1007/s00330-016-4481-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7869-1815</orcidid></addata></record>
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subjects Diagnostic Radiology
Disease
Europe
Exocrine glands
Female
Head and Neck
Hospitals
Humans
Hypertrophy
Imaging
Immunoglobulin G - blood
Inflammation
Internal Medicine
Interventional Radiology
Lymphoma
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Optic Nerve - diagnostic imaging
Optic Nerve - pathology
Orbital Diseases - blood
Orbital Diseases - diagnostic imaging
Orbital Diseases - pathology
Paraproteinemias - blood
Paraproteinemias - diagnostic imaging
Paraproteinemias - pathology
Pathology
Patients
Radiology
Retrospective Studies
Thyroid gland
Ultrasound
title Infraorbital nerve involvement on magnetic resonance imaging in European patients with IgG4-related ophthalmic disease: a specific sign
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