Glomus tumor MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

MRI is helpful in the diagnosis of glomus tumor. Findings on MRI suggestive of glomus tumor includes hyperintense signal on T2 and PD (proton-density) weighted imaging.

MRI

  • MRI may be helpful in the diagnosis of glomus tumor. Findings on MRI suggestive of glomus tumor include:[1]
    • T1 images
      • Slightly hypointense or hyperintense
    • T2 images
      • Hyperintense
  • Depending on the histologic subtype, diagnosis of glomus tumor may be more difficult and the signal can sometimes appear similar to the nail bed.
    • The T1 image appears much more intense following gadolinium injection, allowing the lesion to be visualized more clearly.
  • The technique can be particularly useful for the detection of early lesions, which are very small (even 2 mm lesions) and difficult to diagnose either by physical examination or using other imaging techniques.[1]
  • It can also be useful for assessment of patients with recurrence or incomplete resolution of symptoms following surgery.[2]
MRI component Findings

T1

Hypointense or hyperintense

T2

  • Hyperintense

T1 with contrast

  • Contrast enhancement (usually uniform) due to vascularity

Gallery

References

  1. 1.0 1.1 Koç O, Kivrak AS, Paksoy Y (2007). "Subungual glomus tumour: magnetic resonance imaging findings". Australas Radiol. 51 Spec No.: B107–9. doi:10.1111/j.1440-1673.2007.01797.x. PMID 17875128.
  2. Drapé JL, Idy-Peretti I, Goettmann S, Wolfram-Gabel R, Dion E, Grossin M; et al. (1995). "Subungual glomus tumors: evaluation with MR imaging". Radiology. 195 (2): 507–15. doi:10.1148/radiology.195.2.7724775. PMID 7724775.


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