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Review article


Establishing a chest MRI practice and its clinical applications: our insight and protocols.

Christine U LeeDarin B WhiteAnne-Marie G Sykes
Department of Radiology, Mayo Clinic, Rochester MN, USA
Date of Submission: 20-Dec-2013, Date of Acceptance: 28-Feb-2014, Date of Web Publication: 21-Mar-2014.
Corresponding Author:
Corresponding Author

Christine Lee

E-mail: lee.christine@mayo.edu

Corresponding Author:
Corresponding Author

Christine Lee

E-mail: lee.christine@mayo.edu

DOI: 10.4103/2156-7514.129288 Facebook Twitter Google Linkedin

ABSTRACT


Despite its nonionizing technique and exquisite soft tissue characterization, noncardiovascular, and nonmusculoskeletal magnetic resonance imaging (MRI) of the chest has been considered impractical due to various challenges such as respiratory motion, cardiac motion, vascular pulsatility, air susceptibility, and paucity of signal in the lung. With advances in MRI, it is now possible to perform diagnostically useful and good quality MRIs of the chest, but literature on subspecialized chest MRI practices is limited. The purpose of this manuscript is to describe the rationale, nuances, and logistics that went into developing such a practice in the Division of Thoracic Radiology at our institution. The topics addressed include technical and clinical considerations, support at administrative and clinical levels, protocol development, and economic considerations compared with conventional practices. Various MRI techniques are also specifically discussed to facilitate chest MRI at other sites. Although chest MRI is used in a relatively small number of patients at this point, in certain patients, chest MRI can provide additional information to optimize medical management. A few clinical cases illustrate the quality and clinical utility of chest MRI. Given recent advances in MRI techniques, it is now an opportune time to develop a chest MRI practice.
Keywords: Chest Magnetic Resonance Imaging, Practice, Protocols, Thoracic MRI

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  2. Louisa Traser, Ali Caglar Özen, Fabian Burk, Michael Burdumy, Michael Bock, Bernhard Richter and Matthias Echternach Respiratory dynamics in phonation and breathing—A real-time MRI study Respiratory Physiology & Neurobiology 236 2017 69. Doi: 10.1016/j.resp.2016.11.007
  3. Shivani Kumar, Robba Rai, Daniel Moses, Callie Choong, Lois Holloway, Shalini Kavita Vinod and Gary Liney MRI in radiotherapy for lung cancer: A free-breathing protocol at 3T Practical Radiation Oncology 7(3) 2017 e175. Doi: 10.1016/j.prro.2016.10.008

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