Department of Radiology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Department of Oncology and Hematology, University of Milan, Milan, Italy.
Radiol Med. 2019 Mar;124(3):218-233. doi: 10.1007/s11547-018-0955-7. Epub 2018 Nov 14.
The past decade has witnessed a growing role and increasing use of whole-body magnetic resonance imaging (WB-MRI). Driving these successes are developments in both hardware and software that have reduced overall examination times and significantly improved MR imaging quality. In addition, radiologists and clinicians have continued to find promising new applications of this innovative imaging technique that brings together morphologic and functional characterization of tissues. In oncology, the role of WB-MRI has expanded to the point of being recommended in international guidelines for the assessment of several cancer histotypes (multiple myeloma, melanoma, prostate cancer) and cancer-prone syndromes (Li-Fraumeni and hereditary paraganglioma-pheochromocytoma syndromes). The literature shows growing use of WB-MRI for the staging and follow-up of other cancer histotypes and cancer-related syndromes (including breast cancer, lymphoma, neurofibromatosis, and von Hippel-Lindau syndromes). The main aim of this review is to examine the current scientific evidence for the use of WB-MRI in oncology.
过去十年见证了全身磁共振成像(WB-MRI)的作用不断增强,应用日益广泛。推动这些成功的是硬件和软件的发展,这些发展缩短了整体检查时间,并显著提高了磁共振成像质量。此外,放射科医生和临床医生不断发现这种创新成像技术的有前途的新应用,该技术将组织的形态和功能特征结合在一起。在肿瘤学中,WB-MRI 的作用已经扩大到国际指南推荐用于评估几种癌症组织类型(多发性骨髓瘤、黑色素瘤、前列腺癌)和易患癌症的综合征(Li-Fraumeni 和遗传性副神经节瘤-嗜铬细胞瘤综合征)的程度。文献显示,WB-MRI 在其他癌症组织类型和癌症相关综合征(包括乳腺癌、淋巴瘤、神经纤维瘤病和 von Hippel-Lindau 综合征)的分期和随访中的应用不断增加。本文的主要目的是检查 WB-MRI 在肿瘤学中的应用的当前科学证据。