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Am J Clin Oncol. 2008 Jun;31(3):285-92. doi: 10.1097/COC.0b013e31815e3ff4.

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

Author information

1
Service de Radiologie, Hôpital de la Croix-Rousse, Lyon, France. vivien.thomson@chu-lyon.fr

Abstract

OBJECTIVES:

To evaluate 3D Volumetric Interpolated Breath-hold Examination (VIBE) whole-body MRI (WB-MRI) acquisition for the metastases staging.

METHODS:

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).

RESULTS:

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.

CONCLUSION:

The results of this study indicate that WB-MRI is a feasible and promising technique for tumor staging.

PMID:
18525309
DOI:
10.1097/COC.0b013e31815e3ff4
[Indexed for MEDLINE]

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