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Research ArticleHead and Neck Imaging

Non-EPI versus Multishot EPI DWI in Cholesteatoma Detection: Correlation with Operative Findings

J.C. Benson, M.L. Carlson and J.I. Lane
American Journal of Neuroradiology December 2020, DOI: https://doi.org/10.3174/ajnr.A6911
J.C. Benson
aFrom the Departments of Radiology (J.C.B., J.I.L.)
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M.L. Carlson
bOtolaryngology–Head and Neck Surgery (M.L.C.), Mayo Clinic, Rochester, Minnesota.
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J.I. Lane
aFrom the Departments of Radiology (J.C.B., J.I.L.)
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    FIG 1.

    Cholesteatoma with positive findings on both HASTE and RESOLVE in a 4-year-old girl with delayed speech. Both axial HASTE (A) and RESOLVE (B) demonstrate a region of restricted diffusion in the left external auditory canal (arrow). Note greater signal hyperintensity of HASTE compared with the RESOLVE image. Adjacent opacified mastoid air cells demonstrate relatively faint signal (curved arrow).

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    FIG 2.

    Example of a cholesteatoma seen on HASTE imaging with equivocal findings on RESOLVE. The patient is a 13-year-old boy with a history of bilateral cholesteatomas status post multiple prior surgeries who presented with recurrent hearing loss in his right ear. Axial HASTE (A) image clearly depicts a 0.6-cm focus of restricted diffusion in the right hypotympanum (arrow). Although faint signal is seen in this region on corresponding axial RESOLVE (B) image (arrow), the intralesional signal is insufficiently intense to warrant a certain diagnosis.

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    FIG 3.

    Cholesteatoma visible on HASTE but not on RESOLVE in a 69-year-old woman who had undergone a left tympanomastoidectomy approximately 15 months prior for resection of a cholesteatoma. MR imaging was performed to assess residual or recurrent disease. Axial (A) HASTE image demonstrates a well-demarcated 0.6-cm focus of restricted diffusion in the left anterior mesotympanum (arrow). No abnormal signal was seen on corresponding RESOLVE image (B).

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J.C. Benson, M.L. Carlson, J.I. Lane
Non-EPI versus Multishot EPI DWI in Cholesteatoma Detection: Correlation with Operative Findings
American Journal of Neuroradiology Dec 2020, DOI: 10.3174/ajnr.A6911

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Non-EPI versus Multishot EPI DWI in Cholesteatoma Detection: Correlation with Operative Findings
J.C. Benson, M.L. Carlson, J.I. Lane
American Journal of Neuroradiology Dec 2020, DOI: 10.3174/ajnr.A6911
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