MR imaging of the thorax:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | Magnetic resonance imaging clinics of North America
8,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X, 224 S. Ill. |
Internformat
MARC
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Datensatz im Suchindex
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MR IMAGING OF THE THORAX
CONTENTS
Foreword xi
Scott A. Mirowitz
Preface xiii
Charles S. White
MR Imaging of the Thoracic Aorta 1
Gautham P. Reddy and Charles B. Higgins
MR imaging is an effective modality for noninvasive morphologic and
functional assessment of the thoracic aorta. MR imaging provides several
advantages for vascular imaging, including intrinsic contrast between the
blood pool and vascular structures, multiplanar imaging capability, and
the absence of ionizing radiation. By combining imaging and flow sensi¬
tive techniques, MR imaging can be used to delineate morphology and to
quantify bloodflow volume and velocity. In patients who need sequential
examinations over time to monitor disease severity, a noninvasive tech¬
nique such as MR imaging is desirable.
MR Imaging of Thoracic Veins 17
Charles S. White
Thoracic venous anomalies are conveniently classified as systemic or pul¬
monary. Congenital systemic venous anomalies are often incidental find¬
ings, whereas congenital pulmonary venous anomalies are more likely to
manifest with cyanosis and to be associated with congenital cardiac anom¬
alies, especially atrial septal defect. Acquired systemic and pulmonary
venous anomalies are often caused by thrombosis, tumor, or inflammatory
conditions. MR imaging provides excellent delineations of the abnormal
vessels and associated lesions. For example, spin echo techniques show a
flow void and are sufficient to define the venous anatomy, in most cases;
MR angiographic techniques show flowing blood as high signal intensity
and are useful to clarify the course of anomalous veins and the extent of
venous narrowing when vessel walls are difficult to define on spin echo
images. Phase contrast images are valuable for ascertaining the direction
of blood flow and providing a physiologic method of distinguishing the
MRI CLINICS OF NORTH AMERICA
vertical vein of anomalous pulmonary venous return from a left superior
vena cava.
MR Imaging of Thoracic Lymph Nodes: A Comparison of
Computed Tomography and Positron Emission Tomography 33
Phillip M. Boiselle
Evaluating thoracic lymph nodes is an important aspect of staging patients
with non small cell lung cancer. Imaging evaluation of thoracic lymph
nodes has traditionally relied on anatomic features of lymph nodes, but
this approach has been limited by a relatively low sensitivity and specific¬
ity. Recent advances in physiologic imaging techniques include improved
sensitivity and specificity. This article reviews the comparative merits of
imaging thoracic lymph nodes with MR imaging, CT, and F 18 FDG
PET imaging.
MR Imaging of Lung Cancer 43
Linda B. Haramati and Charles S. White
Computed tomography of the chest is the present mainstay of cross
sectional imaging in patients with lung cancer. MR imaging, however,
plays a complementary role in evaluating apical tumor and is often used
as a problem solving tool when CT findings are equivocal. New develop¬
ments such as contrast enhanced MR imaging and whole body MR im¬
aging may broaden the indications for this technique in the future.
MR Imaging of Mediastinal Masses 59
Jeremy J. Erasmus, H. Page McAdams, Lane F. Donnelly, and
Charles E. Spritzer
Although CT provides the requisite information in most patients with
mediastinal abnormalities, the multiplanar and high contrast resolution
capabilities of MR imaging are also useful. Typically, MR imaging is used
to further evaluate abnormalities detected by CT, to provide additional
information about the location and extent of disease, and to confirm the
cystic nature of mediastinal lesions that appear solid on CT. MR imaging
is the modality of choice for imaging neurogenic tumors because it can
optimally demonstrate the number and nature of lesions, intraspinal exten¬
sion, and craniocaudad extent. MR imaging also is especially useful for
evaluating the mediastinum of patients in whom the administration of
iodinated contrast material is contraindicated.
MR Imaging of Thoracic Trauma 91
Stuart E. Mirvis and K. Shanmuganathan
Although not usually performed in the acute posttraumatic setting, except
for central nervous system injury, MR imaging can play an important
problem solving role in some instances of blunt chest trauma. In the
authors' practice, MR imaging has been found to be useful in the stable
patient, after acute imaging assessment with radiography and CT, to
assess for potential diaphragm injury, atypical aortic injuries, and other
miscellaneous conditions that can mimic traumatic pathology.
MR Imaging of Pulmonary Parenchyma 105
John R. Mayo
This article summarizes the physical basis for the limited image quality
obtained within aerated lung parenchyma, using current MR equipment;
outlines the improved image quality that can be obtained with lung
parenchymal MR imaging sequences; and illustrates the unique physio¬
logic information that can be obtained.
MR Imaging of the Pleura and Chest Wall 125
Barbara L. Knisely, Lynn S. Broderick, and Janet E. Kuhlman
MR imaging allows improved evaluation of the diaphragmatic, mediasti
nal, and apical regions of the chest. Additionally, the multiplanar capability
and superior imaging of soft tissue contrast aid in the evaluation of chest
wall and pleural abnormalities. MR imaging also is useful in specific cases
of tumors, infections, pleural effusions, and masses. The extent of chest
wall and pleural infections and tumors is evaluated well, and muscle,
bone marrow, or vascular invasion by chest wall tumors may be detected
by MR imaging.
