Applications of Magnetic Resonance Imaging of the Thorax in Pleural Diseases: A State-of-the-Art Review

The aim of this review was to present the main aspects of pleural diseases seen with conventional and advanced magnetic resonance imaging (MRI) techniques. This modality is considered to be the gold standard for the evaluation of the pleural interface, characterization of complex pleural effusion, and identification of exudate and hemorrhage, as well as in the analysis of superior sulcus tumors, as it enables more accurate staging. The indication for MRI of the thorax in the identification of these conditions is increasing in comparison to computerized tomography, and it can also be used to support the diagnosis of pulmonary illnesses. This literature review describes the morphological and functional aspects of the main benign and malignant pleural diseases assessed with MRI, including mesothelioma, metastasis, lymphoma, fibroma, lipoma, endometriosis, asbestos-related pleural disease, empyema, textiloma, and splenosis. Similar content being viewed by others

Coolen J, Verschakelen J, de Wever W (2015) MRI of pleural disease. Curr Opin Pulm Med 21:399–406 Gill RR, Patz S, Muradyan I et al (2015) Novel MR imaging applications for pleural evaluation. Magn Reson Imaging Clin N Am 23:179–195 Santos MK, Júnior JE, Mauad FM et al (2011) Magnetic resonance imaging of the chest: current and new applications, with an emphasis on pulmonology. J Bras Pneumol 37:242–258 Semelka RC, Cem Balci N, Wilber KP et al (2000) Breath-hold 3D gradient-echo MR imaging of the lung parenchyma: evaluation of reproducibility of image quality in normals and preliminary observations in patients with disease. J Magn Reson Imaging 11:195–200 Coolen J, De Keyzer F, Nafteux P et al (2012) Malignant pleural disease: diagnosis by using diffusion-weighted and dynamic contrast-enhanced MR imaging-initial experience. Radiol 263:884–892 Mehndiratta A, Knopp MV, Zechmann CM et al (2009) Comparison of diagnostic quality and accuracy in color-coded versus grayscale DCE-MR imaging display. Int J CARS 4:457–462 Inan N, Arslan A, Akansel G et al (2009) Diffusion-weighted MRI in the characterization of pleural effusions. Diagn Interv Radiol 15:13–18 Luna A, Sánchez-Gonzalez J, Caro P (2011) Diffusion-weighted imaging of the chest. Magn Reson Imaging Clin N Am 19:69–94 Giesel FL, Choyke PL, Mehndiratta A et al (2008) Pharmacokinetic analysis of malignant pleural mesothelioma: initial results of tumor microcirculation and its correlation to microvessel density (CD-34). Acad Radiol 15:563–570 Sureka B, Thukral BB, Mittal MK et al (2013) Radiological review of pleural tumors. Indian J Radiol Imaging 23:313–320 Armato SG III, Labby ZE, Coolen J et al (2013) Imaging in pleural mesothelioma: a review of the 11th international conference of the international mesothelioma interest Group. Lung Cancer 82:190–196 Undabeitia J, Castle M, Arrazola M et al (2015) Multiple extraneural metastasis of glioblastoma multiforme. An Sist Sanit Navar 38:157–161 Dynes MC, White EM, Fry WA et al (1992) Imaging manifestations of pleural tumors. Radiographics 12:1191–1201 Giardino A, O’Regan KN, Hargreaves J et al (2011) Primary pleural lymphoma without associated pyothorax. J Clin Oncol 29:413–415 Alexandrakis MG, Passam FH, Kyriakou DS et al (2004) Pleural effusions in hematologic malignancies. Chest 125:1546–1555 Rosado-de-Christenson ML, Abbott GF, McAdams HP et al (2003) Localized fibrous tumors of the pleura. Radiographics 23:759–783 Marchiori E, Zanetti G, Rodrigues RS et al (2012) Pleural endometriosis: findings on magnetic resonance imaging. J Bras Pneumol 38:797–802 Bekkelund SI, Aasebo U, Pierre-Jerome C et al (1998) Magnetic resonance imaging of the thorax in the evaluation of asbestosis. Eur Respir J 11:194–197 Martins MC, Amaral RP, Andrade CS et al (2009) Características de imagem na ressonância magnética de gossipiboma intracraniano: relato de caso e revisão da literatura. Radiol Bras. 42:407–409 Poncelet AJ, Watremez C, Tack D et al (2005) Paracardiac opacity following inferior and middlelobe resection for bronchogenic carcinoma: unsuspected diagnosis. Chest 128:439–441 Machado DM, Zanetti G, Neto CA et al (2014) Thoracic textilomas: CT findings. J Bras Pneumol 40:535–542 Vayre F, Richard P, Ollivier JP (1999) Intrathoracic gossypiboma: magnetic resonance features. Int J Cardiol 70:199–200 Coşkun M, Boyvat F, Ağildere AM (1999) CT features of a pericardial gossypiboma. Eur Radiol 9:728–730 Nobre LF, Marchiori E, May F et al (2010) Thoracic textilomas after myocardial revascularisation: typical CT Findings. Br J Radiol 83:4–7 Suwatanapongched T, Boonkasem S, Sathianpitayakul E et al (2005) Intrathoracic gossypiboma: radiographic and CT findings. Br J Radiol 78:851–853 Scott WW, Beall DP, Wheeler PS (1991) The retained intrapericardial sponge: value of the lateral chest radiograph. AJR Am J Roentgenol 171:595–597 Kuwashima S, Yamato M, Fujioka M et al (1993) MR findings of surgically retained sponges and towels: report of two cases. Radiat Med 11:98–101 Sugimura H, Tamura S, Kakitsubata Y et al (1992) Magnetic resonance imaging of retained surgical sponges.Case report. Clin Imaging 16:259–262 Roumen RM, Weerdenburg HP (1998) MR features of a 24-year-old gos-sypiboma.a case report. Acta Radiol 39:176–178 Buy JN, Hubert C, Ghossain MA et al (1989) Computed tomography of retained abdominal sponges and towels. Gastrointest Radiol 14:41–45 Durmaz DY, Yilmaz BK, Yildiz O et al (2014) A Rare Cause of Chronic Cough: intrathoracic Gossypiboma. Iran J Radiol 11:e13933 Mançano AD, Zanetti G, Duarte BC et al (2012) Thoracic splenosis after thoracoabdominal trauma presentingas pleural nodules. Lung 190:699–701 Marchiori E, Rodrigues RS, Reis MCM et al (2014) Pleural nodules in a patient with a colonic tumour. Thorax 69:395 Podobnik J, Kocijancic I, Kovac V et al (2010) 3T MRI in evaluation of asbestosis-related thoracic diseases-preliminary results. Radiol Oncol 44:92–96 de Paula MC, Escuissato DL, Belém LC et al (2015) Pleural tumorlike conditions: nodules and masses beyond mesotheliomas and metastasis. Respir Med 109:1235–1243 Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of Interest None. Rights and permissions About this article Cite this article Pessôa, F.M.C., de Melo, A.S.A., Souza, A.S. et al. Applications of Magnetic Resonance Imaging of the Thorax in Pleural Diseases: A State-of-the-Art Review. Lung 194, 501–509 (2016). https://doi.org/10.1007/s00408-016-9909-9 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00408-016-9909-9