Abstract
Purpose
This study was done to evaluate the role of high-resolution magnetic resonance (MR) imaging with special surface coils in selecting the correct therapeutic approach (eye enucleation or follow-up) in patients with suspected extrascleral extension of uveal melanoma.
Materials and methods
This prospective study involved 12 patients with suspected extrascleral extension of uveal melanoma on orbital ultrasonography. All patients were studied with thin-section MR imaging of the eye using surface coils.
Results
High-resolution MR imaging of the eye excluded extrascleral extension of disease in 8/12 patients: in 4/8 cases it revealed vascular ectasia and in the other 4/8 cases the linear hypointensity of the sclera was unbroken. Seven of these eight patients were followed up by ultrasound, which showed stability of melanoma for at least 2 years, while the last patient underwent enucleation, and the histological examination confirmed the MR diagnosis. In 4/12 patients, high-resolution MR suggested a diagnosis of extrascleral extension of melanoma, which was confirmed at histological examination after enucleation.
Conclusion
High-resolution MR imaging of the eye with surface coils allowed us to evaluate extrascleral extension of uveal melanoma and choose the correct therapeutic approach, avoiding unnecessary enucleation in 7/12 patients.
Similar content being viewed by others
References
Lemke AJ, Hosten N, Bornfeld N et al (1999) Uveal melanoma: correlation of histopathologic and radiologic findings by using thin-section MR imaging with a surface coil. Radiology 210:775–783
Singh AD, Bergman L, Seregard S (2005) Uveal melanoma: epidemiologic aspects. Ophthalmol Clin N Am 18:75–84
Sato T, Han F, Yamamoto A (2008) The biology and management of uveal melanoma. Curr Oncol Rep 10:431–438
Damato B (2010) Does ocular treatment of uveal melanoma influence survival? Br J Cancer 03:285–290
Mahajan A, Crum A, Johnson MH, Materin MA (2011) Ocular neoplastic disease. Semin Ultrasound CT MR 32:28–37
Houle V, Belair M, Allaire GS (2011) AIRP best cases in radiologic-pathologic correlation: choroidal melanoma. Radiographics 31:1231–1236
Recsan Z, Karlinger K, Fodor M et al (2002) MRI for the evaluation of scleral invasion and extrascleral extension of uveal melanomas. Clin Radiol 57:371–376
Mihara F, Gupta KL, Murayama S, Lee N et al (1991) MR imaging of malignant uveal melanoma: role of pulse sequence and contrast agent. AJNR Am J Neuroradiol 12:991–996
Mafee MF (1998) Uveal melanoma, choroidal hemangioma, and simulating lesions. Role of MR imaging. Radiol Clin N Am 36:1083–1099
Daftari IK, Aghaian E, O’Brien JM et al (2005) 3D MRI-based tumor delineation of ocular melanoma and its comparison with conventional techniques. Med Phys 32:3355–3362
Sambuelli R, Luna JD, Reviglio VE et al (2001) Small choroidal melanoma with massive extraocular extension: invasion through posterior scleral emissary channels. Int Ophthalmol 24:213–218
Blanco G (2004) Diagnosis and treatment of orbital invasion in uveal melanoma. Can J Ophthalmol 39:388–396
Dieckmann K, Georg D, Zehetmayer M et al (2007) Stereotactic photon beam irradiation of uveal melanoma: indications and experience at the University of Vienna since 1997. Strahlenther Onkol 183(Spec No 2):11–13
Diener-West M, Earle JD, Fine SL, Collaborative Ocular Melanoma Study Group et al (2001) The COMS randomized trial of iodine 125 brachytherapy for choroidal melanoma, III: initial mortality findings. COMS Report No. 18. Arch Ophthalmol 119:969–982
Hosten N, Bornfeld N, Wassmuth R et al (1997) Uveal melanoma: detection of extraocular growth with MR imaging and US. Radiology 202:61–67
Byrne SF, Green RL (1996) Ultrasonografia dell’occhio e dell’orbita. Medical Books, Palermo
