Whole-body MRI with diffusion-weighted imaging in bone metastases: A narrative review

Alessandro Stecco, Alessandra Trisoglio, Eleonora Soligo, Sara Berardo, Lidiia Sukhovei, Alessandro Carriero

Research output: Contribution to journalReview articlepeer-review

Abstract

Whole body magnetic resonance imaging (MRI) with diffusion-weighted imaging (WB-MRI-DWI) is currently emerging as a diagnostic technique in the evaluation of bone metastases from breast, prostate, lung, thyroid, and melanoma tumors. The most relevant articles regarding the detection of solid tumor bone metastases with MRI have been reviewed and cited. The imaging methods currently used in the detection of bone metastases are bone scintigraphy, computed tomography (CT), and positron emission tomography (PET/CT) with 2-deoxy-2-[fluorine-18] fluoro-D-glucose (18F-FDG PET/CT). WB-MRI-DWI allows qualitative and quantitative evaluation of focal lesions through signal intensity evaluation on DWI images and the reconstruction of the apparent diffusion coefficient (ADC) map. In prostate and breast cancer, WB-MRI-DWI is useful in assessing the response of bone lesions to therapy and to detecting early non-responders, while in lung cancer the method shows a similar sensitivity to 18F-FDG PET/CT in the detection of bone metastases. In bone metastases of thyroid tumors and melanoma, the WB-MRI-DWI shows a higher sensitivity when compared to 18F-FDG PET/CT. With a standardization of the WB-MRI-DWI protocol, this method seems to play an important role in the diagnosis of bone solid tumor metastases.

Original languageEnglish
Article number45
JournalDiagnostics
Volume8
Issue number3
DOIs
Publication statusPublished - 1 Sept 2018
Externally publishedYes

Keywords

  • Bone metastasis
  • Breast cancer
  • Diffusion-weighted imaging
  • Lung cancer
  • Melanoma
  • Thyroid cancer
  • Whole-body magnetic resonance imaging

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