Experimental Differentiation of Intraocular Masses Using Ultrahigh-Field Magnetic Resonance Imaging – A Case Series
Identifieur interne : 001C16 ( Main/Merge ); précédent : 001C15; suivant : 001C17Experimental Differentiation of Intraocular Masses Using Ultrahigh-Field Magnetic Resonance Imaging – A Case Series
Auteurs : Karen Falke [Allemagne] ; Paul Krüger [Allemagne] ; Norbert Hosten [Allemagne] ; Annette Zimpfer [Allemagne] ; Rudolf Guthoff [Allemagne] ; Sönke Langner [Allemagne] ; Oliver Stachs [Allemagne]Source :
- PLoS ONE [ 1932-6203 ] ; 2013.
Abstract
The case reports presented here were compiled to demonstrate the potential for improved diagnosis and monitoring of disease progress of intraocular lesions using ultrahigh-field magnetic resonance microscopy (MRM) at 7.1 Tesla.
High-resolution ex vivo ocular magnetic resonance (MR) images were acquired on an ultrahigh-field MR system (7.1 Tesla, ClinScan, Bruker BioScan, Germany) using a 2-channel coil with 4 coil elements and T2-weighted turbo spin echo (TSE) sequences of human eyes enucleated because of different intraocular lesions. Imaging parameters were: 40×40 mm field of view, 512×512 matrix, and 700 µm slice thickness. The results were correlated with in vivo ultrasound and histology of the enucleated eyes.
Imaging was performed in enucleated eyes with choroidal melanoma, malignant melanoma of iris and ciliary body with scleral perforation, ciliary body melanoma, intraocular metastasis of esophageal cancer, subretinal bleeding in the presence of perforated corneal ulcer, hemorrhagic choroidal detachment, and premature retinopathy with phthisis and ossification of bulbar structures. MR imaging allowed differentiation between solid and cystic tumor components. In case of hemorrhage, fluid-fluid levels were identified. Melanin and calcifications caused significant hypointensity. Microstructural features of eye lesions identified by MRM were confirmed by histology.
This study demonstrates the potential of MRM for the visualization and differential diagnosis of intraocular lesions. At present, the narrow bore of the magnet still limits the use of this technology in humans in vivo. Further advances in ultrahigh-field MR imaging will permit visualization of tumor extent and evaluation of nonclassified intraocular structures in the near future.
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DOI: 10.1371/journal.pone.0081284
PubMed: 24349051
PubMed Central: 3857191
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sort="Stachs, Oliver" uniqKey="Stachs O" first="Oliver" last="Stachs">Oliver Stachs</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Ophthalmology, University of Rostock, Rostock, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University of Rostock, Rostock</wicri:regionArea><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24349051</idno><idno type="pmc">3857191</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3857191</idno><idno type="RBID">PMC:3857191</idno><idno type="doi">10.1371/journal.pone.0081284</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002322</idno><idno type="wicri:Area/Pmc/Curation">002322</idno><idno type="wicri:Area/Pmc/Checkpoint">001272</idno><idno 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sort="Kruger, Paul" uniqKey="Kruger P" first="Paul" last="Krüger">Paul Krüger</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Diagnostic Radiology and Neuroradiology, Greifswald University Hospital, Greifswald, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Diagnostic Radiology and Neuroradiology, Greifswald University Hospital, Greifswald</wicri:regionArea><wicri:noRegion>Greifswald</wicri:noRegion><wicri:noRegion>Greifswald</wicri:noRegion><wicri:noRegion>Greifswald</wicri:noRegion></affiliation></author><author><name sortKey="Hosten, Norbert" sort="Hosten, Norbert" uniqKey="Hosten N" first="Norbert" last="Hosten">Norbert Hosten</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Diagnostic Radiology and Neuroradiology, Greifswald University Hospital, Greifswald, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Diagnostic Radiology and Neuroradiology, Greifswald University Hospital, Greifswald</wicri:regionArea><wicri:noRegion>Greifswald</wicri:noRegion><wicri:noRegion>Greifswald</wicri:noRegion><wicri:noRegion>Greifswald</wicri:noRegion></affiliation></author><author><name sortKey="Zimpfer, Annette" sort="Zimpfer, Annette" uniqKey="Zimpfer A" first="Annette" last="Zimpfer">Annette Zimpfer</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Institute of Pathology, University of