DOI QR코드

DOI QR Code

Utility of Magnetic Resonance Imaging in the Diagnosis of Lung Adenocarcinoma with Extensive Necrosis: a Case Report

  • Choi, Sang Lim (Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Cha, Min Jae (Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Choi, Hye Won (Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Park, Byung-Joon (Department of Thoracic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Kim, Mi Kyung (Department of Pathology, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Kim, Jae Yeol (Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine)
  • Received : 2018.09.11
  • Accepted : 2018.10.30
  • Published : 2018.12.30

Abstract

Application of magnetic resonance imaging (MRI) for assessment of pulmonary disease has been limited, due to susceptibility to cardiac pulsation, respiratory motion, and inhomogeneity of the magnetic field of the lung. With technical advances of MRI and unmet clinical needs for more accurate diagnosis and assessment of the disease, however, the use of MRI for evaluation of the lung has broadened. Herein, we present a case of pneumonic-type lung adenocarcinoma in a patient with history of anaphylactic shock to iodinated contrast medium, in which MRI played a critical role for targeted lung biopsy and cancer staging. Through this paper, we would like to report potential value of MRI in assessment of lung cancer.

Keywords

References

  1. Khalil A, Majlath M, Gounant V, Hess A, Laissy JP, Debray MP. Contribution of magnetic resonance imaging in lung cancer imaging. Diagn Interv Imaging 2016;97:991-1002 https://doi.org/10.1016/j.diii.2016.08.015
  2. Hochhegger B, Marchiori E, Sedlaczek O, et al. MRI in lung cancer: a pictorial essay. Br J Radiol 2011;84:661-668 https://doi.org/10.1259/bjr/24661484
  3. Koyama H, Ohno Y, Seki S, et al. Magnetic resonance imaging for lung cancer. J Thorac Imaging 2013;28:138-150 https://doi.org/10.1097/RTI.0b013e31828d4234
  4. Kim HS, Lee KS, Ohno Y, van Beek EJ, Biederer J. PET/CT versus MRI for diagnosis, staging, and follow-up of lung cancer. J Magn Reson Imaging 2015;42:247-260 https://doi.org/10.1002/jmri.24776
  5. Gaeta M, Ascenti G, Mazziotti S, Contiguglia R, Barone M, Mileto A. MRI differentiation of pneumonia-like mucinous adenocarcinoma and infectious pneumonia. Eur J Radiol 2012;81:3587-3591 https://doi.org/10.1016/j.ejrad.2011.12.022
  6. Gaeta M, Minutoli F, Ascenti G, et al. MR white lung sign: incidence and significance in pulmonary consolidations. J Comput Assist Tomogr 2001;25:890-896 https://doi.org/10.1097/00004728-200111000-00011
  7. Liu Y, Zhang HL, Mei JZ, et al. Primary mucinous adenocarcinoma of the lung: a case report and review of the literature. Oncol Lett 2017;14:3701-3704 https://doi.org/10.3892/ol.2017.6615
  8. Guimaraes MD, Marchiori E, Odisio BC, et al. Functional imaging with diffusion-weighted MRI for lung biopsy planning: initial experience. World J Surg Oncol 2014;12:203 https://doi.org/10.1186/1477-7819-12-203
  9. Natsume M, Sano H, Fukusada S, et al. Gadolinium as an alternative radiocontrast agent in patients with allergy to iodine-based contrast provide for useful diagnostic imagings and safely treatment of biliary tract diseases. Nihon Shokakibyo Gakkai Zasshi 2013;110:825-832
  10. Fraioli F, Screaton NJ, Janes SM, et al. Non-small-cell lung cancer resectability: diagnostic value of PET/MR. Eur J Nucl Med Mol Imaging 2015;42:49-55 https://doi.org/10.1007/s00259-014-2873-9