Signal intensity in T2' magnetic resonance imaging is related to brain glioma grade.

Objectives: T2' values reflect the presence of deoxyhaemoglobin related to high local oxygen extraction. We assessed the feasibility of T2' imaging to display regions with high metabolic activity in brain gliomas.Methods: MRI was performed in 25 patients (12 female; median age 46 years; range 2-69)...

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Publicado en:European Radiology Vol. 21; no. 5; pp. 1068 - 1077
Autores principales: Saitta L, Heese O, Förster AF, Matschke J, Siemonsen S, Castellan L, Westphal M, Fiehler J, Goebell E, Saitta, Laura, Heese, Oliver, Förster, Ann-Freya, Matschke, Jakob, Siemonsen, Susanne, Castellan, Lucio, Westphal, Manfred, Fiehler, Jens, Goebell, Einar
Formato: research Journal Article
Publicado: Springer Nature May2011
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Signal intensity in T2' magnetic resonance imaging is related to brain glioma grade.
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          Saitta L
          Heese O
          Förster AF
          Matschke J
          Siemonsen S
          Castellan L
          Westphal M
          Fiehler J
          Goebell E
          Saitta, Laura
          Heese, Oliver
          Förster, Ann-Freya
          Matschke, Jakob
          Siemonsen, Susanne
          Castellan, Lucio
          Westphal, Manfred
          Fiehler, Jens
          Goebell, Einar
        affil: Department of Diagnostic and Interventional Neuroradiology, San Martino Hospital, Pad Specialità, Largo Benzi 10, 16132 Genoa, Italy
      sug:
        subj:
          Brain Neoplasms Diagnosis
          Brain Neoplasms Pathology
          Glioma Diagnosis
          Glioma Pathology
          Magnetic Resonance Imaging Methods
          Adolescence
          Adult
          Aged
          Child
          Child, Preschool
          Female
          Hemoglobins Metabolism
          Male
          Middle Age
          Oxygen
          Retrospective Design
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: T2' values reflect the presence of deoxyhaemoglobin related to high local oxygen extraction. We assessed the feasibility of T2' imaging to display regions with high metabolic activity in brain gliomas.Methods: MRI was performed in 25 patients (12 female; median age 46 years; range 2-69) with brain gliomas with additional T2 and T2* sequences. T2' maps were derived from T2 and T2*. Dynamic susceptibility weighted contrast (DSC) perfusion was performed in 12/25 patients. Images were visually assessed by two readers and five ROIs were evaluated for each patient. Pearson correlation, Mann-Whitney and Kruskal-Wallis tests were applied for statistical analysis.Results: Three patients were not further evaluated because of artefacts. Mean values of high-grade (III-IV) gliomas showed significantly lower T2' values than low-grade (II) gliomas (p < 0.001). An inverse relationship was observed between rCBV and sqr (T2') (r = -0.463, p < 0.001). No correlation was observed between T2' and rCBV for grade II tumours (r = 0.038; p = 0.875).Conclusions: High-grade tumours revealed lower T2' values, presumably because of higher oxygen consumption in proliferating tissue. Our results indicate that T2' imaging can be used as an alternative to DSC perfusion in the detection of subtle deviations in tumour metabolism.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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