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American Journal of Roentgenology, Vol 150, Issue 5, 1079-1081
Copyright © 1988 by American Roentgen Ray Society

Articles

MR imaging of soft-tissue hemangiomas: correlation with pathologic findings

EK Cohen, HY Kressel, T Perosio, DL Burk Jr, MK Dalinka, E Kanal, ML Schiebler, and MD Fallon

Department of Radiology, David W. Devon Medical Imaging Center, Hospital of the University of Pennsylvania, Philadelphia 19104.

Soft-tissue hemangiomas have been described in MR imaging, but a histopathologic correlation to better understand the MR appearance has not been reported. Five patients with intramuscular soft-tissue hemangiomas were imaged in orthogonal planes on a 1.5-T system with spin-echo (SE) short-TR/TE sequences (600/20) and long-TR/TE sequences (2500/20-80). Complete intact surgical specimens were obtained, and gross and histopathologic findings were compared with MR findings. A striated-septated configuration with a high signal intensity on long-SE sequences (TE greater than 75 msec) correlated with endothelial-lined vascular channels separated by fibrous and/or fatty linear strands. An awareness of the morphologic MR pattern of soft-tissue hemangiomas may aid in recognition of these lesions.
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