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. 2021 Sep;42(9):E66-E68.
doi: 10.3174/ajnr.A7234. Epub 2021 Aug 5.

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M F V V Aragao  1   2 , P H P deAndrade  1 , V S da Nobrega Segundo  1 , M M Marques  1 , H J G de Azevedo, R J V de Mello  1 , M de Carvalho Leal  1 , M L Soares  3 , M M Valenca  1
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M F V V Aragao et al. AJNR Am J Neuroradiol. 2021 Sep.
No abstract available

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Figures

FIG 1.
FIG 1.
Normal olfactory bulbs and susceptibility artifacts seen on 1.5T MR imaging before the COVID-19 pandemic. The coronal precontrast fat-suppressed T1WI (A) and the postcontrast (B) and coronal FSE T2WI (C) demonstrate normal olfactory bulbs (long arrows). The olfactory bulbs are isointense to the cerebral cortex and normally hypointense on pre- (A) and postgadolinium sequences (B) and do not enhance. Susceptibility artifacts on the cribriform plate (B, arrowheads) are bilateral and symmetric below the olfactory bulbs and do not hinder the analysis. On thin-sliced coronal FSE T2WI, the normal olfactory bulbs show a “sandwich-like pattern,” which consists of a hyperintense central area (C, superior extremity of the vertical lines), similar to the cortical gray matter, and a hypointense periphery (C, short horizontal arrows), similar to the white matter that looks like the laminar layers of olfactory bulbs on histology.
FIG 2.
FIG 2.
Normal olfactory bulbs and susceptibility artifacts seen on 1.5T MR imaging before the COVID-19 pandemic. The olfactory bulbus are normal, being hypointense, and do not enhance on thin-sliced coronal fat-suppressed postcontrast T1WI (A, long arrows). Susceptibility artifacts are bilateral and symmetric and can be recognized as hyperintensity located outside and adjacent to the inferior periphery of the normal olfactory bulbs, mainly at cribriform plate (A, short arrows). On coronal T2WI, the normal sandwich-like pattern is observed as the central portion of olfactory bulbs showing hyperintensity (B, superior extremity of the line), similar to that of gray matter, and the peripheral portion showing hypointensity, similar to that of white matter (B, short horizontal arrows).
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References

    1. Manov JJ, Saigal G, Alfonso M. Susceptibility artifacts in the anterior cranial fossa mimicking hemorrhage in anosmic patients. AJNR Am J Neuroradiol 2021July [Epub ahead of print]10.3174/ajnr.A7184 - DOI - PMC - PubMed
    1. Aragão MF, Leal MC, Cartaxo Filho OQ, et al. . Anosmia in COVID-19 associated with injury to the olfactory bulbs evident on MRI. AJNR Am J Neuroradiol 2020;41:1703–1610.3174/ajnr.A6675 - DOI - PMC - PubMed
    1. Aragão MF, Leal MC, Fonseca TM, et al. . Reply. AJNR Am J Neuroradiol 2020;2:E2–E310.3174/ajnr.A6943 - DOI - PMC - PubMed
    1. Aragao MF, Oliveira AD, Lima AR, et al. . Virtual biopsy: a reality thanks to advances in radiology. AJNR Am J Neuroradiol 2021March25. [Epub ahead of print] 10.3174/ajnr.a7092 - DOI - PMC - PubMed
    1. Aragao M, Leal MC, Andrade PH, et al. . Clinical and radiological profiles of COVID-19 patients with neurological symptomatology: a comparative study. Viruses 2021;13:845.10.3390/v13050845 - DOI - PMC - PubMed

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