[Malignant chest wall infiltration in MR: comparison with CT and surgical findings].
CT and MRI were performed on 19 patients with pleura related thoracic tumors with respect to the detection of chest-wall invasion. All patients underwent surgery, which confirmed malignant infiltration in 16 cases, while this was excluded in three. CT showed chest-wall invasion in 12/19 patients. MRI demonstrated tumorous involvement in 16 patients. A reliable pattern of chest-wall invasion in MRI were high signal intensity lesions within the chest-wall in the T2-weighted images. However, increased signal intensity of pleural structures was found in inflammatory as well as in malignant lesions. MRI can prove the presence of chest-wall invasion when CT is equivocal.
Bittner
R
R
Radiologische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Charlottenburg.
Schörner
W
W
Sander
B
B
Weiss
T
T
Loddenkemper
R
R
Kaiser
D
D
Felix
R
R
D000328:Adult; D000368:Aged; D003287:Contrast Media; D005260:Female; D005682:Gadolinium; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid; D013902:Radiography, Thoracic; D013899:Thoracic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D013909:Thorax / Q000473:pathology*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D005682:Gadolinium; D019786:Gadolinium DTPA
Maligne Thoraxwandinfiltration in der MR: Vergleich mit CT- und operativen Befunden.