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
Hauptverfasser: Tanaka, Atsuo, Mihara, Futoshi, Yoshiura, Takashi, Togao, Osamu, Kuwabara, Yasuo, Natori, Yoshihiro, Sasaki, Tomio, Honda, Hiroshi
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container_end_page 1804
container_issue 6
container_start_page 1799
container_title American journal of roentgenology (1976)
container_volume 183
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 &lt; 0.0001). The gradient of the time-intensity curve did not show a significant difference. 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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 &lt; 0.0001). The gradient of the time-intensity curve did not show a significant difference. 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source American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection
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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