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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

MRI Findings in Tumefactive Demyelinating Lesions: A Systematic Review and Meta-Analysis

C.H. Suh, H.S. Kim, S.C. Jung, C.G. Choi and S.J. Kim
American Journal of Neuroradiology September 2018, 39 (9) 1643-1649; DOI: https://doi.org/10.3174/ajnr.A5775
C.H. Suh
aFrom the Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
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  • ORCID record for C.H. Suh
H.S. Kim
aFrom the Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
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  • ORCID record for H.S. Kim
S.C. Jung
aFrom the Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
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C.G. Choi
aFrom the Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
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S.J. Kim
aFrom the Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
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Article Figures & Data

Figures

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  • Fig 1.
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    Fig 1.

    Flow diagram for the literature-selection process.

  • Fig 2.
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    Fig 2.

    Forest plots to show the pooled incidences of conventional MR imaging findings in patients with TDL: open ring or incomplete rim enhancement (A), closed ring or complete rim enhancement (B), T2 hypointense rim (C), absent or mild mass effect (D), and absent or mild perilesional edema (E). Numbers are estimates with 95% confidence intervals in parentheses.

  • Fig 3.
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    Fig 3.

    Images obtained in a 44-year-old man with biopsy-proved TDL. T2-weighted (A) and FLAIR (B) images show a well-defined high-signal-intensity lesion in the left cerebral hemisphere with mild perilesional edema. C, Contrast-enhanced T1-weighted image shows open ring enhancement. DWI (D) and the corresponding ADC map (E) reveal high ADC within the lesion and peripheral restricted diffusion. F, DSC demonstrates low cerebral blood volume.

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    Fig 4.

    Coupled forest plots of the sensitivity and specificity of MR Imaging for the diagnosis of a TDL. Numbers are estimates with 95% confidence intervals in parentheses.

Tables

  • Figures
  • Characteristics of the eligible studies

    Author (yr)Patients with TDL (No.)Male (No.)Female (No.)Mean Age (yr)Age Range (yr)Duration of Patient RecruitmentInstitution
    Altintas et al (2012)454173731.818–63NA5 Medical centers, Turkey
    Cha et al (2001)5103734.513–57NANew York University Medical Center
    Hiremath et al (2017)61410437.5NA2011.1–2015.12Sree Chitra Tirunal Institute for Medical Sciences and Technology, India
    Jain et al (2017)7117419.610–412014.8–2017.3Sawai Man Singh Medical College, India
    Kilic et al (2013)8258172915–561993.2–2011.6Hacettepe University, Faculty of Medicine, Turkey
    Kim et al (2009)915874227–571998.12–2005.12Seoul National University Hospital and Samsung Medical Center, Republic of Korea
    Kiriyama et al (2011)10126627 (Median)17–641993.1–2009.6Nara Medical University, Japan
    Kuan et al (2013)111211141.516–621985.1–2010.12Taipei Veterans General Hospital, Taiwan
    Lu et al (2015)1218108NA22–662007.4–2012.5Asan Medical Center, Republic of Korea
    Lucchinetti et al (2008)13151NANANANA1987.9–2005.8Mayo Clinic and Georg–August University, Germany
    Mabray et al (2015)1424101435.116–532002–2011University of California at San Francisco
    Malhotra et al (2009)1518810264–50NAChhatrapati Sahuji Maharaj Medical University and Sanjay Gandhi Post Graduate Institute of Medical Sciences, India
    Miron et al (2013)16102826.8NA2007.1–2007.12Sheba Medical Center, Israel
    Qi et al (2015)17149524 (Median)4–512004.1–2009.1Beijing Tiantan Hospital, China
    Saini et al (2011)181810831.810–612001.1–2009.12Sree Chitra Tirunal Institute for Medical Sciences and Technology, India
    Sánchez et al (2017)191531236NA2010.1–2017.2Hospital Universitario de La Princesa, Spain
    Siri et al (2015)201651135.720–65NA10 Medical centers, France
    Toh et al (2012)2182637.323–51NANational Yang–Ming University, Taiwan
    Yiu et al (2014)2231141710.4NA2004.9–2009.1223 Medical centers, Canada
    • Note:—NA indicates not available.

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American Journal of Neuroradiology: 39 (9)
American Journal of Neuroradiology
Vol. 39, Issue 9
1 Sep 2018
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Cite this article
C.H. Suh, H.S. Kim, S.C. Jung, C.G. Choi, S.J. Kim
MRI Findings in Tumefactive Demyelinating Lesions: A Systematic Review and Meta-Analysis
American Journal of Neuroradiology Sep 2018, 39 (9) 1643-1649; DOI: 10.3174/ajnr.A5775

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MRI Findings in Tumefactive Demyelinating Lesions: A Systematic Review and Meta-Analysis
C.H. Suh, H.S. Kim, S.C. Jung, C.G. Choi, S.J. Kim
American Journal of Neuroradiology Sep 2018, 39 (9) 1643-1649; DOI: 10.3174/ajnr.A5775
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