Diagnostic value of Diffusion-weighted Magnetic Resonance (MR) imaging, MR Perfusion, and MR Spectroscopy in addition to Conventional MR imaging in Intracranial Space-occupying Lesions
Yükleniyor...
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Cureus Inc
Erişim Hakkı
Attribution 3.0 Unported (CC BY 3.0)
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Purpose: Our aim was to determine the diagnostic performance of the combined usage of diffusion-weighted imaging (DWI), magnetic resonance spectroscopy (MRS) and perfusion MR (MRP) imaging for the differential diagnosis of benign and malignant intracranial lesions. Materials and methods: A total of 30 patients with intracranial lesions who were prospectively evaluated with contrast-enhanced magnetic resonance imaging (MRI), DWI, MRS, and MRP were included in this study. The lesions were classified as benign and malignant according to the radiologic findings. All imaging data were compared with the histopathologic results and follow-up of the patients. We used the Pearson chi-square test and Fischer’s exact t-test for statistical analysis. Results: For the differentiation of benign and malignant brain lesions, CBV and choline/creatine (Cho/Cr) ratio at short echo time (TE) had the highest sensitivity (87%-88%), Cho/N?acetyl aspartate (NAA) at short TE had the highest specificity (86%). DWI predicted 77% sensitivity, 75% specificity; MRP presented 91% sensitivity, 88% specificity; MRS yielded 77% sensitivity, 63% specificity. The combination of either DWI and MRS, MRP and MRS or DWI+MRS+MRP revealed 100% sensitivity, 100% specificity. Conclusion: For the differentiation of benign and malignant brain lesions, the combination of DWI, MRS, and MRP predicted 100% sensitivity. Invasive procedures like transcranial biopsy were not required via the usage of these advanced MRI techniques
Açıklama
Anahtar Kelimeler
Brain Tumor, MRI, Diffusion, Perfusion, Spectroscopy
Kaynak
Cureus
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
11
Sayı
12
Künye
Aydın, Z. B., Aydın, H., Birgi, E., & Hekimoğlu, B. (2019). Diagnostic Value of Diffusion-weighted Magnetic Resonance (MR) Imaging, MR Perfusion, and MR Spectroscopy in Addition to Conventional MR Imaging in Intracranial Space-occupying Lesions. Cureus, 11(12): 1-12.
