Document Detail


Benign and malignant musculoskeletal lesions: dynamic contrast-enhanced MR imaging--parametric "first-pass" images depict tissue vascularization and perfusion.
MedLine Citation:
PMID:  8058957     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the diagnostic value of parametric magnetic resonance images that display the first pass (FP) of gadopentetate dimeglumine. MATERIALS AND METHODS: Dynamic, contrast material-enhanced, fast low-angle shot MR imaging was performed of 100 musculoskeletal lesions in 36 female and 64 male patients (aged 9-81 years [mean, 34 years]). The highest slope value of the time-intensity curve was calculated pixel by pixel and displayed on the FP image, with a gray-scale value equal to the slope value. Tissue vascularization and perfusion were evaluated at pathologic and angiographic examinations in 33 lesions. RESULTS: A significant difference (P < .001) was found between the FP slope values of benign (mean, 36.2% per second) and malignant (mean, 67.4% per second) lesions. FP images depicted tissue vascularization and perfusion rather than benignity or malignancy, because there is an overlap in the slope values of highly vascular benign lesions and malignant lesions. CONCLUSION: FP images provide diagnostically useful information by depicting tissue vascularization and perfusion.
Authors:
K L Verstraete; Y De Deene; H Roels; A Dierick; D Uyttendaele; M Kunnen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  192     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1994-09-13     Completed Date:  1994-09-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  835-43     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Gent University Hospital, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Bone Diseases / diagnosis*
Bone Neoplasms / blood supply,  diagnosis
Bone and Bones / blood supply
Child
Contrast Media
Drug Combinations
Female
Gadolinium DTPA
Humans
Magnetic Resonance Imaging* / methods
Male
Meglumine / diagnostic use*
Middle Aged
Muscles / blood supply
Muscular Diseases / diagnosis*
Organometallic Compounds / diagnostic use*
Pentetic Acid / analogs & derivatives*,  diagnostic use
Sensitivity and Specificity
Soft Tissue Neoplasms / diagnosis
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Drug Combinations; 0/Organometallic Compounds; 6284-40-8/Meglumine; 67-43-6/Pentetic Acid; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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