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Georg Thieme Verlag Stuttgart, New York

Rofo. 1989 Nov;151(5):590-6. doi: 10.1055/s-2008-1047247.

[Malignant chest wall infiltration in MR: comparison with CT and surgical findings].

RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin

[Article in German]
R Bittner, W Schörner, B Sander, T Weiss, R Loddenkemper, D Kaiser, R Felix

Affiliations

  1. Radiologische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Charlottenburg.

PMID: 2554415 DOI: 10.1055/s-2008-1047247

Abstract

CT and MRI were performed on 19 patients with pleura related thoracic tumors with respect to the detection of chest-wall invasion. All patients underwent surgery, which confirmed malignant infiltration in 16 cases, while this was excluded in three. CT showed chest-wall invasion in 12/19 patients. MRI demonstrated tumorous involvement in 16 patients. A reliable pattern of chest-wall invasion in MRI were high signal intensity lesions within the chest-wall in the T2-weighted images. However, increased signal intensity of pleural structures was found in inflammatory as well as in malignant lesions. MRI can prove the presence of chest-wall invasion when CT is equivocal.

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