Giron J, Durand G, Benezet O, Senac P
Service d'Imagerie Médicale, Hopital Purpan, Toulouse.
Rev Pneumol Clin. 1994;50(1):5-13.
Magnetic resonance imagery (MRI) is less sensitive than computed tomography (CT) for the detection of pulmonary masses and cannot detect calcifications within such masses. MRI performed during the work-up for bronchial cancers has often been compared with CT scans: neither T nor N can be evaluated with more precision. Nevertheless, there are certain specific indications such as the exploration of proximal tumours with suspected extension into the mediastinum including cardiac and vascular invasion, tumours of the aorto-pulmonary window, the Pancoast-tobias syndromes, and tumours situated near the thoracic wall or the spine.
磁共振成像(MRI)在检测肺部肿块方面不如计算机断层扫描(CT)敏感,且无法检测此类肿块内的钙化情况。在支气管癌检查过程中进行的MRI检查常与CT扫描进行比较:对于T分期和N分期的评估,两者的精确程度并无差异。然而,MRI有某些特定的适应证,例如用于探查怀疑已延伸至纵隔(包括侵犯心脏和血管)的近端肿瘤、主肺动脉窗肿瘤、潘科斯特 - 托比亚斯综合征,以及位于胸壁或脊柱附近的肿瘤。