Ladd Susanne C, Ladd Mark E
Department of Diagnostic and Interventional Radiology, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany.
Eur Radiol. 2007 Nov;17(11):2889-97. doi: 10.1007/s00330-007-0657-3. Epub 2007 Jun 5.
Radiology has started to increasingly recognise its potential for screening with the advent of "whole-body" imaging techniques. This article briefly reviews prerequisites for successful screening, presents a quick summary of single-organ screening with magnetic resonance (MR) imaging, and introduces how this knowledge can be integrated into whole-body MR (wb-MR) screening. MR colonography has demonstrated its potential for screening. Wb-MR in the form of wb-MR angiography has already entered both clinical and screening settings; also, the search for metastases with wb-MR has been evaluated and has performed well when compared with other imaging modalities. But screening a group of healthy subjects requires more than feasibility and high accuracy of the screening test; thus, technical and ethical considerations are also presented. Wb-MR is only at its beginning and will in the near future certainly inspire many new research activities as well as transform the radiological market.
随着“全身”成像技术的出现,放射学已开始越来越多地认识到其在筛查方面的潜力。本文简要回顾了成功进行筛查的先决条件,简要总结了磁共振(MR)成像在单器官筛查方面的情况,并介绍了如何将这些知识整合到全身MR(wb-MR)筛查中。MR结肠成像已证明其在筛查方面的潜力。wb-MR血管造影形式的wb-MR已进入临床和筛查领域;此外,与其他成像方式相比,利用wb-MR寻找转移灶已得到评估且表现良好。但是,对一组健康受试者进行筛查需要的不仅仅是筛查测试的可行性和高准确性;因此,还介绍了技术和伦理方面的考虑因素。wb-MR尚处于起步阶段,在不久的将来肯定会激发许多新的研究活动,并改变放射学市场。