Proton magnetic resonance chemical shift imaging (1H CSI)-directed stereotactic biopsy

To add metabolic information during stereotactic biopsy target selection, the authors adopted proton chemical shift imaging (1H CSI)-directed stereotactic biopsy. Currently, proton single voxel spectroscopy (SVS) technique has been reported in stereotactic biopsy. We performed 1H CSI in combination...

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Veröffentlicht in:Acta neurochirurgica 2001-01, Vol.143 (1), p.45-50
Hauptverfasser: Son, B C, Kim, M C, Choi, B G, Kim, E N, Baik, H M, Choe, B Y, Naruse, S, Kang, J K
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container_issue 1
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container_title Acta neurochirurgica
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creator Son, B C
Kim, M C
Choi, B G
Kim, E N
Baik, H M
Choe, B Y
Naruse, S
Kang, J K
description To add metabolic information during stereotactic biopsy target selection, the authors adopted proton chemical shift imaging (1H CSI)-directed stereotactic biopsy. Currently, proton single voxel spectroscopy (SVS) technique has been reported in stereotactic biopsy. We performed 1H CSI in combination with a stereotactic headframe and selected targets according to local metabolic information, and evaluated the pathological results. The 1H CSI-directed stereotactic biopsy was performed in four patients. 1H CSI and conventional Gd-enhancement stereotactic MRI were performed simultaneously after the fitting of a stereotactic frame. After reconstructing the metabolic maps of N-acetylaspartate (NAA)/phosphocreatine (Cr), phosphocholine (Cho)/Cr, and Lactate/Cr ratios, focal areas of increased Cho/Cr ratio and Lac/Cr ratios were selected as target sites in the stereotactic MR images. 1H CSI is possible with the stereotactic headframe in place. No difficulty was experienced performing 1H CSI or making a diagnosis. Pathological samples taken from areas of increased Cho/Cr ratios and decreased NAA/Cr ratios provided information upon increased cellularity, mitoses and cellular atypism, and facilitated diagnosis. Pathological samples taken from areas of increased Lac/Cr ratio showed predominant feature of necrosis. 1H CSI was feasible with the stereotactic headframe in place. The final pathological results obtained were concordant with the local metabolic information from 1H CSI. We believe that 1H CSI-directed stereotatic biopsy has the potential to significantly improve the accuracy of stereotactic biopsy targeting.
doi_str_mv 10.1007/s007010170137
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Pathological samples taken from areas of increased Cho/Cr ratios and decreased NAA/Cr ratios provided information upon increased cellularity, mitoses and cellular atypism, and facilitated diagnosis. Pathological samples taken from areas of increased Lac/Cr ratio showed predominant feature of necrosis. 1H CSI was feasible with the stereotactic headframe in place. The final pathological results obtained were concordant with the local metabolic information from 1H CSI. 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Pathological samples taken from areas of increased Cho/Cr ratios and decreased NAA/Cr ratios provided information upon increased cellularity, mitoses and cellular atypism, and facilitated diagnosis. Pathological samples taken from areas of increased Lac/Cr ratio showed predominant feature of necrosis. 1H CSI was feasible with the stereotactic headframe in place. The final pathological results obtained were concordant with the local metabolic information from 1H CSI. We believe that 1H CSI-directed stereotatic biopsy has the potential to significantly improve the accuracy of stereotactic biopsy targeting.</abstract><cop>Austria</cop><pub>Springer Nature B.V</pub><pmid>11345717</pmid><doi>10.1007/s007010170137</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aspartic Acid - analogs & derivatives
Aspartic Acid - metabolism
Biopsy, Needle - instrumentation
Brain - pathology
Brain Neoplasms - pathology
Creatine - metabolism
Diagnosis, Differential
Energy Metabolism - physiology
Female
Glioblastoma - pathology
Glioma - pathology
Humans
Image Processing, Computer-Assisted
Lactic Acid - metabolism
Magnetic Resonance Imaging - instrumentation
Magnetic Resonance Spectroscopy - instrumentation
Male
Middle Aged
Necrosis
Phosphocreatine - metabolism
Phosphorylcholine - metabolism
Stereotaxic Techniques - instrumentation
title Proton magnetic resonance chemical shift imaging (1H CSI)-directed stereotactic biopsy
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