MR Imaging of the Thoracoabdominal Junction 143
Maria E. Pace and Thorsten L. Krebs
Many abnormalities that arise above or below the diaphragm can involve
the thoracoabdominal junction, a region that is often difficult to assess on
standard radiographic imaging. This article reviews the advantages of MR
imaging in helping to evaluate and diagnose a variety of diaphragmatic
and peri diaphragmatic processes.
MR Imaging of the Thyroid and Parathyroid Glands 163
Michael B. Gotway and Charles B. Higgins
Whereas scintigraphy and ultrasonography are the primary imaging mod
alites used for the investigation of thyroid disorders, MR imaging is
generally used for specific indications, including evaluating the extent of
substernal goiters, assessing the effect on adjacent structures, imaging the
local extent of thyroid carcinomas, and localizing recurrent sites of thyroid
neoplasia. MR imaging also has been used for the investigation of congeni¬
tal disorders of the thyroid gland and the evaluation of diffuse thyroid
disease, such as Grave's disease, Hashimoto's and Riedel thyroiditis, and
hemochromatosis. MR imaging of the parathyroid glands is generally used
for patients with recurrent or persistent hyperparathyroidism following
neck exploration. MR imaging provides useful information about morpho¬
logic abnormalities of the thyroid and parathyroid glands. MR imaging
has good sensitivity and positive predictive value for the identification of
non ectopic and ectopic abnormal parathyroid glands. The detailed ana¬
tomic information provided by MR imaging is useful in planning a surgical
approach and is complementary to other imaging methods used in the
investigation of recurrent or persistent hyperparathyroidism.
MR Imaging of the Thoracic Inlet 183
Abraham M. Obuchowski and A. Orlando Ortiz
The borders of the thoracic inlet define an oblique plane that angles
downward from the spine anteriorly to the first ribs. It is therefore best to
consider the thoracic inlet as a region or "zone" which extends a short
distance above and below this plane to include the lower portion of the
infrahyoid neck and the upper portion of the superior mediastinum. MRs
multiplanar imaging capability allows the thoracic inlet to be subdivided
into four distinct zones; visceral, neurovascular, pulmonary, and spinal.
The first section of this article reviews the normal anatomy of each zone
and the sequence protocol for imaging of the brachial plexus. The second
section discusses differential diagnoses relevant to each zone. Pathologic
processes are also presented.
Novel Techniques for MR Imaging of Pulmonary Airspaces 205
H. Page McAdams, Hiroto Hatabu, Lane F. Donnelly, Qun Chen,
Eiji Tadamura, and James R. MacFall
This article discusses hyperpolarized gas and molecular oxygen enhanced
imaging, two new techniques of high resolution MR imaging of pulmonary
airspaces. Both techniques produce excellent images in a safe, reproduc¬
ible, and technically feasible manner. Because morphologic and functional
information are obtained and radiation is not used, these techniques may
prove ideal for serial evaluation of patients with a variety of lung diseases
that affect ventilation, such as cystic fibrosis, emphysema, asthma, or
bronchiolitis obliterans syndrome in lung transplant recipients.
Index 221
Subscription Information Inside back cover |
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| spelling | MR imaging of the thorax Charles S. White, guest ed. Philadelphia [u.a.] Saunders 2000 X, 224 S. Ill. txt rdacontent n rdamedia nc rdacarrier Magnetic resonance imaging clinics of North America 8,1 Radiographie thoracique Radiography, Thoracic Krankheit (DE-588)4032844-2 gnd rswk-swf Brustorgan (DE-588)4194536-0 gnd rswk-swf Kernspintomografie (DE-588)4120806-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Brustorgan (DE-588)4194536-0 s Krankheit (DE-588)4032844-2 s Kernspintomografie (DE-588)4120806-7 s DE-604 White, Charles S. Sonstige oth Magnetic resonance imaging clinics of North America 8,1 (DE-604)BV009716794 8,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008912116&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | MR imaging of the thorax Magnetic resonance imaging clinics of North America Radiographie thoracique Radiography, Thoracic Krankheit (DE-588)4032844-2 gnd Brustorgan (DE-588)4194536-0 gnd Kernspintomografie (DE-588)4120806-7 gnd |
| subject_GND | (DE-588)4032844-2 (DE-588)4194536-0 (DE-588)4120806-7 (DE-588)4143413-4 |
| title | MR imaging of the thorax |
| title_auth | MR imaging of the thorax |
| title_exact_search | MR imaging of the thorax |
| title_full | MR imaging of the thorax Charles S. White, guest ed. |
| title_fullStr | MR imaging of the thorax Charles S. White, guest ed. |
| title_full_unstemmed | MR imaging of the thorax Charles S. White, guest ed. |
| title_short | MR imaging of the thorax |
| title_sort | mr imaging of the thorax |
| topic | Radiographie thoracique Radiography, Thoracic Krankheit (DE-588)4032844-2 gnd Brustorgan (DE-588)4194536-0 gnd Kernspintomografie (DE-588)4120806-7 gnd |
| topic_facet | Radiographie thoracique Radiography, Thoracic Krankheit Brustorgan Kernspintomografie Aufsatzsammlung |
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