ASHNR Programming: Value-Added Imaging of the Sinonasal Cavity and Anterior Cranial Base

C. Douglas Phillips, MD, FACR ; Daniel E. Meltzer, MD; Laurie A. Loevner, MD; Ilona M. Schmalfuss, MD

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Date of Activity Release: August 27, 2018
Date of Activity Expiration: August 26, 2021

Target Audience:

The Foundation of the ASNR Symposium 2018 will focus on adding value and improving healthcare in neuroradiology. It will center on how neuroimaging adds value in many subspecialty areas, including brain, spine, head & neck, pediatric and neurointerventional procedures. The target audience will include practicing neuroradiologists, other radiologists charged with interpreting neuroimaging studies, radiology fellows andresidents, neuroscientists interested in the latest advances, and non-radiology colleagues whose practices include neuroimaging. Dedicated topic areas include screening and diagnostic neuroimaging, evidence based neurointerventional treatment, emergency neuroimaging use and usefulness, advanced imaging strategies, and healthcare reform.

About This Module:

This module is composed of following parts:
  • Chronic Rhinosinusitis: What Do Our Referrers Want to Know? C. Douglas Phillips, MD, FACR
  • Imaging Red Flags in Acute and Aggressive Sinonasal Inflammatory Diseases; Daniel E. Meltzer, MD
  • Sinonasal Tumors with Emphasis on Resectability Determination; Laurie A. Loevner, MD
  • Imaging Guidance CT in Sinonasal and Cranial Base Tumors: Where Can We Add Value to Our Reports? Ilona M. Schmalfuss, MD


Upon completion of this module, participants should be able to:


Chronic Rhinosinusitis: What Do Our Referrers Want to Know?

  1. Explain the contribution of imaging to diagnosis and management of patients with chronic sinusitis
  2. Develop skill interpreting representative cases of chronic rhinosinusitis

Imaging Red Flags in Acute and Aggressive Sinonasal Inflammatory Diseases

  1. Become familiar with cross-sectional imaging findings that indicate serious complications of sinonasal inflammatory disease, such as orbital or intracranial involvement. Develop awareness of pertinent clinical history that should raise suspicion for such complications.
  2. Recognize patterns of spread of infection based on the distribution of disease in the paranasal sinuses, in order to develop search strategies in interpretation of imaging studies.

Sinonasal Tumors with Emphasis on Resectability Determination

  1. Evaluate radiologic patterns of sinonasal neoplasia
  2. Identify surgical landmarks (Endoscopic resection only; Endoscopic plus open resection; Unresectable)
  3. Explain complimentary roles CT & MRI (Determining surgical candidacy, Emphasis on necessary radiologic reporting)

Imaging Guidance CT in Sinonasal and Cranial Base Tumors: Where Can We Add Value to Our Reports?

  1. Identify what the surgeons like to know fpr pre-endoscopic sinus surgery for sinonasal and skull base tumor (Extent of tumor; anatomical variations; Bony dehiscencies)
  2. Identify potential trouble areas for the surgeon (watch out for complications; “Do not touch" lesions)

Commercial Support

No commercial support was received for this activity.

Accreditation Statement

The American Society of Neuroradiology (ASNR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

ASNR designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Physician Participation:

Each physician will listen to each audio self-directed module while following along with the visual slides. Upon completion, each physician will answer evaluation questions and pass a post test with at least a score of 80% to receive their CME certificate.

Disclosures: All individuals in control of content have disclosed the following relevant financial relationships. All of these relationships were treated as a conflict of interest, and have been resolved (C7 SCS 6.1-6.2, 6.5)


  • Pina C. Sanelli, MD, MPH, FACR, 2018 Program Chair/President-Elect, has no relevant financial relationships.
  • Mark E. Mullins, MD, PhD, Chair, ASNR Education Committee, has no relevant financial relationships.
  • Angelo Artemakis, ASNR staff, has no relevant financial relationships.
  • Sheryl Morgan, AMEDCO, has no relevant financial relationships.


  • C. Douglas Phillips, MD, FACR, has no relevant financial relationships.
  • Daniel E. Meltzer, MD, has no relevant financial relationships.
  • Laurie A. Loevner, MD, has the following financial relationships: Geubert (Research grant PI; Advisory board member: salary [ended])
  • Ilona M. Schmalfuss, MD, has no relevant financial relationships.

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