[New procedures. Comprehensive staging of lung cancer by MRI].
Lung cancer staging according to the TNM system is based on morphological assessment of the primary cancer, lymph nodes and metastases. All aspects of this important oncological classification are measurable with MRI. Pulmonary nodules can be detected at the clinically relevant size of 4-5 mm in diameter. The extent of mediastinal, hilar and supraclavicular lymph node affection can be assessed at the same time. The predominant metastatic spread to the adrenal glands and spine can be detected in coronal orientation during dedicated MRI of the lungs. Search focused whole body MRI completes the staging. Various additional MR imaging techniques provide further functional and clinically relevant information during a single examination. In the oncological context the most important techniques are imaging of perfusion and tumor motion. Functional MRI of the lungs complements the pure staging and improves surgical approaches and radiotherapy planning.
Hintze
C
C
Klinik für Diagnostische Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus 23), 24105, Kiel, Deutschland. c.hintze@rad.uni-kiel.de
Dinkel
J
J
Biederer
J
J
Heussel
C P
CP
Puderbach
M
M
D000310:Adrenal Gland Neoplasms / Q000098:blood supply / Q000473:pathology / Q000556:secondary; D018450:Disease Progression; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008175:Lung Neoplasms / Q000098:blood supply / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis / Q000473:pathology; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D009367:Neoplasm Staging; D049268:Positron-Emission Tomography; D012680:Sensitivity and Specificity; D013125:Spinal Neoplasms / Q000098:blood supply / Q000473:pathology / Q000556:secondary; D013269:Stochastic Processes; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed