Neuroimaging of CNS infection in haematological malignancy: important signs and common diagnostic pitfalls.

Clin Radiol

Imaging Department, University College London Hospitals NHS Foundation Trust, London, NW1 2BU, UK; Institute of Neurology, University College London, London, WC1N 3BG, UK.

Published: June 2021

Patients with haematological malignancy are at increased risk of developing central nervous system (CNS) infections, which are associated with significant morbidity and mortality. Neuroimaging plays a pivotal role in the diagnostic pathway of these patients; however, layers of complexity are added to image interpretation by the heterogeneity in imaging manifestations of haematological malignancies in the CNS, overlapping imaging features of CNS infection, treatment-related parenchymal changes and the presence of intracranial comorbidity. In this article, we review important intracranial findings of CNS infection cases accrued in 1,855 studies over more than a decade at a specialist tertiary centre. We offer schema to identify common and important neuroimaging features, discuss key differential diagnoses and frequent diagnostic pitfalls.

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Source
http://dx.doi.org/10.1016/j.crad.2021.01.009DOI Listing

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