Differentiation of Cavernous Hemangioma from Schwannoma of the Orbit: A Dynamic MRI Study
The purpose of this study was to determine the capability of dynamic contrast MRI to differentiate hemangioma from schwannoma of the orbit. Sixteen patients (three males and 13 females; mean age, 39 +/- 17.3 [SD] years; age range, 10-71 years) with unilateral orbital tumors, including eight cavernou...
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Veröffentlicht in: | American journal of roentgenology (1976) 2004-12, Vol.183 (6), p.1799-1804 |
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container_title | American journal of roentgenology (1976) |
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creator | Tanaka, Atsuo Mihara, Futoshi Yoshiura, Takashi Togao, Osamu Kuwabara, Yasuo Natori, Yoshihiro Sasaki, Tomio Honda, Hiroshi |
description | The purpose of this study was to determine the capability of dynamic contrast MRI to differentiate hemangioma from schwannoma of the orbit.
Sixteen patients (three males and 13 females; mean age, 39 +/- 17.3 [SD] years; age range, 10-71 years) with unilateral orbital tumors, including eight cavernous hemangiomas and eight schwannomas, were examined. In addition to conventional MRI, we performed a dynamic contrast study (fast spin-echo sequence, 20-sec interval) after bolus administration of the contrast material (gadopentetate dimeglumine, 0.1 mmol/kg). We evaluated the features of the contrast enhancement spread pattern and the tumors' time-intensity curves.
In the early phase, all the hemangiomas started the enhancement from one point or portion, although all the schwannomas started the enhancement from a wide area. The difference in the contrast-enhancement spread pattern features between the two types of tumors was statistically significant (p < 0.0001). The gradient of the time-intensity curve did not show a significant difference.
Hemangioma and schwannoma of the orbit can be differentiated by the contrast-enhancement spread pattern on dynamic MRI. |
doi_str_mv | 10.2214/ajr.183.6.01831799 |
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Sixteen patients (three males and 13 females; mean age, 39 +/- 17.3 [SD] years; age range, 10-71 years) with unilateral orbital tumors, including eight cavernous hemangiomas and eight schwannomas, were examined. In addition to conventional MRI, we performed a dynamic contrast study (fast spin-echo sequence, 20-sec interval) after bolus administration of the contrast material (gadopentetate dimeglumine, 0.1 mmol/kg). We evaluated the features of the contrast enhancement spread pattern and the tumors' time-intensity curves.
In the early phase, all the hemangiomas started the enhancement from one point or portion, although all the schwannomas started the enhancement from a wide area. The difference in the contrast-enhancement spread pattern features between the two types of tumors was statistically significant (p < 0.0001). The gradient of the time-intensity curve did not show a significant difference.
Hemangioma and schwannoma of the orbit can be differentiated by the contrast-enhancement spread pattern on dynamic MRI.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.183.6.01831799</identifier><identifier>PMID: 15547232</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Contrast Media ; Diagnosis, Differential ; Female ; Gadolinium DTPA ; Hemangioma, Cavernous - diagnosis ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Middle Aged ; Neurilemmoma - diagnosis ; Orbital Neoplasms - diagnosis ; Retrospective Studies</subject><ispartof>American journal of roentgenology (1976), 2004-12, Vol.183 (6), p.1799-1804</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-20b0f3740d3ca18ba0cfe43f922113e78e9a57e1faac7058e9d47bd560d972d33</citedby><cites>FETCH-LOGICAL-c429t-20b0f3740d3ca18ba0cfe43f922113e78e9a57e1faac7058e9d47bd560d972d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4121,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16292886$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15547232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanaka, Atsuo</creatorcontrib><creatorcontrib>Mihara, Futoshi</creatorcontrib><creatorcontrib>Yoshiura, Takashi</creatorcontrib><creatorcontrib>Togao, Osamu</creatorcontrib><creatorcontrib>Kuwabara, Yasuo</creatorcontrib><creatorcontrib>Natori, Yoshihiro</creatorcontrib><creatorcontrib>Sasaki, Tomio</creatorcontrib><creatorcontrib>Honda, Hiroshi</creatorcontrib><title>Differentiation of Cavernous Hemangioma from Schwannoma of the Orbit: A Dynamic MRI Study</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>The purpose of this study was to determine the capability of dynamic contrast MRI to differentiate hemangioma from schwannoma of the orbit.
Sixteen patients (three males and 13 females; mean age, 39 +/- 17.3 [SD] years; age range, 10-71 years) with unilateral orbital tumors, including eight cavernous hemangiomas and eight schwannomas, were examined. In addition to conventional MRI, we performed a dynamic contrast study (fast spin-echo sequence, 20-sec interval) after bolus administration of the contrast material (gadopentetate dimeglumine, 0.1 mmol/kg). We evaluated the features of the contrast enhancement spread pattern and the tumors' time-intensity curves.
In the early phase, all the hemangiomas started the enhancement from one point or portion, although all the schwannomas started the enhancement from a wide area. The difference in the contrast-enhancement spread pattern features between the two types of tumors was statistically significant (p < 0.0001). The gradient of the time-intensity curve did not show a significant difference.
