1. To review the current literature on the use of whole body magnetic resonance imaging (Wb-MRI) in patients with peripheral nerve sheath tumor syndromes, particularly neurofibromatosis types 1 and 2, and schwannomatosis
2. To emphasize differences in technical parameters offered at 1.5T and 3T.
3. To describe the utility of WB-MRI for tumor detection (assessment of disease burden), characterization of peripheral lesions, and evaluation of treatment response in patients with peripheral nerve tumor syndromes.
• Review of Wb-MRI Techniques in current use
o 1.5 T v 3.0 T
o 2-Dimensional versus 3-Dimensional Imaging
o Anatomic sequences
T1 weighted
Fluid sensitive STIR
Static post contrast images
o Functional Sequences
Diffusion Weighted Image with Apparent Diffusion Coefficient Maps
o Quantification of PNST size
2-Dimensional (RECIST criteria) versus volumetric Analysis
• Utility of Whole Body MRI inPNST syndromes
o Detection
Whole body benign PNST tumor burden
• Mosaicism
Skeletal muscle denervation
o Characterization
Distinguish PNST from perineural cyst
Differentiate PNSTs
• Benign
o Solitary
o Plexiform
• Malignant
o Treatment response
• Assessment of tumor burden following treatment
Ahlawat, S,
Blakely, J,
Fayad, L,
Whole Body MRI in Peripheral Nerve Sheath Tumor Syndromes: A Systematic Review. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14004927.html