Suman A, Fiore D, Perale R, Tregnaghi A, Mantovan M, Calabrò F
Istituto di Radiologia, Università di Padova.
Radiol Med. 1993 Jan-Feb;85(1-2):49-53.
Magnetic resonance (MR) is the imaging method used to assess primary and secondary inflammatory lesions of the chest wall. Five patients with inflammatory lesions of the anterior chest wall were submitted to MR examinations in order to define the role of this method in both identification and assessment of the extent of tissue involvement. In all the examined patients MR Imaging accurately showed the involved muscle groups and the presence/absence of mediastinitis. MR Imaging easily detected sternal and clavicular osteomyelitis; in one patient only MR failed to detect osteomyelitis of the first rib. The accurate assessment of soft tissue infections enabled us to select the most suitable surgical therapy to reduce esthetic damage. Two cases were restudied after chest wall reconstruction by means of rotated pectoral flaps. In the 2 patients in whom the differential diagnosis between inflammatory lesion and recurrent tumor could not be made by means of MR Imaging, CT-guided needle biopsy was performed.
磁共振（MR）是用于评估胸壁原发性和继发性炎性病变的成像方法。五名前胸壁炎性病变患者接受了MR检查，以确定该方法在识别和评估组织受累范围方面的作用。在所有接受检查的患者中，MR成像准确显示了受累的肌肉群以及纵隔炎的有无。MR成像很容易检测到胸骨和锁骨骨髓炎；仅在一名患者中，MR未能检测到第一肋骨的骨髓炎。对软组织感染的准确评估使我们能够选择最合适的手术治疗方法，以减少美观损伤。两例患者在通过旋转胸大肌皮瓣进行胸壁重建后再次进行了研究。在两名无法通过MR成像进行炎性病变与复发性肿瘤鉴别诊断的患者中，进行了CT引导下的针吸活检。