Hemangioma and schwannoma of the orbit can be differentiated by the contrast-enhancement spread pattern on dynamic MRI.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Contrast Media</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Gadolinium DTPA</subject><subject>Hemangioma, Cavernous - diagnosis</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurilemmoma - diagnosis</subject><subject>Orbital Neoplasms - diagnosis</subject><subject>Retrospective Studies</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1P3DAQhq2qVVm2_IEekC-FU7b-ip1wQwstK1EhFZDoyZo4NmuUOGBnifbf13S34jQa6Xnf0TwIfaVkwRgV3-EpLmjFF3JB8qCqrj-gGS2FLDgV9COaES5pURH-cIAOU3oihKiqVp_RAS1LoRhnM_Tnwjtnow2jh9EPAQ8OL-HVxjBsEr6yPYRHP_SAXRx6fGvWE4TwtmduXFt8Exs_nuFzfLEN0HuDf_1e4dtx026_oE8OumSP9nOO7n9c3i2viuubn6vl-XVhBKvHgpGGOK4EabkBWjVAjLOCuzq_SLlVla2hVJY6AKNImddWqKYtJWlrxVrO5-hk1_sch5eNTaPufTK26yDY_IOWiiglBcsg24EmDilF6_Rz9D3EraZEvwnVWajOJrXU_4Xm0PG-fdP0tn2P7A1m4NsegGSgcxGC8emdk6xmVSUzd7rj1v5xPflodeqh63It1dM07c7-O_kXcp6L2A</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>Tanaka, Atsuo</creator><creator>Mihara, Futoshi</creator><creator>Yoshiura, Takashi</creator><creator>Togao, Osamu</creator><creator>Kuwabara, Yasuo</creator><creator>Natori, Yoshihiro</creator><creator>Sasaki, Tomio</creator><creator>Honda, Hiroshi</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Differentiation of Cavernous Hemangioma from Schwannoma of the Orbit: A Dynamic MRI Study</title><author>Tanaka, Atsuo ; Mihara, Futoshi ; Yoshiura, Takashi ; Togao, Osamu ; Kuwabara, Yasuo ; Natori, Yoshihiro ; Sasaki, Tomio ; Honda, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-20b0f3740d3ca18ba0cfe43f922113e78e9a57e1faac7058e9d47bd560d972d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Contrast Media</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Gadolinium DTPA</topic><topic>Hemangioma, Cavernous - diagnosis</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurilemmoma - diagnosis</topic><topic>Orbital Neoplasms - diagnosis</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanaka, Atsuo</creatorcontrib><creatorcontrib>Mihara, Futoshi</creatorcontrib><creatorcontrib>Yoshiura, Takashi</creatorcontrib><creatorcontrib>Togao, Osamu</creatorcontrib><creatorcontrib>Kuwabara, Yasuo</creatorcontrib><creatorcontrib>Natori, Yoshihiro</creatorcontrib><creatorcontrib>Sasaki, Tomio</creatorcontrib><creatorcontrib>Honda, Hiroshi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanaka, Atsuo</au><au>Mihara, Futoshi</au><au>Yoshiura, Takashi</au><au>Togao, Osamu</au><au>Kuwabara, Yasuo</au><au>Natori, Yoshihiro</au><au>Sasaki, Tomio</au><au>Honda, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differentiation of Cavernous Hemangioma from Schwannoma of the Orbit: A Dynamic MRI Study</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>2004-12-01</date><risdate>2004</risdate><volume>183</volume><issue>6</issue><spage>1799</spage><epage>1804</epage><pages>1799-1804</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>The purpose of this study was to determine the capability of dynamic contrast MRI to differentiate hemangioma from schwannoma of the orbit.
Sixteen patients (three males and 13 females; mean age, 39 +/- 17.3 [SD] years; age range, 10-71 years) with unilateral orbital tumors, including eight cavernous hemangiomas and eight schwannomas, were examined. In addition to conventional MRI, we performed a dynamic contrast study (fast spin-echo sequence, 20-sec interval) after bolus administration of the contrast material (gadopentetate dimeglumine, 0.1 mmol/kg). We evaluated the features of the contrast enhancement spread pattern and the tumors' time-intensity curves.
In the early phase, all the hemangiomas started the enhancement from one point or portion, although all the schwannomas started the enhancement from a wide area. The difference in the contrast-enhancement spread pattern features between the two types of tumors was statistically significant (p < 0.0001). The gradient of the time-intensity curve did not show a significant difference.
Hemangioma and schwannoma of the orbit can be differentiated by the contrast-enhancement spread pattern on dynamic MRI.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>15547232</pmid><doi>10.2214/ajr.183.6.01831799</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Aged Biological and medical sciences Child Contrast Media Diagnosis, Differential Female Gadolinium DTPA Hemangioma, Cavernous - diagnosis Humans Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged Neurilemmoma - diagnosis Orbital Neoplasms - diagnosis Retrospective Studies |
title | Differentiation of Cavernous Hemangioma from Schwannoma of the Orbit: A Dynamic MRI Study |
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