Table 2.
Score | Possibility of EMVI |
Imaging features |
0 | Definitely negative | No vessels adjacent to areas of tumor penetration |
1 | Probably negative | Minimal extramural stranding/nodular extension, but not in the vicinity of any vascular structure |
2 | Possibly negative | Stranding demonstrated in the vicinity of extramural vessels, but these are of normal caliber, and no definite tumor signal in vessel |
3 | Probably positive | Intermediate signal intensity apparent within vessels, although contour and caliber of these vessels is only slightly expanded |
4 | Definitely positive | Obvious irregular vessel contour or nodular expansion of vessel by definite tumor signal |
EMVI, extramural venous invasion.
The 5-point scale that was adopted for this study had been suggested by Smith et al.3