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Thoracic magnetic resonance imaging.

J C Weinreb1, D P Naidich

  • 1Department of Radiology, New York University/Bellevue Hospital Center, New York.

Clinics in Chest Medicine
|March 1, 1991
PubMed
Summary
This summary is machine-generated.

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Magnetic resonance (MR) is a valuable problem-solving tool in thoracic imaging, particularly for cardiovascular pathology and thoracic neoplasia. It offers accurate assessments, often serving as a preferred alternative to CT or angiography.

Area of Science:

  • Radiology
  • Medical Imaging
  • Diagnostic Techniques

Background:

  • Computed tomography (CT) can be equivocal in certain thoracic conditions.
  • Magnetic resonance (MR) has emerged as a powerful problem-solving tool in diagnostic imaging.
  • The utility of MR in evaluating various thoracic pathologies requires comprehensive summarization.

Purpose of the Study:

  • To review the efficacy of magnetic resonance (MR) in diagnosing a wide range of thoracic diseases.
  • To highlight specific applications where MR offers advantages over conventional imaging modalities like CT.
  • To establish MR as a primary imaging choice in select thoracic conditions.

Main Methods:

  • Review of clinical experience with magnetic resonance (MR) imaging in thoracic disease.

Related Experiment Videos

  • Comparison of MR findings with CT and angiography in cardiovascular pathology and thoracic neoplasia.
  • Evaluation of MR's accuracy in assessing mediastinal invasion, venous obstruction, and hilar abnormalities.

    • Main Results:

    • MR accurately assesses the spectrum of aortic disease, serving as an alternative to CT/angiography.
    • MR is more accurate than CT in evaluating thoracic wall and mediastinal invasion, crucial for Pancoast tumors.
    • MR aids in assessing lymphoma response to therapy and venous obstruction, especially with contrast contraindications.
    • MR is as accurate as CT for benign mediastinal pathology, differentiating masses from vessels.
    • MR effectively evaluates complex cystic lesions and hilar abnormalities, offering an alternative for patients with renal failure or contrast allergies.
    • MR can differentiate hilar tumors and assess vessel/airway encasement, aiding in resectability determination.

    Conclusions:

    • Magnetic resonance (MR) is a highly efficacious imaging modality for diverse thoracic conditions.
    • MR provides superior accuracy in specific scenarios like mediastinal invasion and offers unique diagnostic capabilities.
    • MR is increasingly becoming the imaging procedure of choice for various thoracic diseases, with its role expected to expand with technological advancements.