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Can MRI differentiate surrounding vertebral invasion from reactive inflammatory changes in superior sulcus tumor?

Fadila Mihoubi BouvierVincent Thomas De MontprévilleBenjamin BesseGilles MissenardCharles CourtMickael TordjmanCécile Le PechouxFrançois Leroy LadurieCorinne BalleyguierElie FadelCaroline Caramella
Published in: European radiology (2021)
• Abnormal signal intensity in a vertebral body adjacent to a superior sulcus tumor may be secondary to direct invasion or reactive inflammatory changes. • Accurate differentiation between invasion and reactive inflammatory changes significantly impacts surgical planning. T1w and T2w are the best sequences to differentiate malignant versus benign bone marrow changes. The use of quantitative analysis improves MRI specificity. • Using contrast media improves the sensitivity for the detection of tumor invasion.
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