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Fig. 4B. 81-year-old woman with lung cancer and pulmonary emphysema.
Relative enhancement map obtained after oxygen inhalation shows little
enhancement of tumor. Area with decreased oxygen enhancement (arrows)
is much larger than accurate tumor itself. Relative enhancement map by oxygen
inhalation indicates area of impaired regional ventilation possibly due to
invasion of maximal tumor to surrounding tissue, disturbed perfusion by tumor
in surrounding lung parenchyma, or scar. Maximum mean relative enhancement
ratio by oxygen inhalation was 11.3%SI (percentage increase of signal
intensity).
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