Document Detail


Imaging of brain metastases of bronchial carcinomas with 7 T MRI - initial results.
MedLine Citation:
PMID:  20544578     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare the depiction of brain metastases of bronchial carcinomas on susceptibility-weighted and contrast-enhanced images with 7 T and at 1.5 T MRI. MATERIALS AND METHODS: Twelve patients with brain metastases of bronchial carcinomas underwent 7 T and 1.5 T MRI. Minimum intensity projections (MinIP) of a 1.5 T SWI sequence (voxel size = 0.9 x 0.9 x 2.0 mm(3)) were compared to 7 T SWI MinIPs (voxel size = 0.4 x 0.4 x 1.5 mm(3)). A T 1-w 3D MPRAGE at 1.5 T (voxel size = 1 x 1 x 1 mm(3) after double-dose (DD) gadoterate meglumine, Gd-DOTA) was compared to a 7 T MPRAGE sequence (voxel size = 0.7 x 0.7 x x 0.7 mm(3), single dose (SD) Gd-DOTA) in all patients, and to DD Gd-DOTA in 6 patients after a 10 minute delay. The number of intracranial microhemorrhages in SWI MinIPs and the number of contrast-enhancing metastases in MPRAGE images were compared in each patient grouped into three size ranges (< or = 2 mm, > 2 mm and < 6 mm, > or = 6 mm) by two radiologists in consensus. RESULTS: In all 12 patients the 7 T SWI with spatially higher resolution allowed the identification of 87 versus 67 cerebral microhemorrhages at 1.5 T. 7 T T 1-w images after SD Gd-DOTA depicted 198 brain metastases versus 238 at 1.5 T after DD Gd-DOTA. After doubling the contrast dose in six patients, 4 additional brain metastases were identified at 7 T. CONCLUSION: Our preliminary results indicate that despite the higher spatial resolution the detection of brain metastases on 7 T MPRAGE images is almost equal to 1.5 T MPRAGE images. The 7 T SWI sequence with spatially higher resolution allowed the detection of 20 % more microhemorrhages in brain metastases compared to the 1.5 T SWI sequence.
Authors:
C Mönninghoff; S Maderwald; J M Theysohn; P Schütt; T Gauler; O Kraff; M E Ladd; S C Ladd; I Wanke
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Publication Detail:
Type:  Journal Article     Date:  2010-06-11
Journal Detail:
Title:  RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin     Volume:  182     ISSN:  1438-9010     ISO Abbreviation:  Rofo     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-20     Completed Date:  2010-09-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507497     Medline TA:  Rofo     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  764-72     Citation Subset:  IM    
Copyright Information:
Georg Thieme Verlag KG Stuttgart, New York.
Affiliation:
Institut für diagnostische und interventionelle Radiologie und Neuroradiologie, Universitätsklinikum Essen. christoph.moenninghoff@uk-essen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Brain / pathology
Brain Neoplasms / diagnosis,  pathology,  secondary*
Carcinoma, Bronchogenic / diagnosis,  pathology,  secondary*
Carcinoma, Non-Small-Cell Lung / diagnosis,  pathology,  secondary*
Carcinoma, Small Cell / diagnosis,  pathology,  secondary*
Contrast Media / administration & dosage
Dose-Response Relationship, Drug
Female
Heterocyclic Compounds / diagnostic use
Humans
Image Enhancement*
Image Processing, Computer-Assisted*
Infusions, Intravenous
Intracranial Hemorrhages / diagnosis
Lung Neoplasms / diagnosis*,  pathology
Magnetic Resonance Imaging*
Male
Middle Aged
Neoplasm Staging
Organometallic Compounds / diagnostic use
Prospective Studies
Sensitivity and Specificity
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Heterocyclic Compounds; 0/Organometallic Compounds; 92923-44-9/gadolinium 1,4,7,10-tetraazacyclododecane-N,N',N'',N'''-tetraacetate

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


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