Echo-Planar MR Cerebral Blood Volume Mapping of Gliomas: Clinical Utility

Neovascularization is a common phenomenon in gliomas. MR imaging cerebral blood volume (CBV) mapping utilizes ultrafast echo-planar imaging and simultaneous use of gadolinium-based contrast material. To determine the utility of MR CBV mapping in the clinical evaluation of gliomas, we followed 15 pat...

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Veröffentlicht in:Acta radiologica (1987) 1995-07, Vol.36 (4-6), p.520-528
Hauptverfasser: Aronen, H. J., Glass, J., Pardo, F. S., Belliveau, J. W., Gruber, M. L., Buchbinder, B. R., Gazit, I. E., Linggood, R. M., Fischman, A. J., Rosen, B. R., Hochberg, F. H.
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container_end_page 528
container_issue 4-6
container_start_page 520
container_title Acta radiologica (1987)
container_volume 36
creator Aronen, H. J.
Glass, J.
Pardo, F. S.
Belliveau, J. W.
Gruber, M. L.
Buchbinder, B. R.
Gazit, I. E.
Linggood, R. M.
Fischman, A. J.
Rosen, B. R.
Hochberg, F. H.
description Neovascularization is a common phenomenon in gliomas. MR imaging cerebral blood volume (CBV) mapping utilizes ultrafast echo-planar imaging and simultaneous use of gadolinium-based contrast material. To determine the utility of MR CBV mapping in the clinical evaluation of gliomas, we followed 15 patients with serial studies. This technique provided functional information that was not evident with conventional CT or MR imaging. Low-grade tumors demonstrated homogeneously low CBV, while high-grade tumors often showed areas of both high and low CBV The maximum tumor CBV/white matter ratio was compared between low- (n = 3) and high-grade gliomas (n=5) in patients without previous treatment and with histologic verification (n=8) and was significantly higher in high-grade gliomas (p
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Low-grade tumors demonstrated homogeneously low CBV, while high-grade tumors often showed areas of both high and low CBV The maximum tumor CBV/white matter ratio was compared between low- (n = 3) and high-grade gliomas (n=5) in patients without previous treatment and with histologic verification (n=8) and was significantly higher in high-grade gliomas (p&lt;0.01). High CBV foci in nonenhancing tumor areas were present in 2 cases. The distinction between radiation necrosis and active tumor could be made correctly in 3 of 4 cases. 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title Echo-Planar MR Cerebral Blood Volume Mapping of Gliomas: Clinical Utility
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