MRI of the lung (2/3). Why … when … how?
Open Access
- 13 February 2012
- journal article
- guideline
- Published by Springer Science and Business Media LLC in Insights into Imaging
- Vol. 3 (4), 355-371
- https://doi.org/10.1007/s13244-011-0146-8
Abstract
Background Among the modalities for lung imaging, proton magnetic resonance imaging (MRI) has been the latest to be introduced into clinical practice. Its value to replace X-ray and computed tomography (CT) when radiation exposure or iodinated contrast material is contra-indicated is well acknowledged: i.e. for paediatric patients and pregnant women or for scientific use. One of the reasons why MRI of the lung is still rarely used, except in a few centres, is the lack of consistent protocols customised to clinical needs. Methods This article makes non-vendor-specific protocol suggestions for general use with state-of-the-art MRI scanners, based on the available literature and a consensus discussion within a panel of experts experienced in lung MRI. Results Various sequences have been successfully tested within scientific or clinical environments. MRI of the lung with appropriate combinations of these sequences comprises morphological and functional imaging aspects in a single examination. It serves in difficult clinical problems encountered in daily routine, such as assessment of the mediastinum and chest wall, and even might challenge molecular imaging techniques in the near future. Conclusion This article helps new users to implement appropriate protocols on their own MRI platforms. Main Messages • MRI of the lung can be readily performed on state-of-the-art 1.5-T MRI scanners. • Protocol suggestions based on the available literature facilitate its use for routine • MRI offers solutions for complicated thoracic masses with atelectasis and chest wall invasion. • MRI is an option for paediatrics and science when CT is contra-indicatedKeywords
This publication has 88 references indexed in Scilit:
- MagnetresonanztomographieDer Pneumologe, 2011
- Pulmonary perfusion heterogeneity is increased by sustained, heavy exercise in humansJournal of Applied Physiology, 2009
- Non‐contrast‐enhanced perfusion and ventilation assessment of the human lung by means of fourier decomposition in proton MRIMagnetic Resonance in Medicine, 2009
- Clinical Application of MRI in Children for the Assessment of Pulmonary DiseasesRöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, 2009
- Hypoxic pulmonary vasoconstriction does not contribute to pulmonary blood flow heterogeneity in normoxia in normal supine humansJournal of Applied Physiology, 2009
- Methods of Prospective Investigation of Pulmonary Embolism Diagnosis III (PIOPED III)Seminars in Nuclear Medicine, 2008
- MRI of pulmonary nodules: technique and diagnostic valueCancer Imaging, 2008
- Time-Resolved MR Angiography: A Primary Screening Examination of Patients with Suspected Pulmonary Embolism and Contraindications to Administration of Iodinated Contrast MaterialAmerican Journal of Roentgenology, 2007
- Acute Pulmonary Embolism to the Subsegmental Level: Diagnostic Accuracy of Three MRI Techniques Compared with 16-MDCTAmerican Journal of Roentgenology, 2006
- Magnetic resonance imaging findings in pulmonary Kaposi's sarcoma: a series of 10 casesEuropean Respiratory Journal, 1994