Noninvasive Differentiation of Meningiomas and Dural Metastases Using Intratumoral Vascularity Obtained by Arterial Spin Labeling

Overview

Journal Clin Neuroradiol

Specialties Neurology
Radiology

Date 2019 Jul 3

PMID 31263906

Citations 3

Authors

Julia Furtner

Isabelle Oth

Veronika Schopf

Karl-Heinz Nenning

Ulrika Asenbaum

Adelheid Wohrer

Ramona Woitek

Georg Widhalm

Barbara Kiesel

Anna S Berghoff

Johannes A Hainfellner

Matthias Preusser

Daniela Prayer

Affiliations

Soon will be listed here.

Abstract

Purpose: Using conventional magnetic resonance imaging (MRI) techniques, the imaging features of meningiomas and dural metastases overlap and a differentiation between these tumor entities therefore remains difficult, particularly in patients with a known primary neoplasm. The purpose of this study was to explore the potential role of normalized vascular intratumoral signal intensity values (nVITS) obtained from pulsed arterial spin labeling (PASL) to differentiate between meningiomas and dural metastases.

Methods: In this study PASL was performed in 46 patients with meningiomas (n = 30) and dural metastases (n = 16) on a 3T scanner, in addition to the routine diagnostic imaging protocol. The ratio between the vascular signal intensity of the tumor and the contralateral normal white matter obtained by PASL images was defined as nVITS.

Results: Meningiomas showed significantly higher nVITS values compared to dural metastases (p < 0.001). The optimal nVITS cut-off value to differentiate between the 2 tumor entities was 1.989, with 100% sensitivity and 81.2% specificity.

Conclusion: The nVITS values obtained by PASL provide a fast and noninvasive MRI technique with which to differentiate between meningiomas and dural metastases in a routine clinical setting based on tumor vascularity.

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