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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

Have you checked your DisTANCE ?

Systematic Approach