Document Detail


Comparison of dynamic contrast-enhanced MRI with WHO tumor grading for gliomas.
MedLine Citation:
PMID:  11471617     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Assessment of vascular proliferation as an important grading criterion has been employed in both the histologic and the radiologic characterization of gliomas with encouraging results. Perfusion in gliomas can be measured by dynamic contrast-enhanced magnetic resonance imaging (dMRI). The goal of this study was to develop a model for simultaneously quantifying the fractional volumes of different tissue compartments of gliomas by dMRI. A modified method for evaluating dynamic contrast-enhanced MR images is presented which simultaneously determines the fractional vascular, interstitial, and cellular volumes of gliomas. This method differs from techniques used in other studies in that it is based on a three-compartment model: a single blood compartment and two interstitial ones. The fractional volume maps are compared with the WHO glioma grading. The results show the method to be feasible. Using cerebral blood volume (CBV), dMRI grading showed a correspondence with WHO grading in 83% of the cases (20/24 gliomas WHO grades II-IV). The use of interstitial volume maps can also be helpful, for instance, in differentiating gliomas from other brain tumors. As a supplement to conventional MRI, dynamic MR techniques thus provide a useful tool for improving in vivo glioma characterization.
Authors:
L Lüdemann; W Grieger; R Wurm; M Budzisch; B Hamm; C Zimmer
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European radiology     Volume:  11     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2001  
Date Detail:
Created Date:  2001-07-26     Completed Date:  2001-12-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1231-41     Citation Subset:  IM    
Affiliation:
Department of Radiology and Neuroradiology, Universitätsklinikum Charité, Berlin, Germany. lutz.luedemann@charite.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Central Nervous System Neoplasms / blood supply,  pathology*
Child
Contrast Media* / pharmacokinetics
Female
Gadolinium DTPA / diagnostic use*,  pharmacokinetics
Glioma / blood supply,  pathology*
Humans
Image Enhancement / methods
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Neovascularization, Pathologic / diagnosis
World Health Organization
Chemical
Reg. No./Substance:
0/Contrast Media; 80529-93-7/Gadolinium DTPA

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


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