Whole-body MRI for metastases screening: a preliminary study using 3D VIBE sequences with automatic subtraction between noncontrast and contrast enhanced images

To evaluate 3D Volumetric Interpolated Breath-hold Examination (VIBE) whole-body MRI (WB-MRI) acquisition for the metastases staging. Thirty-two consecutive patients with solid tumor were examined from head to feet before and after contrast injection. An automatic subtraction occurred between the 2...

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Bibliographic Details
Published in:American journal of clinical oncology Vol. 31; no. 3; p. 285
Main Authors: Thomson, Vivien, Pialat, Jean-Baptiste, Gay, Frédéric, Coulon, Agnès, Voloch, Alain, Granier, Anne, Guérin, Jean-Claude, Viallon, Magalie, Berthezene, Yves
Format: Journal Article
Language:English
Published: United States 01.06.2008
Subjects:
Adrenal Gland Neoplasms - diagnosis
Adrenal Gland Neoplasms - secondary
Adult
Aged
Bone Neoplasms - diagnosis
Bone Neoplasms - secondary
Brain Neoplasms - diagnosis
Brain Neoplasms - secondary
Breast Neoplasms - diagnosis
Colonic Neoplasms - diagnosis
Female
Humans
Image Enhancement - methods
Imaging, Three-Dimensional - methods
Liver Neoplasms - diagnosis
Liver Neoplasms - secondary
Lung Neoplasms - diagnosis
Lung Neoplasms - secondary
Lymphatic Metastasis
Magnetic Resonance Imaging - methods
Male
Mass Screening
Middle Aged
Neoplasm Metastasis - diagnosis
Neoplasm Metastasis - pathology
Neoplasm Staging
Ovarian Neoplasms - diagnosis
Skin Neoplasms - diagnosis
Skin Neoplasms - secondary
Subtraction Technique
Tomography, X-Ray Computed - methods
Uterine Neoplasms - diagnosis
Whole Body Imaging
ISSN:1537-453X, 1537-453X
Online Access:Get more information
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Summary:To evaluate 3D Volumetric Interpolated Breath-hold Examination (VIBE) whole-body MRI (WB-MRI) acquisition for the metastases staging. Thirty-two consecutive patients with solid tumor were examined from head to feet before and after contrast injection. An automatic subtraction occurred between the 2 series of images. WB-MRI was compared with conventional staging techniques (CT, scintigraphy, brain MRI, and whole-body PET in 4 cases). WB-MRI and the reference techniques depicted metastases in 25 patients. WB-MRI depicted more bone lesions in the spine, pelvis, skull, femur, and tibia, whereas scintigraphy detected more rib lesions. WB-MRI depicted 27 cerebral metastases, whereas brain MRI depicted 40 cerebral metastases. WB-MRI depicted a total of 8 hepatic metastases, 8 adrenal lesions, and conventional staging 7 hepatic metastases and 10 adrenal lesions. WB-MRI examination depicted lung metastases in 10 patients, and CT examination in 13 patients. The results of this study indicate that WB-MRI is a feasible and promising technique for tumor staging.
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ISSN:1537-453X
1537-453X
DOI:10.1097/COC.0b013e31815e3ff4