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Evaluation of lung tumor perfusion by dynamic contrast-enhanced MRI

✍ Scribed by Sandra Pauls; Felix M. Mottaghy; Stefan A. Schmidt; Stefan Krüger; Peter Möller; Hans-Jürgen Brambs; Arthur Wunderlich


Publisher
Elsevier Science
Year
2008
Tongue
English
Weight
408 KB
Volume
26
Category
Article
ISSN
0730-725X

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✦ Synopsis


The characterization of solid pulmonary lesions with imaging methods remains a diagnostic challenge. The aim of this study was to correlate kinetic parameters of dynamic perfusion magnetic resonance imaging (MRI) with histological tumor classification. Dynamic contrast-enhanced MRI of 31 patients with pulmonary masses (five benign lesions, 26 malignant tumors) was acquired in the tumor areas every 20 s for a mean duration of 124 s. Contrast uptake (CU) was measured by signal analysis in regions of interest (ROIs). The beginning and duration of CU, maximum CU (MCU, % of baseline), maximum contrast upslope (%/s) and the delay to the maximum contrast upslope (s) were calculated. All lesions were classified histologically. The beginning of CU correlated significantly with the MCU delay in all lesions (P =.033). The frequency of a plateau phase was higher in malignant tumors compared to benign lesions (P =.031). Masses with a high MCU showed more frequently a washout of contrast medium after a plateau phase (P =.006) and a higher maximum contrast upslope (P b.001). The MCU delay time was shorter in adenocarcinoma than in squamous cell carcinoma (P =.004). These results indicate that dynamic contrast enhanced MRI might become instrumental in differentiating benign from malignant intrapulmonary tumors and distinguishing adenocarcinoma from squamous cell carcinoma.


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