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全身磁共振成像与肿瘤学:近期的重大进展

Whole Body MRI and oncology: recent major advances.

作者信息

Pasoglou Vassiliki, Michoux Nicolas, Larbi Ahmed, Van Nieuwenhove Sandy, Lecouvet Frédéric

机构信息

1 Department of Radiology, Centre du Cancer et Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Université Catholique de Louvain , Brussels , Belgium.

2 Department of Radiology, Nimes University Hospital , Nimes , France.

出版信息

Br J Radiol. 2018 Oct;91(1090):20170664. doi: 10.1259/bjr.20170664. Epub 2018 Mar 20.

Abstract

MRI is a very attractive approach for tumour detection and oncological staging with its absence of ionizing radiation, high soft tissue contrast and spatial resolution. Less than 10 years ago the use of Whole Body MRI (WB-MRI) protocols was uncommon due to many limitations, such as the forbidding acquisition times and limited availability. This decade has marked substantial progress in WB-MRI protocols. This very promising technique is rapidly arising from the research world and is becoming a commonly used examination for tumour detection due to recent technological developments and validation of WB-MRI by multiple studies and consensus papers. As a result, WB-MRI is progressively proposed by radiologists as an efficient examination for an expanding range of indications. As the spectrum of its uses becomes wider, radiologists will soon be confronted with the challenges of this technique and be urged to be trained in order to accurately read and report these examinations. The aim of this review is to summarize the validated indications of WB-MRI and present an overview of its most recent advances. This paper will briefly discuss how this examination is performed and which are the recommended sequences along with the future perspectives in the field.

摘要

磁共振成像(MRI)因其无电离辐射、软组织对比度高和空间分辨率高,是肿瘤检测和肿瘤分期的一种非常有吸引力的方法。不到10年前,由于存在许多限制,如采集时间长和可用性有限,全身MRI(WB-MRI)协议的使用并不常见。这十年中,WB-MRI协议取得了重大进展。由于最近的技术发展以及多项研究和共识文件对WB-MRI的验证,这项非常有前景的技术正迅速从研究领域兴起,并成为肿瘤检测常用的检查方法。因此,放射科医生逐渐将WB-MRI作为一种适用于越来越多适应症的有效检查方法。随着其应用范围越来越广,放射科医生很快将面临这项技术的挑战,并被要求接受培训,以便准确解读和报告这些检查。本综述的目的是总结WB-MRI的有效适应症,并概述其最新进展。本文将简要讨论这项检查是如何进行的,推荐的序列有哪些,以及该领域的未来前景。

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