Table 2.
Imaging features of gastrointestinal stromal tumors
|
CT
|
MRI
|
Primary and metastatic GISTs | Small: Homogeneous mass; Large: Hypervascular, enhancing masses with heterogeneity due to hemorrhage, cystic degeneration, or necrosis | Depend on the amount of hemorrhage, necrosis and cystic degeneration; solid tumor components with low T1 signal, intermediate-to-high T2 signal, and enhancement; low mean ADC values may predict high malignancy potential |
Treatment response | Homogeneously hypoattenuating mass with decreased enhancing tumor nodules and intratumoral vessels | Increased T2 signal, increased cystic degeneration of solid tumoral components, increased ADC values |
Disease recurrence | Development of enhancing tumor nodules within the treated hypoattenuating tumor | New peripheral thickening and enhancement of cystic tumor |
CT: Computed tomography; MRI: Magnetic resonance imaging; GISTs: Gastrointestinal stromal tumors; ADC: Apparent diffusion coefficient.