Retinoblastoma MRI: Difference between revisions

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{{CMG}}
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{{Retinoblastoma}}
{{Retinoblastoma}}
 
{{CMG}}; {{AE}} {{Sahar}} {{Simrat}}
==Overview==
[[Magnetic resonance imaging|MRI]] findings of retinoblastoma include hyperintense [[mass]] on T1-weighted [[MRI]] and hypointense [[mass]] on T2-weighted [[MRI]].
==MRI==
==MRI==
'''High-resolution contrast enhanced MRI''' is the diagnostic technique of choice and should be used whenever possible to answer the key clinical questions. It has been proved to be the '''most sensitive technique''' for evaluating retinoblastoma<ref name="pmid21850471">{{cite journal |author=de Graaf P, Göricke S, Rodjan F, Galluzzi P, Maeder P, Castelijns JA, Brisse HJ |title=Guidelines for imaging retinoblastoma: imaging principles and MRI standardization |journal=[[Pediatric Radiology]] |volume=42 |issue=1 |pages=2–14 |year=2012 |month=January |pmid=21850471 |pmc=3256324 |doi=10.1007/s00247-011-2201-5 |url=http://dx.doi.org/10.1007/s00247-011-2201-5 |accessdate=2012-05-29}}</ref> especially regarding tumor infiltration of the optic nerve, extraocular extension and intracranial disease. The 3D-multiplanar capability provide detailed examination of tumors and retrobulbar and intracranial structures. The tumor appears as '''heterogenously enhancing soft tissue mass with various degrees of calcification'''.<ref name="pmid10915702">{{cite journal |author=Kaste SC, Jenkins JJ, Pratt CB, Langston JW, Haik BG |title=Retinoblastoma: sonographic findings with pathologic correlation in pediatric patients |journal=[[AJR. American Journal of Roentgenology]] |volume=175 |issue=2 |pages=495–501 |year=2000 |month=August |pmid=10915702 |doi= |url=http://www.ajronline.org/cgi/pmidlookup?view=long&pmid=10915702 |accessdate=2012-05-29}}</ref> Lesions are typically hyperintense to vitreous on T1-weighted sequences and hypointense to vitreous on T2-weighted sequences.<ref name="pmid9884691">{{cite journal |author=Kaufman LM, Mafee MF, Song CD |title=Retinoblastoma and simulating lesions. Role of CT, MR imaging and use of Gd-DTPA contrast enhancement |journal=[[Radiologic Clinics of North America]] |volume=36 |issue=6 |pages=1101–17 |year=1998 |month=November |pmid=9884691 |doi= |url= |accessdate=2012-05-29}}</ref>
*[[Magnetic resonance imaging|MRI imaging study]] of retinoblastoma was first introduced in1980.<ref name="Schueler2003">{{cite journal|last1=Schueler|first1=A O|title=High resolution magnetic resonance imaging of retinoblastoma|journal=British Journal of Ophthalmology|volume=87|issue=3|year=2003|pages=330–335|issn=00071161|doi=10.1136/bjo.87.3.330}}</ref>
*[[MRI]] is [[Accuracy|accurate]] for [[tumor]] [[Cancer staging|staging]] and evaluation of [[metastatic]] [[risk factors]].<ref name="de GraafBarkhof2005">{{cite journal|last1=de Graaf|first1=Pim|last2=Barkhof|first2=Frederik|last3=Moll|first3=Annette C.|last4=Imhof|first4=Saskia M.|last5=Knol|first5=Dirk L.|last6=van der Valk|first6=Paul|last7=Castelijns|first7=Jonas A.|title=Retinoblastoma: MR Imaging Parameters in Detection of Tumor Extent|journal=Radiology|volume=235|issue=1|year=2005|pages=197–207|issn=0033-8419|doi=10.1148/radiol.2351031301}}</ref>
*It is also used as an additional [[diagnostic]] tool in suspected retinoblastoma cases.<ref name="pmid22988349">{{cite journal |vauthors=Meel R, Radhakrishnan V, Bakhshi S |title=Current therapy and recent advances in the management of retinoblastoma |journal=Indian J Med Paediatr Oncol |volume=33 |issue=2 |pages=80–8 |date=April 2012 |pmid=22988349 |pmc=3439795 |doi=10.4103/0971-5851.99731 |url=}}</ref>
*[[MRI|MRI's]] [[Diagnosis|diagnostic]] value in the [[diagnosis]] of advanced retinoblastoma is greater than [[CT scan]].<ref name="de Jongde Graaf2014">{{cite journal|last1=de Jong|first1=Marcus C.|last2=de Graaf|first2=Pim|last3=Noij|first3=Daniel P.|last4=Göricke|first4=Sophia|last5=Maeder|first5=Philippe|last6=Galluzzi|first6=Paolo|last7=Brisse|first7=Hervé J.|last8=Moll|first8=Annette C.|last9=Castelijns|first9=Jonas A.|title=Diagnostic Performance of Magnetic Resonance Imaging and Computed Tomography for Advanced Retinoblastoma|journal=Ophthalmology|volume=121|issue=5|year=2014|pages=1109–1118|issn=01616420|doi=10.1016/j.ophtha.2013.11.021}}</ref>
*[[MRI]] findings [[diagnostic]] of retinoblastoma are:
**'''On T1 image:''' Hyperintense [[mass]] compared to [[vitreous body]]
**'''On T2 image:''' Hypointense [[mass]] compared to [[vitreous body]]
*[[Magnetic resonance imaging|MRI]] can differentiate the [[tumor]] with secondary [[retinal detachment]] from other [[causes]] of subretinal effusion or [[Retinal detachment|detachment]], such as [[Coats disease|Coats' disease]], primary hyperplastic [[vitreous]], and [[retinopathy of prematurity]].
*Also, some experts argue that [[CT-scans|CT imaging studies]] in [[bilateral]] retinoblastoma will increase the risk of future [[malignancies]]. [[MRI]] is not associated with such risk.
*[[MRI]] is also the study of choice to rule out extra-[[ocular]] extension of the [[tumor]].<ref name="pmid22988349">{{cite journal |vauthors=Meel R, Radhakrishnan V, Bakhshi S |title=Current therapy and recent advances in the management of retinoblastoma |journal=Indian J Med Paediatr Oncol |volume=33 |issue=2 |pages=80–8 |date=April 2012 |pmid=22988349 |doi=10.4103/0971-5851.99731 |url=}}</ref>
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|[[image:Retinoblastoma-5 edited.jpg|thumb|400px|T1 image, Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 22114]]
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==References==
==References==
<references/>
{{reflist|2}}
 