Rostock, Rostock, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Pathology, University of Rostock, Rostock</wicri:regionArea><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion></affiliation></author><author><name sortKey="Guthoff, Rudolf" sort="Guthoff, Rudolf" uniqKey="Guthoff R" first="Rudolf" last="Guthoff">Rudolf Guthoff</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Ophthalmology, University of Rostock, Rostock, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University of Rostock, Rostock</wicri:regionArea><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion></affiliation></author><author><name sortKey="Langner, Sonke" sort="Langner, Sonke" uniqKey="Langner S" first="Sönke" last="Langner">Sönke Langner</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Diagnostic Radiology and Neuroradiology, Greifswald University Hospital, Greifswald, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Diagnostic Radiology and Neuroradiology, Greifswald University Hospital, Greifswald</wicri:regionArea><wicri:noRegion>Greifswald</wicri:noRegion><wicri:noRegion>Greifswald</wicri:noRegion><wicri:noRegion>Greifswald</wicri:noRegion></affiliation></author><author><name sortKey="Stachs, Oliver" sort="Stachs, Oliver" uniqKey="Stachs O" first="Oliver" last="Stachs">Oliver Stachs</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Ophthalmology, University of Rostock, Rostock, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University of Rostock, Rostock</wicri:regionArea><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The case reports presented here were compiled to demonstrate the potential for improved diagnosis and monitoring of disease progress of intraocular lesions using ultrahigh-field magnetic resonance microscopy (MRM) at 7.1 Tesla.</p></sec><sec><title>Methods</title><p>High-resolution ex vivo ocular magnetic resonance (MR) images were acquired on an ultrahigh-field MR system (7.1 Tesla, ClinScan, Bruker BioScan, Germany) using a 2-channel coil with 4 coil elements and T2-weighted turbo spin echo (TSE) sequences of human eyes enucleated because of different intraocular lesions. Imaging parameters were: 40×40 mm field of view, 512×512 matrix, and 700 µm slice thickness. The results were correlated with in vivo ultrasound and histology of the enucleated eyes.</p></sec><sec><title>Results</title><p>Imaging was performed in enucleated eyes with choroidal melanoma, malignant melanoma of iris and ciliary body with scleral perforation, ciliary body melanoma, intraocular metastasis of esophageal cancer, subretinal bleeding in the presence of perforated corneal ulcer, hemorrhagic choroidal detachment, and premature retinopathy with phthisis and ossification of bulbar structures. MR imaging allowed differentiation between solid and cystic tumor components. In case of hemorrhage, fluid-fluid levels were identified. Melanin and calcifications caused significant hypointensity. Microstructural features of eye lesions identified by MRM were confirmed by histology.</p></sec><sec><title>Conclusion</title><p>This study demonstrates the potential of MRM for the visualization and differential diagnosis of intraocular lesions. At present, the narrow bore of the magnet still limits the use of this technology in humans in vivo. Further advances in ultrahigh-field MR imaging will permit visualization of tumor extent and evaluation of nonclassified intraocular structures in the near future.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Guthoff, R" uniqKey="Guthoff R">R Guthoff</name></author><author><name sortKey="Winkler, P" uniqKey="Winkler P">P Winkler</name></author><author><name sortKey="Helmke, K" uniqKey="Helmke K">K Helmke</name></author><author><name sortKey="Berger, R" uniqKey="Berger R">R Berger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aironi, Vd" uniqKey="Aironi V">VD Aironi</name></author><author><name sortKey="Gandage, Sg" uniqKey="Gandage S">SG Gandage</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mantel, I" uniqKey="Mantel I">I Mantel</name></author><author><name sortKey="Uffer, S" uniqKey="Uffer S">S Uffer</name></author><author><name 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sortKey="Christoforidis, Ja" uniqKey="Christoforidis J">JA Christoforidis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Graessl, A" uniqKey="Graessl A">A Graessl</name></author><author><name sortKey="Schwerter, M" uniqKey="Schwerter M">M Schwerter</name></author><author><name sortKey="Muhle, M" uniqKey="Muhle M">M Muhle</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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