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Practical Tips for MR Imaging of Perineural Tumor Spread
Claudia F E Kirsch1, Ilona M Schmalfuss2
1Division of Neuroradiology Imaging Service Line, Department of Radiology, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA.
Magnetic Resonance Imaging Clinics of North America
|November 13, 2017
Summary
Perineural tumor spread (PNS) significantly impacts patient outcomes and treatment. Radiologists must understand cranial nerve anatomy and connections to accurately map PNS extent for effective patient management.
Area of Science:
- Radiology
- Oncology
- Neuroscience
Background:
- Perineural tumor spread (PNS) is a critical factor influencing patient prognosis and treatment strategies.
- Accurate assessment of PNS is essential for determining appropriate clinical management.
Purpose of the Study:
- To emphasize the importance of radiologists' familiarity with cranial nerve anatomy and neuronal pathways.
- To highlight the role of imaging in mapping the extent of perineural tumor spread.
Main Methods:
- Review of neuroanatomy and common pathways of cranial nerve involvement in PNS.
- Correlation of imaging findings with clinical implications for treatment planning.
Main Results:
- Understanding nerve pathways is crucial for precise mapping of PNS.
- The extent of nerve involvement dictates treatment options, from resection to radiation therapy.
Conclusions:
- Radiologists' knowledge of neuroanatomy is vital for accurate PNS assessment.
- Effective mapping of PNS guides therapeutic decisions, improving patient care and outcomes.

