Korean Clinical Imaging Guidelines for the Appropriate Use of Chest MRI
- Author:
Jiyoung SONG
1
;
Bo Da NAM
;
Soon Ho YOON
;
Jin Young YOO
;
Yeon Joo JEONG
;
Chang Dong YEO
;
Seong Yong LIM
;
Sung Yong LEE
;
Hyun Koo KIM
;
Byong Hyuck KIM
;
Kwang Nam JIN
;
Hwan Seok YONG
Author Information
- Publication Type:Special Report
- From:Journal of the Korean Radiological Society 2021;82(3):562-574
- CountryRepublic of Korea
- Language:English
- Abstract: MRI has the advantages of having excellent soft-tissue contrast and providing functional information without any harmful ionizing radiation. Although previous technical limitations restricted the use of chest MRI, recent technological advances and expansion of insurance coverage are increasing the demand for chest MRI. Recognizing the need for guidelines on appropriate use of chest MRI in Korean clinical settings, the Korean Society of Radiology has composed a development committee, working committee, and advisory committee to develop Korean chest MRI justification guidelines. Five key questions were selected and recommendations have been made with the evidence-based clinical imaging guideline adaptation methodology.Recommendations are as follows. Chest MRI can be considered in the following circumstances:for patients with incidentally found anterior mediastinal masses to exclude non-neoplastic conditions, for pneumoconiosis patients with lung masses to differentiate progressive massive fibrosis from lung cancer, and when invasion of the chest wall, vertebrae, diaphragm, or major vessels by malignant pleural mesothelioma or non-small cell lung cancer is suspected. Chest MRI without contrast enhancement or with minimal dose low-risk contrast media can be considered for pregnant women with suspected pulmonary embolism. Lastly, chest MRI is recommended for patients with pancoast tumors planned for radical surgery.
