University Hospital Schleswig-Holstein, Campus Kiel, Department of Diagnostic Radiology, Arnold-Heller-Straße 3, Haus 23, 24105, Kiel, Germany,
Insights Imaging. 2012 Aug;3(4):355-71. doi: 10.1007/s13244-011-0146-8. Epub 2012 Feb 13.
Among the modalities for lung imaging, proton magnetic resonance imaging (MRI) has been the latest to be introduced into clinical practice. Its value to replace X-ray and computed tomography (CT) when radiation exposure or iodinated contrast material is contra-indicated is well acknowledged: i.e. for paediatric patients and pregnant women or for scientific use. One of the reasons why MRI of the lung is still rarely used, except in a few centres, is the lack of consistent protocols customised to clinical needs.
This article makes non-vendor-specific protocol suggestions for general use with state-of-the-art MRI scanners, based on the available literature and a consensus discussion within a panel of experts experienced in lung MRI.
Various sequences have been successfully tested within scientific or clinical environments. MRI of the lung with appropriate combinations of these sequences comprises morphological and functional imaging aspects in a single examination. It serves in difficult clinical problems encountered in daily routine, such as assessment of the mediastinum and chest wall, and even might challenge molecular imaging techniques in the near future.
This article helps new users to implement appropriate protocols on their own MRI platforms. Main Messages • MRI of the lung can be readily performed on state-of-the-art 1.5-T MRI scanners. • Protocol suggestions based on the available literature facilitate its use for routine • MRI offers solutions for complicated thoracic masses with atelectasis and chest wall invasion. • MRI is an option for paediatrics and science when CT is contra-indicated.
在肺部成像方式中，质子磁共振成像（MRI）是最新引入临床实践的一种。当存在辐射暴露或碘造影剂禁忌时，它可以替代 X 射线和计算机断层扫描（CT），这一点已得到广泛认可：例如，用于儿科患者、孕妇或科研用途。除了少数中心外，肺部 MRI 应用仍然较少的原因之一是缺乏针对临床需求定制的一致协议。
本文基于现有文献和一组在肺部 MRI 方面经验丰富的专家的共识讨论，针对最先进的 MRI 扫描仪提出了非特定于供应商的通用协议建议。
在科学或临床环境中已经成功测试了各种序列。通过适当组合这些序列，肺部 MRI 可以在单次检查中同时进行形态学和功能成像。它可用于解决日常工作中遇到的困难临床问题，例如评估纵隔和胸壁，甚至在不久的将来可能会挑战分子成像技术。
本文有助于新用户在自己的 MRI 平台上实施适当的协议。主要信息
肺部 MRI 可以在最先进的 1.5-T MRI 扫描仪上轻松进行。
基于现有文献的协议建议有助于常规应用。
MRI 为伴有肺不张和胸壁侵犯的复杂胸部肿块提供了解决方案。
在 CT 禁忌的情况下，MRI 是儿科和科研的一种选择。
