Wallis F, Gilbert F J
Academic Dept of Radiology, University of Aberdeen, Foresterhill, U.K.
J R Coll Surg Edinb. 1999 Apr;44(2):117-25.
This review discusses a growing area of imaging in oncology. Traditionally, the primary role of magnetic resonance imaging (MRI) has been in the investigation of neurological diseases and in the diagnosis of musculoskeletal abnormalities. With the increasing availability of MRI systems and with the advances in technology, the role of this modality out with these areas is rapidly expanding. This review outlines the areas where MRI has a specific role in the imaging of patients with cancer. In particular, emphasis is placed on areas outside of the central nervous and musculoskeletal systems. This review describes the areas where MRI may be advantageous over other imaging modalities such as computerised tomography (CT). Specific emphasis is placed on the staging of abdominal and pelvic malignancies, the detection of recurrence and the impact of MRI in hepatic imaging. In addition this article reviews the value of dynamic contrast enhanced MRI sequences, as well as the importance of newer organ specific MR contrast agents in hepatic and lymph node imaging.
本综述讨论了肿瘤学中一个不断发展的成像领域。传统上,磁共振成像(MRI)的主要作用一直是用于神经系统疾病的检查以及肌肉骨骼异常的诊断。随着MRI系统的日益普及以及技术的进步,这种成像方式在这些领域之外的作用正在迅速扩大。本综述概述了MRI在癌症患者成像中具有特定作用的领域。特别是,重点放在中枢神经和肌肉骨骼系统之外的领域。本综述描述了MRI可能优于其他成像方式(如计算机断层扫描(CT))的领域。特别强调了腹部和盆腔恶性肿瘤的分期、复发的检测以及MRI在肝脏成像中的作用。此外,本文还综述了动态对比增强MRI序列的价值,以及新型器官特异性MR对比剂在肝脏和淋巴结成像中的重要性。