Wertigkeit der neuroradiologischen Bildgebung bei der endokrinen Orbitopathie

Aim: CT and MR in the diagnosis and course of Graves’ disease (endocrine orbitopathy) are presented and discussed. Value of CT and MRT: Both methods are able to show exactly the morphological changes, with thickening of the external eye muscles relative to the tendon and the extension of proptosis. MR is additionally able to define – on the basis of T2 measurements – the acuity of the disease, a chronic course with fatty degeneration and muscle fibrosis. Conclusion: The complexity of the disease is an interdisciplinary challenge to all physicians dealing with these patients. Even in times of cost reduction in healthcare the use of CT and MR is mandatory, as it helps to define and control the therapy.