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 |
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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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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.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s007010170137</identifier><identifier>PMID: 11345717</identifier><language>eng</language><publisher>Austria: Springer Nature B.V</publisher><subject>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</subject><ispartof>Acta neurochirurgica, 2001-01, Vol.143 (1), p.45-50</ispartof><rights>Springer-Verlag Wien 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c318t-51487c2de0ead06f314361a717290b1a8e3b4fc4a85f87409fa2a9746a39e0d73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11345717$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Son, B C</creatorcontrib><creatorcontrib>Kim, M C</creatorcontrib><creatorcontrib>Choi, B G</creatorcontrib><creatorcontrib>Kim, E N</creatorcontrib><creatorcontrib>Baik, H M</creatorcontrib><creatorcontrib>Choe, B Y</creatorcontrib><creatorcontrib>Naruse, S</creatorcontrib><creatorcontrib>Kang, J K</creatorcontrib><title>Proton magnetic resonance chemical shift imaging (1H CSI)-directed stereotactic biopsy</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><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.</description><subject>Adult</subject><subject>Aspartic Acid - analogs & derivatives</subject><subject>Aspartic Acid - metabolism</subject><subject>Biopsy, Needle - instrumentation</subject><subject>Brain - pathology</subject><subject>Brain Neoplasms - pathology</subject><subject>Creatine - metabolism</subject><subject>Diagnosis, Differential</subject><subject>Energy Metabolism - physiology</subject><subject>Female</subject><subject>Glioblastoma - pathology</subject><subject>Glioma - pathology</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Lactic Acid - metabolism</subject><subject>Magnetic Resonance Imaging - instrumentation</subject><subject>Magnetic Resonance Spectroscopy - instrumentation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Necrosis</subject><subject>Phosphocreatine - metabolism</subject><subject>Phosphorylcholine - metabolism</subject><subject>Stereotaxic Techniques - instrumentation</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkM1Lw0AQxRdRbK0evcriQfQQnf1odnOUorZQUPDjGjabSZuSZutucuh_75YWRC9vZuA3j5lHyCWDewagHkIUYMCiCHVEhpBJnkSB49gDsCTlqR6QsxBWceJKilMyYEzIsWJqSL7evOtcS9dm0WJXW-oxuNa0Fqld4rq2pqFhWVcdrSNStwt6y6Z08j67S8rao-2wpKFDj64zdrdf1G4TtufkpDJNwItDHZHP56ePyTSZv77MJo_zxAqmu2TMpFaWlwhoSkgrwaRImYmX8QwKZjSKQlZWGj2utJKQVYabTMnUiAyhVGJEbva-G---ewxdvq6DxaYxLbo-5Ao01xJEBK__gSvX-zbelmc8WmvQLELJHrLeheCxyjc-vu23OYN8l3b-J-3IXx1M-2KN5S99iFf8AEifeEA</recordid><startdate>20010101</startdate><enddate>20010101</enddate><creator>Son, B C</creator><creator>Kim, M C</creator><creator>Choi, B G</creator><creator>Kim, E N</creator><creator>Baik, H M</creator><creator>Choe, B Y</creator><creator>Naruse, S</creator><creator>Kang, J K</creator><general>Springer Nature B.V</general><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>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20010101</creationdate><title>Proton magnetic resonance chemical shift imaging (1H CSI)-directed stereotactic biopsy</title><author>Son, B C ; Kim, M C ; Choi, B G ; Kim, E N ; Baik, H M ; Choe, B Y ; Naruse, S ; Kang, J K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c318t-51487c2de0ead06f314361a717290b1a8e3b4fc4a85f87409fa2a9746a39e0d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aspartic Acid - analogs & derivatives</topic><topic>Aspartic Acid - metabolism</topic><topic>Biopsy, Needle - instrumentation</topic><topic>Brain - pathology</topic><topic>Brain Neoplasms - pathology</topic><topic>Creatine - metabolism</topic><topic>Diagnosis, Differential</topic><topic>Energy Metabolism - physiology</topic><topic>Female</topic><topic>Glioblastoma - pathology</topic><topic>Glioma - pathology</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Lactic Acid - metabolism</topic><topic>Magnetic Resonance Imaging - instrumentation</topic><topic>Magnetic Resonance Spectroscopy - instrumentation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Necrosis</topic><topic>Phosphocreatine - metabolism</topic><topic>Phosphorylcholine - metabolism</topic><topic>Stereotaxic Techniques - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Son, B C</creatorcontrib><creatorcontrib>Kim, M C</creatorcontrib><creatorcontrib>Choi, B G</creatorcontrib><creatorcontrib>Kim, E N</creatorcontrib><creatorcontrib>Baik, H M</creatorcontrib><creatorcontrib>Choe, B Y</creatorcontrib><creatorcontrib>Naruse, S</creatorcontrib><creatorcontrib>Kang, J K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Son, B C</au><au>Kim, M C</au><au>Choi, B G</au><au>Kim, E N</au><au>Baik, H M</au><au>Choe, B Y</au><au>Naruse, S</au><au>Kang, J K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proton magnetic resonance chemical shift imaging (1H CSI)-directed stereotactic biopsy</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2001-01-01</date><risdate>2001</risdate><volume>143</volume><issue>1</issue><spage>45</spage><epage>50</epage><pages>45-50</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>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.</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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