Hosten N, Lemke AJ, Sander B et al (1997) MR anatomy and small lesions of the eye: improved delineation with a special surface coil. Eur Radiol 7:459–463
Sullivan JA, Harms SE (1987) Characterization of orbital lesions by surface coil MR imaging. Radiographics 7:9–28
Lemke AJ, Kazi I, Felix R (2006) Magnetic resonance imaging of orbital tumors. Eur Radiol 16:2207–2219
Atlas SW, Grossman RI, Savino PJ et al (1987) Surface-coil MR of orbital pseudotumor. AJR Am J Roentgenol 148:803–808
Georgouli T, James T, Tanner S et al (2008) High-resolution microscopy coil MR-eye. Eye 22:994–996
Bilaniuk LT, Schenck JF, Zimmerman RA et al (1985) Ocular and orbital lesions: surface coil MR imaging. Radiology 156:669–674
Bert RJ, Patz S, Ossiani M et al (2006) High-resolution MR imaging of the human eye 2005. Acad Radiol 13:368–378
McCaffery S, Simon EM, Fischbein NJ et al (2002) Three-dimensional high-resolution magnetic resonance imaging of ocular and orbital malignancies. Arch Ophthalmol 120:747–754
Chambers RB, Davidorf FH, McAdoo JF, Chakeres DW (1987) Magnetic resonance imaging of uveal melanomas. Arch Ophthalmol 105:917–921
Lemke AJ, Hosten N, Wiegel T et al (2001) Intraocular metastases: differential diagnosis from uveal melanomas with high resolution MRI using surface coil. Eur Radiol 11:2593–2601
Hodes BL, Chromokos E (1977) Standardized a-scan echographic diagnosis of choroidal malignant melanomas. Arch Ophthalmol 95:593–597
Byrne SF, Green RL (1996) Ultrasonografia dell’occhio e dell’orbita. Medical Books, Palermo, pp 142–149
Lemke AJ, Alai-Omid M, Hengst SA, Felix R (2006) Eye imaging with a 3.0 T MRI using a surface coil—a study on volunteers and initial patients with uveal melanoma. Eur Radiol 16:1084–1089
Edwards JH, Hyman RA, Vacirca SJ et al (1985) 0.6 T magnetic resonance imaging of the orbit. AJR Am J Roentgenol 144:1015–1020
Malhotra A, Minja FJ, Crum A, Burrowes D (2011) Ocular anatomy and cross-sectional imaging of the eye. Semin Ultrasound CT MR 32:2–13
Wolintz RJ, Trobe JD, Cornblath WT et al (2000) Common errors in the use of magnetic resonance imaging for neuro-ophthalmic diagnosis. Surv Ophthalmol 45:107–114
Townsend KA, Wollstein G, Schuman JS (2008) Clinical application of MRI in ophthalmology. NMR Biomed 21:997–1002
Collaborative Ocular Melanoma Study Group (2003) Comparison of clinical, echographic, and histopathological measurements from eyes with medium-sized choroidal melanoma in the collaborative ocular melanoma study: COMS report No. 21. Arch Ophtalmol 121:1163–1171
Lee AG, Brazis PW, Garrity JA, Withe M (2004) Imaging for neuro-ophtalmic and orbital disease. Am J Ophthalmol 138:852–862
Aviv RI, Casselman J (2005) Orbital imaging: Part 1. Normal anatomy. Clin Radiol 60:279–287
Atlas SW, Bilaniuk LT, Zimmerman RA et al (1987) Orbit: initial experience with surface coil spin-echo MR imaging at 1.5 T. Radiology 164:501–509
Obata T, Uemura K, Nonaka H et al (2006) Optimizing T2-weighted magnetic resonance sequences for surface coil microimaging of the eye with regard to lid, eyeball and head moving artifacts. Magn Reson Imaging 24:97–101
Krueger PC, Stachs O, Hadlich S et al (2012) MR Microscopy of the human eye at 7.1 T and correlation with histopathology—proof of principle. Orbit 31:390–393
Conflict of interest
Tommaso Tartaglione, Monica Maria Pagliara, Mariacarmela Sciandra, Carmela Grazia Caputo, Rosalinda Calandrelli, Gina Fabrizi, Simona Gaudino, Maria Antonietta Blasi, Cesare Colosimo declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tartaglione, T., Pagliara, M.M., Sciandra, M. et al. Uveal melanoma: evaluation of extrascleral extension using thin-section MR of the eye with surface coils. Radiol med 119, 775–783 (2014). https://doi.org/10.1007/s11547-014-0388-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11547-014-0388-x