MR Imaging of Soft-Tissue Vascular Malformations: Diagnosis, Classification, and Therapy Follow-up

被引:225
作者
Flors, Lucia [1 ]
Leiva-Salinas, Carlos [1 ]
Maged, Ismaeel M. [1 ,3 ]
Norton, Patrick T. [1 ]
Matsumoto, Alan H. [1 ]
Angle, John F. [1 ]
Bonatti, Hugo [2 ,4 ]
Park, Auh Whan [1 ]
Ahmad, Ehab Ali [1 ,5 ]
Bozlar, Ugur [6 ]
Housseini, Ahmed M. [1 ,3 ]
Huerta, Thomas E. [1 ]
Hagspiel, Klaus D. [1 ]
机构
[1] Univ Virginia Hlth Syst, Dept Radiol & Med Imaging, Charlottesville, VA 22908 USA
[2] Univ Virginia Hlth Syst, Dept Surg, Charlottesville, VA 22908 USA
[3] Suez Canal Univ Hosp, Dept Radiol, Ismailia, Egypt
[4] Vanderbilt Univ Sch Med, Dept Surg, Nashville, TN USA
[5] Menia Univ, Dept Radiol, El Minia, Egypt
[6] Gulhane Mil Med Acad, Dept Radiol, Ankara, Turkey
关键词
INVOLUTING CONGENITAL HEMANGIOMA; VENOUS MALFORMATIONS; SCLEROTHERAPY; FEATURES; ANOMALIES; CHILDREN; INFANTS;
D O I
10.1148/rg.315105213
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Vascular malformations and tumors comprise a wide, heterogeneous spectrum of lesions that often represent a diagnostic and therapeutic challenge. Frequent use of an inaccurate nomenclature has led to considerable confusion. Since the treatment strategy depends on the type of vascular anomaly, correct diagnosis and classification are crucial. Magnetic resonance (MR) imaging is the most valuable modality for classification of vascular anomalies because it accurately demonstrates their extension and their anatomic relationship to adjacent structures. A comprehensive assessment of vascular anomalies requires functional analysis of the involved vessels. Dynamic time-resolved contrast material-enhanced MR angiography provides information about the hemodynamics of vascular anomalies and allows differentiation of high-flow and low-flow vascular malformations. Furthermore, MR imaging is useful in assessment of treatment success and establishment of a long-term management strategy. Radiologists should be familiar with the clinical and MR imaging features that aid in diagnosis of vascular anomalies and their proper classification. Furthermore, they should be familiar with MR imaging protocols optimized for evaluation of vascular anomalies and with their posttreatment appearances. Supplemental material available at http://radiographics.rsna.org/lookup/suppl/doi:10.1148/rg.315105213/-/DC1.
引用
收藏
页码:1321 / U315
页数:20
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