Document Detail


Measurement of the vascularity and vascular leakage of gliomas by double-echo dynamic magnetic resonance imaging: a preliminary study.
MedLine Citation:
PMID:  12352166     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE AND OBJECTIVE: To evaluate the vascularity and vascular leakage of well-enhanced gliomas by double-echo dynamic magnetic resonance (MR) imaging. MATERIALS AND METHODS: Eight patients with glioblastoma multiforme (GBM) and two patients with juvenile pilocytic astrocytoma (JPA) were studied. Double-echo dynamic MR imaging was utilized to separate the T2* shortening effect and the T1 shortening effect. The former was represented by the vascularity index, and the latter was represented by the leakage index. These indexes were compared with histopathologic data. RESULTS: The mean vascularity index of the GBM was higher than that of the JPA (mean +/- SD, 3.48 +/- 1.57 [GBM] versus 0.51 +/- 0.29 [JPA]), and the mean leakage index of the JPA was higher than that of the GBM (1.35 +/- 0.87 [JPA] versus 0.27 +/- 0.15 [GBM]). Abundant vascularity was noted in the tight interstitial space in the pathologic specimen of GBM. Conversely, sparse vasculature was observed in the wide interstitial space in the pathologic specimen of JPA. CONCLUSION: This method may enable better characterization of grade in well-enhanced glioma by providing the information on the vascularity and leakage indexes.
Authors:
Hidemasa Uematsu; Masayuki Maeda; Norihiro Sadato; Yoshiyuki Ishimori; Tsuyoshi Matsuda; Yoshio Koshimoto; Hirohiko Kimura; Hiroki Yamada; Yasutaka Kawamura; Hiroaki Takeuchi; Yoshiharu Yonekura; Harumi Itoh
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Investigative radiology     Volume:  37     ISSN:  0020-9996     ISO Abbreviation:  Invest Radiol     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-09-27     Completed Date:  2002-12-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  571-6     Citation Subset:  IM    
Affiliation:
Department of Radiology, Fukui Medical University, Fukui, Japan. uematsu@oasis.rad.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Astrocytoma / blood supply*,  pathology
Brain
Brain Neoplasms / blood supply*,  pathology
Contrast Media
Echo-Planar Imaging / methods*
Female
Gadolinium DTPA / diagnostic use
Glioblastoma / blood supply*,  pathology
Humans
Male
Middle Aged
Pilot Projects
Chemical
Reg. No./Substance:
0/Contrast Media; 80529-93-7/Gadolinium DTPA

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