Review

通过解剖腔室的实用方法处理眶部病变

Practical Approach to Orbital Lesions by Anatomic Compartments

RADIOGRAPHICS

影响因子:5.5

分区:医学1区 Top / 核医学1区

发表日期:2024 Oct

作者: Guilherme Gotti Naves, Heytor José de Oliveira Cabral, Helen Ribeiro de Oliveira, Thiago Luiz Pereira Donoso Scoppetta, Henrique Bortot Zuppani, Fernanda Boldrini Assunção

DOI: 10.1148/rg.240026

摘要

眶部可能起源于多种病理状况。虽然常根据疾病类别（如肿瘤性和炎症性）进行鉴别诊断，但将眶部分割为解剖腔室可以引导放射科医生识别每种表现和空间中最常见的病理情况。眶可以划分为腔内、腔环和腔外三个解剖腔室。此外，视神经鞘复合体和泪腺器官由于其特殊功能和病理特征，也可以划分为单独的腔室。通过采用这种解剖学的方法，作者综述了影响眶部的最常见病理情况，并讨论了临床和影像学表现，以指导具有相似表现的病变的鉴别诊断。本文以CC BY 4.0许可发布。补充材料也提供相关内容。

Abstract

A wide range of pathologic conditions can originate in the orbit. While it is common to approach the differential diagnosis based on disease categories, such as neoplastic and inflammatory, segmenting the orbit into anatomic compartments can direct the radiologist toward the most common pathologic conditions for each manifestation and space. The orbit can be divided into intraconal, conal, and extraconal compartments. Additionally, the optic nerve sheath complex and lacrimal apparatus can be partitioned into separate compartments due to their unique functions and pathologic features. By using this anatomic approach, the authors review the most common pathologic conditions affecting the orbit and discuss clinical and imaging findings that can guide the differential diagnosis for lesions with similar appearances. Published under a CC BY 4.0 license. Supplemental material is available for this article.