Gastrointestinal stromal tumor MRI
Gastrointestinal stromal tumor Microchapters |
Differentiating Gastrointestinal stromal tumor from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
MRI scan may be helpful in the diagnosis of gastrointestinal stromal tumor.
MRI
- MRI is more accurate and sensitive than a CT scan for delineating rectal GISTs. For GISTs located at other locations MRI is as sensitive as a CT scan.
- MRI is also more sensitive in identifying hemorrhage, necrosis, surrounding structures and metastasis.[1][2][1][2]
- On an MRI the the presence of hemorrhage, necrosis and cystic change may have variable appearances:
- T1:
- Low signal intensity solid component
- Enhancement is usually present, and predominantly peripheral in larger lesions
- T2: high signal intensity solid component
References
- ↑ 1.0 1.1 Nilsson B, Bümming P, Meis-Kindblom JM, Odén A, Dortok A, Gustavsson B, Sablinska K, Kindblom LG (2005). "Gastrointestinal stromal tumors: the incidence, prevalence, clinical course, and prognostication in the preimatinib mesylate era--a population-based study in western Sweden". Cancer. 103 (4): 821–9. doi:10.1002/cncr.20862. PMID 15648083.
- ↑ 2.0 2.1 Heinrich MC, Corless CL, Demetri GD, Blanke CD, von Mehren M, Joensuu H, McGreevey LS, Chen CJ, Van den Abbeele AD, Druker BJ, Kiese B, Eisenberg B, Roberts PJ, Singer S, Fletcher CD, Silberman S, Dimitrijevic S, Fletcher JA (2003). "Kinase mutations and imatinib response in patients with metastatic gastrointestinal stromal tumor". J. Clin. Oncol. 21 (23): 4342–9. doi:10.1200/JCO.2003.04.190. PMID 14645423.