Recurrent medulloblastoma: frequency of tumor enhancement on Gd-DTPA MR imaging

Thirty-two children with medulloblastoma were evaluated postoperatively with conventional and gadolinium-enhanced MR imaging. Eleven patients had abnormal cranial MR studies; nine of these had recurrent tumor. In six patients recurrent tumor enhanced with Gd, while in the other three patients recurr...

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Veröffentlicht in:American journal of roentgenology (1976) 1990-07, Vol.155 (1), p.153-157
Hauptverfasser: Rollins, N, Mendelsohn, D, Mulne, A, Barton, R, Diehl, J, Reyes, N, Sklar, F
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container_end_page 157
container_issue 1
container_start_page 153
container_title American journal of roentgenology (1976)
container_volume 155
creator Rollins, N
Mendelsohn, D
Mulne, A
Barton, R
Diehl, J
Reyes, N
Sklar, F
description Thirty-two children with medulloblastoma were evaluated postoperatively with conventional and gadolinium-enhanced MR imaging. Eleven patients had abnormal cranial MR studies; nine of these had recurrent tumor. In six patients recurrent tumor enhanced with Gd, while in the other three patients recurrent tumor did not enhance. The remaining two patients had areas of abnormal Gd enhancement that were caused by radiation-induced breakdown of the blood-brain barrier rather than by recurrent tumor. This study shows that not all recurrent medulloblastoma enhances and that the absence of Gd enhancement does not necessarily indicate the absence of recurrent tumor.
doi_str_mv 10.2214/ajr.155.1.2112838
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ispartof American journal of roentgenology (1976), 1990-07, Vol.155 (1), p.153-157
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language eng
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source American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection
subjects Adolescent
AGE GROUPS
AMINO ACIDS
BLOOD-BRAIN BARRIER
Blood-Brain Barrier - radiation effects
BODY
BRAIN
CARBOXYLIC ACIDS
CENTRAL NERVOUS SYSTEM
Cerebellar Neoplasms - diagnosis
CHELATING AGENTS
Child
Child, Preschool
CHILDREN
CONTRAST MEDIA
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
DRUGS
DTPA
Gadolinium DTPA
Humans
Image Enhancement - methods
Infant
MAGNETIC RESONANCE
Magnetic Resonance Imaging - methods
Medulloblastoma - diagnosis
NECROSIS
Neoplasm Recurrence, Local - diagnosis
NEOPLASMS
NERVOUS SYSTEM
NMR IMAGING
NUCLEAR MAGNETIC RESONANCE
ORGANIC ACIDS
ORGANIC COMPOUNDS
Organometallic Compounds
ORGANS
PATHOLOGICAL CHANGES
PATIENTS
Pentetic Acid
Radiation Injuries - diagnosis
RADIOLOGY AND NUCLEAR MEDICINE
RADIOPROTECTIVE SUBSTANCES
RESONANCE 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics
Tomography, X-Ray Computed
title Recurrent medulloblastoma: frequency of tumor enhancement on Gd-DTPA MR imaging
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