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Perfusion-sensitive MRI of Pilocytic Astrocytomas: Initial Results

Overview
Journal Neuroradiology
Specialties Neurology
Radiology
Date 2007 May 29
PMID 17530237
Citations 14
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Abstract

Purpose: To present the imaging and perfusion data obtained in nine patients with pilocytic astrocytomas (PA) and to discuss the original functional issues of this technique.

Method: Nine patients with pathologically proven PA underwent conventional and perfusion MR imaging. Various areas of relative cerebral blood volume (rCBV) within the tumors were obtained. The maximum rCBV ratios were identified and considered as representative of the tumor. The results were compared with the pathological findings.

Results: In all patients, rCBV was <1.5 (mean 1) and the signal intensity curve overshot the baseline.

Conclusion: PA tend to have low rCBV values and a first-pass curve that crosses the baseline. These characteristics may be explained by the histological profile of the tumoral vascularity and are of relevance in the identification of these rare tumors.

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References
1.
Lev M, Ozsunar Y, Henson J, Rasheed A, Barest G, Harsh 4th G . Glial tumor grading and outcome prediction using dynamic spin-echo MR susceptibility mapping compared with conventional contrast-enhanced MR: confounding effect of elevated rCBV of oligodendrogliomas [corrected]. AJNR Am J Neuroradiol. 2004; 25(2):214-21. PMC: 7974605. View

2.
Sugahara T, Korogi Y, Kochi M, Ikushima I, Hirai T, Okuda T . Correlation of MR imaging-determined cerebral blood volume maps with histologic and angiographic determination of vascularity of gliomas. AJR Am J Roentgenol. 1998; 171(6):1479-86. DOI: 10.2214/ajr.171.6.9843274. View

3.
Lee Y, Van Tassel P, Bruner J, Moser R, Share J . Juvenile pilocytic astrocytomas: CT and MR characteristics. AJR Am J Roentgenol. 1989; 152(6):1263-70. DOI: 10.2214/ajr.152.6.1263. View

4.
Kremer S, Grand S, Remy C, Esteve F, Lefournier V, Pasquier B . Cerebral blood volume mapping by MR imaging in the initial evaluation of brain tumors. J Neuroradiol. 2002; 29(2):105-13. View

5.
Strong J, Hatten Jr H, Brown M, Debatin J, Friedman H, Oakes W . Pilocytic astrocytoma: correlation between the initial imaging features and clinical aggressiveness. AJR Am J Roentgenol. 1993; 161(2):369-72. DOI: 10.2214/ajr.161.2.8333380. View