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Research ArticleBRAIN

Peritumoral Diffusion Tensor Imaging of High-Grade Gliomas and Metastatic Brain Tumors

Stanley Lu, Daniel Ahn, Glyn Johnson and Soonmee Cha
American Journal of Neuroradiology May 2003, 24 (5) 937-941;
Stanley Lu
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Daniel Ahn
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Glyn Johnson
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Soonmee Cha
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  • Fig 1.
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    Fig 1.

    Images in a patient with lung carcinoma.

    A, Contrast-enhanced T1-weighted MR image demonstrates an enhancing mass adjacent to the central sulcus on the right side.

    B, ROIs are placed within the hyperintense vasogenic edema on this T2-weighted MR image and within the corresponding contralateral white matter.

    C, MD overlay map renders a mean MD of 0.908 × 10−3 mm2/s.

    D, FA overlay map renders a mean FA of 0.114. The peritumoral DTI metrics are consistent with lung metastasis.

  • Fig 2.
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    Fig 2.

    Scatterplot of FA versus MD demonstrates lack of high correlation between the two variables (R = −0.70). The data in the metastasis group tend to lie within the higher range of MD, when compared with the data in the glioma group (P < .005). Along the FA axis, no such statistically significant discrepancy was observed.

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    Fig 3.

    Images in a patient with glioblastoma multiforme.

    A, Contrast-enhanced T1-weighted MR image demonstrates an enhancing mass in the left temporal lobe that is not clearly high-grade glioma nor clearly metastasis on this conventional MR image.

    B, ROIs are placed within the hyperintense vasogenic edema on a T2-weighted MR image and within the corresponding contralateral white matter.

    C, MD overlay map renders a mean MD of 0.603 × 10−3 mm2/s.

    D, FA overlay map renders a mean FA of 0.301. The peritumoral DTI metrics are consistent with glioblastoma multiforme.

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    Fig 4.

    Schematics illustrate the factors behind the comparable change in peritumoral FA.

    A, Water content and axonal disorganization contributing to decreased FA.

    B, Water content contributing to decreased FA

Tables

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    TABLE 1:

    Mean DTI metrics in patients with high-grade gliomas

    PatientDiagnosisPeritumoral Signal AbnormalityNormal-Appearing White Matter
    MD (×10−3 mm2/s)FAMD (×10−3 mm2/s)FA
    1Anaplastic astrocytoma0.6020.2400.3870.529
    2Glioblastoma multiforme0.5860.2070.4280.390
    3Glioblastoma multiforme0.7640.1830.4030.421
    4Glioblastoma multiforme0.7890.1780.3610.486
    5Glioblastoma multiforme0.4600.2790.3750.501
    6Anaplastic astrocytoma0.5590.2390.3980.526
    7Glioblastoma multiforme0.6580.3380.3820.480
    8Anaplastic astrocytoma0.7250.1900.3980.395
    9Glioblastoma multiforme0.7160.2060.3730.420
    10Glioblastoma multiforme0.4500.2480.3760.362
    11Glioblastoma multiforme0.5590.3730.5480.688
    12Glioblastoma multiforme0.6030.3010.3910.400
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    TABLE 2:

    Mean DTI metrics in patients with metastatic brain tumors

    PatientDiagnosisPeritumoral Signal AbnormalityNormal-Appearing White Matter
    MD (×10−3 mm2/s)FAMD (×10−3 mm2/s)FA
    1Breast carcinoma0.6970.2440.3990.428
    2Melanoma0.7230.2440.4150.412
    3Breast carcinoma0.8380.1490.4360.653
    4Testicular carcinoma0.8110.1940.4100.471
    5Breast carcinoma0.7430.1740.3980.369
    6Melanoma0.7010.1830.3690.508
    7Lung carcinoma0.9080.1140.3810.338
    8Lung carcinoma0.6390.2290.3850.400
    9Lung carcinoma0.7890.1680.3760.428
    10Osteosarcoma0.9430.1820.4080.362
    11Lung carcinoma1.0020.1570.4070.356
    12Undifferentiated sarcoma0.7880.1400.3870.404
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American Journal of Neuroradiology: 24 (5)
American Journal of Neuroradiology
Vol. 24, Issue 5
1 May 2003
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Cite this article
Stanley Lu, Daniel Ahn, Glyn Johnson, Soonmee Cha
Peritumoral Diffusion Tensor Imaging of High-Grade Gliomas and Metastatic Brain Tumors
American Journal of Neuroradiology May 2003, 24 (5) 937-941;

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Peritumoral Diffusion Tensor Imaging of High-Grade Gliomas and Metastatic Brain Tumors
Stanley Lu, Daniel Ahn, Glyn Johnson, Soonmee Cha
American Journal of Neuroradiology May 2003, 24 (5) 937-941;
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  • Multimodal Imaging in Malignant Brain Tumors: Enhancing the Preoperative Risk Evaluation for Motor Deficits with a Combined Hybrid MRI-PET and Navigated Transcranial Magnetic Stimulation Approach
  • Diagnostic Utility of Diffusion Tensor Imaging in Differentiating Glioblastomas from Brain Metastases
  • Utility of Diffusion Tensor Imaging in Evaluation of the Peritumoral Region in Patients with Primary and Metastatic Brain Tumors
  • Improved Conspicuity and Delineation of High-Grade Primary and Metastatic Brain Tumors Using "Restriction Spectrum Imaging": Quantitative Comparison with High B-Value DWI and ADC
  • A Novel PET Index, 18F-FDG-11C-Methionine Uptake Decoupling Score, Reflects Glioma Cell Infiltration
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  • Diffusion Tensor Imaging in Glioblastoma Multiforme and Brain Metastases: The Role of p, q, L, and Fractional Anisotropy
  • Differentiation between solitary brain metastasis and high-grade glioma by diffusion tensor imaging
  • Effects of dexamethasone on peritumoural oedematous brain: a DT-MRI study
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