[Cine-MR in the assessment of the cardiovascular structures in extensive mediastinal pathology]

Radiol Med. 1992 Jan-Feb;83(1-2):24-30.
[Article in Italian]

Abstract

The authors report their experience with cine-MRI in evaluating the infiltration of the main cardiovascular structures by expansive mediastinal masses. Twenty-four patients with proven lung (12 cases) and mediastinal (12 cases) cancers, previously selected with CT, underwent MRI examination of the chest. A superconductive 1.0 T unit was employed. Cytohistologic confirmation was obtained in all cases (6 thymomas, 6 lymphomas, 12 lung cancers). Ten normal subjects were also studied as a control group. Axial, coronal, and sagittal SE T1 images were obtained as the basis for MRI investigation of the chest. Subsequently, gradient-echo pulse-sequences images were obtained during the whole cardiac cycle, and later displayed on cine-Mode, on the section plane where vessel wall was closest to the tumor. The results prove cine-MRI to allow a correct diagnosis to be made in all cases, especially in those patients where CT and conventional SE MRI yielded questionable results. This preliminary experience suggests that cine-MRI could be used as a complementary method to CT and conventional SE MRI in evaluating mediastinal vessel involvement.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cardiovascular System / pathology*
  • Female
  • Humans
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / pathology
  • Magnetic Resonance Imaging / instrumentation
  • Magnetic Resonance Imaging / methods*
  • Male
  • Mediastinal Neoplasms / diagnosis*
  • Mediastinal Neoplasms / pathology
  • Middle Aged
  • Motion Pictures* / instrumentation
  • Neoplasm Invasiveness
  • Neoplasm Staging