Vascular Invasion
Grade Definition
0
Normal vessel calibre, No vessel
adjacent to tumour penetration
1
Normal vessel calibre, No vessel
adjacent to nodular tumour
extension
2
Normal vessel calibre, Nodular
tumour adjacent to vessel
3
Intermediate signal tumour
within vessel; no expansion
4
Nodular vessel expansion by
tumour
Smtih NJ et al. Br J Surg 2008; 95: 229-36; Smith NJ et al. AJR 2008; 191(5): 1517-22
MRI-EMVI Grade 4
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Systematic Approach