Canale S, Vilcot L, Ammari S, Lemery M, Bidault F, Balleyguier C, Caramella C, Dromain C
Service de radiologie diagnostique, Institut Gustave-Roussy, 114, rue Edouard-Vaillant, 94805 Villejuif, France.
Service de radiologie diagnostique, Institut Gustave-Roussy, 114, rue Edouard-Vaillant, 94805 Villejuif, France.
Diagn Interv Imaging. 2014 Jun;95(6):541-50. doi: 10.1016/j.diii.2013.11.002. Epub 2014 Apr 3.
Whole body MRI provides excellent contrast resolution imaging and is an interesting alternative to nuclear medicine examinations in paediatric oncology because it does not involve exposure to radiation. This technique, now feasible in clinical practice, helps to evaluate metastatic spread and response to treatment, which are of great prognostic interest. Numerous studies have demonstrated the non-inferiority of this technique when compared to nuclear medicine examinations. However, there is still a need to standardize indications in each type of cancer and at every stage of it. This article first discusses the technical principles of whole body MRI, then reviews current clinical applications for the modality in children, and finally, discusses future useful developments for paediatric oncology.
全身磁共振成像（MRI）提供了出色的对比分辨率成像，并且由于不涉及辐射暴露，在儿科肿瘤学中是核医学检查的一个有趣替代方案。这种技术目前在临床实践中可行，有助于评估转移扩散情况以及对治疗的反应，而这些对预后具有重要意义。大量研究已证明该技术与核医学检查相比不存在劣势。然而，仍需要对每种癌症的各个阶段的适应症进行标准化。本文首先讨论全身MRI的技术原理，然后回顾该模式目前在儿童中的临床应用，最后讨论儿科肿瘤学未来有用的发展方向。
