Desmoid tumor MRI: Difference between revisions

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{{CMG}} {{AE}}{{S.M.}}{{Faizan}}
==Overview==
==Overview==
MRI is preferred over CT, especially for truncal and extremity desmoid tumors. On [[MRI]], desmoid tumor has variable characteristics depending on their cellularity and fibrous content with loss of signal following fat saturation. They appear isointense/hypointense on T1 and hyperintense on T2.
[[Magnetic resonance imaging|MRI]] is preferred over [[Computed tomography|CT]], especially for truncal and extremity [[Desmoid tumor|desmoid tumors]]. On [[MRI]], [[desmoid tumor]] has variable characteristics depending on their cellularity and [[fibrous]] content with loss of signal following [[fat]] [[saturation]]. They appear isointense/hypointense on [[T1]] and hyperintense on T2.


==MRI==
==MRI==

Revision as of 15:58, 13 March 2019

Desmoid tumor Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Desmoid tumor from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

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Other Imaging Findings

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Medical Therapy

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]Faizan Sheraz, M.D. [3]

Overview

MRI is preferred over CT, especially for truncal and extremity desmoid tumors. On MRI, desmoid tumor has variable characteristics depending on their cellularity and fibrous content with loss of signal following fat saturation. They appear isointense/hypointense on T1 and hyperintense on T2.

MRI

  • MRI is required in order to:
    • Define the relationship of the tumor to adjacent structures
    • Assess resectability
    • Find out the need for treatment
    • Monitor recurrence after surgery
  • MRI is preferred over CT, especially for truncal and extremity tumors
  • MRI characteristics of desmoid tumors are variable depending on their cellularity and fibrous content:[1][2][3][4]
MRI characteristics of desmoid tumors
MRI sequence Characteristics
T1
  • Homogeneously isointense
  • Hypointense
  • Mildly hyperintense
  • Low intensity signal
T1 C+ (Gd)
  • Typically enhances avidly
T2/STIR
  • High heterogeneous signal
  • Predominantly hyperintense (T2 hyperintensity may diminish over time as tumor cellularity decreases and collagen deposition increases)
  • Hypointense bands may be seen that represent dense collections of collagen bundles
  • With gadolinium administration
    • Desmoids typically show moderate to marked enhancement
    • Hypointense bands may become more apparent because collagen bundles are not enhanced by contrast material
GE
  • Peripheral areas of smooth low signal intensity that do not represent calcification or hemorrhage are characteristic

Reference

  1. Desmoid tumor. Radiopedia(2015) http://radiopaedia.org/articles/aggressive-fibromatosis. Accessed on January 20, 2015
  2. Azizi L, Balu M, Belkacem A, Lewin M, Tubiana JM, Arrivé L (2005). "MRI features of mesenteric desmoid tumors in familial adenomatous polyposis". AJR Am J Roentgenol. 184 (4): 1128–35. doi:10.2214/ajr.184.4.01841128. PMID 15788583.
  3. Vandevenne JE, De Schepper AM, De Beuckeleer L, Van Marck E, Aparisi F, Bloem JL; et al. (1997). "New concepts in understanding evolution of desmoid tumors: MR imaging of 30 lesions". Eur Radiol. 7 (7): 1013–9. doi:10.1007/s003300050243. PMID 9265665.
  4. Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E (2006). "Aggressive fibromatosis: MRI features with pathologic correlation". AJR Am J Roentgenol. 186 (1): 247–54. doi:10.2214/AJR.04.1674. PMID 16357411.
  5. Desmoid Tumor mri. https://en.wikipedia.org/wiki/Aggressive_fibromatosis#/media/File:MRI_desmoid_T1_fl2d_FS.jpg

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