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J Korean Soc Radiol.  2026 May;87(3):496-510. 10.3348/jksr.2023.0145.

The Clinical Utility of Mediastinal MRI for Evaluating Anterior Mediastinal Masses

Affiliations
  • 1Department of Radiology, Chonnam National University Hwasun Hospital, Hwasun, Korea
  • 2Department of Radiology, Chonnam National University Medical School, Gwangju, Korea
  • 3Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School, Gwangju, Korea
  • 4Department of Radiology, Chonnam National University Hospital, Gwangju, Korea

Abstract

This study highlights the increasing use of mediastinal MRI in the evaluation of anterior mediastinal masses. MRI is superior to CT in its capacity to differentiate between cystic and non-cystic lesions, assess tissue components, and determine the direct invasion into adjacent structures. The high contrast-resolution and diverse sequences of MRI offer in-depth insights, facilitating precise diagnoses of anterior mediastinal masses and effective management strategies for anterior mediastinal cystic lesions. This minimizes the need for unwarranted surgeries and significantly enhances patient care outcomes.

Keyword

Magnetic Resonance Imaging; Mediastinum; Neoplasm; Image Interpretation; Management
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