Quantitative Assessment of Gliomas by Proton Magnetic Resonance Spectroscopy

Background: Advanced magnetic resonance (MR) techniques provide physiological and metabolic information that complements the anatomical information available from conventional MR imaging. The purpose of this study was to evaluate the clinical usefulness of proton MR spectroscopy ( 1 H-MRS) in preope...

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Veröffentlicht in:Anticancer research 2007-11, Vol.27 (6A), p.3757-3763
Hauptverfasser: OSHIRO, Shinya, TSUGU, Hitoshi, KOMATSU, Fuminari, ABE, Hiroshi, ONISHI, Hirokazu, OHMURA, Tadahiro, IWAASA, Mitsutoshi, SAKAMOTO, Seisaburo, FUKUSHIMA, Takeo
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container_end_page 3763
container_issue 6A
container_start_page 3757
container_title Anticancer research
container_volume 27
creator OSHIRO, Shinya
TSUGU, Hitoshi
KOMATSU, Fuminari
ABE, Hiroshi
ONISHI, Hirokazu
OHMURA, Tadahiro
IWAASA, Mitsutoshi
SAKAMOTO, Seisaburo
FUKUSHIMA, Takeo
description Background: Advanced magnetic resonance (MR) techniques provide physiological and metabolic information that complements the anatomical information available from conventional MR imaging. The purpose of this study was to evaluate the clinical usefulness of proton MR spectroscopy ( 1 H-MRS) in preoperative quantitative assessment of intracranial gliomas. Patients and Methods: Eight patients with histologically verified gliomas, comprising 2 cases with glioblastoma multiforme (GBM, grade 4), 5 cases with anaplastic oligodendroglioma (AO, grade 3; high-grade glioma), and 1 case with fibrillary astrocytoma (FA, grade 2; low-grade glioma) were evaluated using the 1 H-MRS protocol following conventional MR imaging, diffusion-weighted imaging (DWI), and perfusion-weighted imaging (PWI) preoperatively. Results: High-grade gliomas tended to demonstrate signal hyperintensity by DWI and higher relative cerebral blood volume (rCBV) by PWI. Increased ratios of choline (Cho) to N-acetylaspartate (NAA) (Cho/NAA) and Cho to creatine (Cr) (Cho/Cr) correlated highly with tumor malignancy. The presence of lactate and lipid was predominately detected in patients with high-grade glioma. Conclusion: The combination of multiple MR parameters, based on DWI, PWI and 1 H-MRS, appears valuable for preoperatively predicting the degree of malignancy in glioma.
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The purpose of this study was to evaluate the clinical usefulness of proton MR spectroscopy ( 1 H-MRS) in preoperative quantitative assessment of intracranial gliomas. Patients and Methods: Eight patients with histologically verified gliomas, comprising 2 cases with glioblastoma multiforme (GBM, grade 4), 5 cases with anaplastic oligodendroglioma (AO, grade 3; high-grade glioma), and 1 case with fibrillary astrocytoma (FA, grade 2; low-grade glioma) were evaluated using the 1 H-MRS protocol following conventional MR imaging, diffusion-weighted imaging (DWI), and perfusion-weighted imaging (PWI) preoperatively. Results: High-grade gliomas tended to demonstrate signal hyperintensity by DWI and higher relative cerebral blood volume (rCBV) by PWI. Increased ratios of choline (Cho) to N-acetylaspartate (NAA) (Cho/NAA) and Cho to creatine (Cr) (Cho/Cr) correlated highly with tumor malignancy. The presence of lactate and lipid was predominately detected in patients with high-grade glioma. Conclusion: The combination of multiple MR parameters, based on DWI, PWI and 1 H-MRS, appears valuable for preoperatively predicting the degree of malignancy in glioma.</description><identifier>ISSN: 0250-7005</identifier><identifier>EISSN: 1791-7530</identifier><identifier>PMID: 17970039</identifier><language>eng</language><publisher>Attiki: International Institute of Anticancer Research</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Brain Neoplasms - diagnosis ; Diffusion Magnetic Resonance Imaging ; Female ; Glioma - diagnosis ; Humans ; Magnetic Resonance Imaging ; Magnetic Resonance Spectroscopy ; Male ; Medical sciences ; Middle Aged ; Neurology ; Protons ; Tumors ; Tumors of the nervous system. 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The purpose of this study was to evaluate the clinical usefulness of proton MR spectroscopy ( 1 H-MRS) in preoperative quantitative assessment of intracranial gliomas. Patients and Methods: Eight patients with histologically verified gliomas, comprising 2 cases with glioblastoma multiforme (GBM, grade 4), 5 cases with anaplastic oligodendroglioma (AO, grade 3; high-grade glioma), and 1 case with fibrillary astrocytoma (FA, grade 2; low-grade glioma) were evaluated using the 1 H-MRS protocol following conventional MR imaging, diffusion-weighted imaging (DWI), and perfusion-weighted imaging (PWI) preoperatively. Results: High-grade gliomas tended to demonstrate signal hyperintensity by DWI and higher relative cerebral blood volume (rCBV) by PWI. Increased ratios of choline (Cho) to N-acetylaspartate (NAA) (Cho/NAA) and Cho to creatine (Cr) (Cho/Cr) correlated highly with tumor malignancy. The presence of lactate and lipid was predominately detected in patients with high-grade glioma. Conclusion: The combination of multiple MR parameters, based on DWI, PWI and 1 H-MRS, appears valuable for preoperatively predicting the degree of malignancy in glioma.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Brain Neoplasms - diagnosis</subject><subject>Diffusion Magnetic Resonance Imaging</subject><subject>Female</subject><subject>Glioma - diagnosis</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Magnetic Resonance Spectroscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Protons</subject><subject>Tumors</subject><subject>Tumors of the nervous system. 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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Biological and medical sciences
Brain Neoplasms - diagnosis
Diffusion Magnetic Resonance Imaging
Female
Glioma - diagnosis
Humans
Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
Male
Medical sciences
Middle Aged
Neurology
Protons
Tumors
Tumors of the nervous system. Phacomatoses
title Quantitative Assessment of Gliomas by Proton Magnetic Resonance Spectroscopy
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