基于加多的对比剂在磁共振成像结构化报告和数据系统 (RADS) 中的作用
Marco Parillo1,2, Carlo Augusto Mallio1,2, Aart J Van der Molen3
1Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Rome, Italy.
Magma (New York, N.Y.)
|September 13, 2023
概括
基于加多的对比剂 (GBCA) 对大多数当前的磁共振成像 (MRI) 报告和数据系统 (RADS) 至关重要,特别是在癌症诊断中. 未来的研究可能会减少一些MRI应用中的GBCA依赖.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 在瘤学瘤学.
背景情况:
- 磁共振成像 (MRI) 使用各种报告和数据系统 (RADS).
- 基于加多的对比剂 (GBCA) 提高MRI诊断的准确性,但带有潜在的风险.
- 在不同的MRI RADS中GBCA的必要性和作用需要澄清.
研究的目的:
- 审查和总结GBCA在已建立的MRI RADS中的当前应用和重要性.
- 为了确定哪些MRI RADS需要GBCA进行准确的评分和诊断.
- 探索减少GBCA在未来MRI协议中的使用的潜力.
主要方法:
- 对28个报告和数据系统 (RADS) 的文献综述.
- 15个适用于MRI的RADS的识别.
- 对每个已识别的MRI RADS的GBCA要求进行分析.
主要成果:
- 目前,大多数MRI RADS都需要GBCA,特别是在癌症成像中.
- 动态对比增强对于PI-RADS和VI-RADS评分至关重要.
- 在MET-RADS-P,MY-RADS,ONCO-RADS,NS-RADS和Node-RADS中,由于MRI固有的对比分辨率,GBCA是可选的.
- 在骨-RADS中可能需要对比度增强,以进行侵略性病变分类.
结论:
- GBCA仍然是当前大多数MRI RADS的组成部分,特别是对于瘤学.
- 一些MRI RADS,如PI-RADS和VI-RADS,依赖于动态对比增强.
- 未来的研究应该调查先进的GBCA和MRI技术对RADS评分的影响,以最大限度地减少对比剂的使用.
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