==See also==
*[[Eye cancer]]
*[[Eye examination]]
 
 
{{Nervous tissue tumors}}
 
[[Category:Ophthalmology]]
[[Category:Types of cancer]]
[[Category:hereditary cancers]]
[[Category:Oncology stub]]


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Latest revision as of 23:59, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2] Simrat Sarai, M.D. [3]

Overview

MRI findings of retinoblastoma include hyperintense mass on T1-weighted MRI and hypointense mass on T2-weighted MRI.

MRI

T2 image, Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 22114


T1 image, Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 22114


References

  1. Schueler, A O (2003). "High resolution magnetic resonance imaging of retinoblastoma". British Journal of Ophthalmology. 87 (3): 330–335. doi:10.1136/bjo.87.3.330. ISSN 0007-1161.
  2. de Graaf, Pim; Barkhof, Frederik; Moll, Annette C.; Imhof, Saskia M.; Knol, Dirk L.; van der Valk, Paul; Castelijns, Jonas A. (2005). "Retinoblastoma: MR Imaging Parameters in Detection of Tumor Extent". Radiology. 235 (1): 197–207. doi:10.1148/radiol.2351031301. ISSN 0033-8419.
  3. 3.0 3.1 Meel R, Radhakrishnan V, Bakhshi S (April 2012). "Current therapy and recent advances in the management of retinoblastoma". Indian J Med Paediatr Oncol. 33 (2): 80–8. doi:10.4103/0971-5851.99731. PMC 3439795. PMID 22988349.
  4. de Jong, Marcus C.; de Graaf, Pim; Noij, Daniel P.; Göricke, Sophia; Maeder, Philippe; Galluzzi, Paolo; Brisse, Hervé J.; Moll, Annette C.; Castelijns, Jonas A. (2014). "Diagnostic Performance of Magnetic Resonance Imaging and Computed Tomography for Advanced Retinoblastoma". Ophthalmology. 121 (5): 1109–1118. doi:10.1016/j.ophtha.2013.11.021. ISSN 0161-6420.