High grade gliomas: The role of dynamic contrast-enhanced susceptibility-weighted perfusion MRI and proton MR spectroscopic imaging in differentiating grade III from grade IV
Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patient...
Ausführliche Beschreibung
Autor*in: |
Sayed Zidan [verfasserIn] Hazim I. Tantawy [verfasserIn] Mansour Abdelmagid Makia [verfasserIn] |
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E-Artikel |
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Englisch |
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2016 |
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Übergeordnetes Werk: |
In: The Egyptian Journal of Radiology and Nuclear Medicine - SpringerOpen, 2016, 47(2016), 4, Seite 1565-1573 |
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Übergeordnetes Werk: |
volume:47 ; year:2016 ; number:4 ; pages:1565-1573 |
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DOI / URN: |
10.1016/j.ejrnm.2016.10.002 |
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Katalog-ID: |
DOAJ017469791 |
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520 | |a Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. | ||
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10.1016/j.ejrnm.2016.10.002 doi (DE-627)DOAJ017469791 (DE-599)DOAJdaca2123b7284325814d6d828d1dead5 DE-627 ger DE-627 rakwb eng R895-920 Sayed Zidan verfasserin aut High grade gliomas: The role of dynamic contrast-enhanced susceptibility-weighted perfusion MRI and proton MR spectroscopic imaging in differentiating grade III from grade IV 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. MRS Dynamic contrast-enhanced perfusion MRI Glioma grade III Glioma grade IV Medical physics. Medical radiology. Nuclear medicine Hazim I. Tantawy verfasserin aut Mansour Abdelmagid Makia verfasserin aut In The Egyptian Journal of Radiology and Nuclear Medicine SpringerOpen, 2016 47(2016), 4, Seite 1565-1573 (DE-627)641391862 (DE-600)2583928-7 20904762 nnns volume:47 year:2016 number:4 pages:1565-1573 https://doi.org/10.1016/j.ejrnm.2016.10.002 kostenfrei https://doaj.org/article/daca2123b7284325814d6d828d1dead5 kostenfrei http://www.sciencedirect.com/science/article/pii/S0378603X16301905 kostenfrei https://doaj.org/toc/0378-603X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 47 2016 4 1565-1573 |
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10.1016/j.ejrnm.2016.10.002 doi (DE-627)DOAJ017469791 (DE-599)DOAJdaca2123b7284325814d6d828d1dead5 DE-627 ger DE-627 rakwb eng R895-920 Sayed Zidan verfasserin aut High grade gliomas: The role of dynamic contrast-enhanced susceptibility-weighted perfusion MRI and proton MR spectroscopic imaging in differentiating grade III from grade IV 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. MRS Dynamic contrast-enhanced perfusion MRI Glioma grade III Glioma grade IV Medical physics. Medical radiology. Nuclear medicine Hazim I. Tantawy verfasserin aut Mansour Abdelmagid Makia verfasserin aut In The Egyptian Journal of Radiology and Nuclear Medicine SpringerOpen, 2016 47(2016), 4, Seite 1565-1573 (DE-627)641391862 (DE-600)2583928-7 20904762 nnns volume:47 year:2016 number:4 pages:1565-1573 https://doi.org/10.1016/j.ejrnm.2016.10.002 kostenfrei https://doaj.org/article/daca2123b7284325814d6d828d1dead5 kostenfrei http://www.sciencedirect.com/science/article/pii/S0378603X16301905 kostenfrei https://doaj.org/toc/0378-603X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 47 2016 4 1565-1573 |
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10.1016/j.ejrnm.2016.10.002 doi (DE-627)DOAJ017469791 (DE-599)DOAJdaca2123b7284325814d6d828d1dead5 DE-627 ger DE-627 rakwb eng R895-920 Sayed Zidan verfasserin aut High grade gliomas: The role of dynamic contrast-enhanced susceptibility-weighted perfusion MRI and proton MR spectroscopic imaging in differentiating grade III from grade IV 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. MRS Dynamic contrast-enhanced perfusion MRI Glioma grade III Glioma grade IV Medical physics. Medical radiology. Nuclear medicine Hazim I. Tantawy verfasserin aut Mansour Abdelmagid Makia verfasserin aut In The Egyptian Journal of Radiology and Nuclear Medicine SpringerOpen, 2016 47(2016), 4, Seite 1565-1573 (DE-627)641391862 (DE-600)2583928-7 20904762 nnns volume:47 year:2016 number:4 pages:1565-1573 https://doi.org/10.1016/j.ejrnm.2016.10.002 kostenfrei https://doaj.org/article/daca2123b7284325814d6d828d1dead5 kostenfrei http://www.sciencedirect.com/science/article/pii/S0378603X16301905 kostenfrei https://doaj.org/toc/0378-603X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 47 2016 4 1565-1573 |
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10.1016/j.ejrnm.2016.10.002 doi (DE-627)DOAJ017469791 (DE-599)DOAJdaca2123b7284325814d6d828d1dead5 DE-627 ger DE-627 rakwb eng R895-920 Sayed Zidan verfasserin aut High grade gliomas: The role of dynamic contrast-enhanced susceptibility-weighted perfusion MRI and proton MR spectroscopic imaging in differentiating grade III from grade IV 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. MRS Dynamic contrast-enhanced perfusion MRI Glioma grade III Glioma grade IV Medical physics. Medical radiology. Nuclear medicine Hazim I. Tantawy verfasserin aut Mansour Abdelmagid Makia verfasserin aut In The Egyptian Journal of Radiology and Nuclear Medicine SpringerOpen, 2016 47(2016), 4, Seite 1565-1573 (DE-627)641391862 (DE-600)2583928-7 20904762 nnns volume:47 year:2016 number:4 pages:1565-1573 https://doi.org/10.1016/j.ejrnm.2016.10.002 kostenfrei https://doaj.org/article/daca2123b7284325814d6d828d1dead5 kostenfrei http://www.sciencedirect.com/science/article/pii/S0378603X16301905 kostenfrei https://doaj.org/toc/0378-603X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 47 2016 4 1565-1573 |
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High grade gliomas: The role of dynamic contrast-enhanced susceptibility-weighted perfusion MRI and proton MR spectroscopic imaging in differentiating grade III from grade IV |
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Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. |
abstractGer |
Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. |
abstract_unstemmed |
Background: Advanced MR imaging techniques provide physiologic information which complements the conventional MRI findings. Purpose: To evaluate the role of dynamic contrast-enhanced perfusion MRI and proton MR spectroscopy (MRS) in differentiating grade-III from grade-IV glioma. Results: 40 patients with preliminary diagnosis of glioma according to the conventional MRI study and the WHO classification and grading of glioma underwent dynamic MRI study which revealed, 19 patients (47.5%) are diagnosed as grade-III, and 21 cases (52.5%) are diagnosed as grade-IV. The tumor core relative cerebral blood volume (rCBV) was highly significant (P = 0.000) in differentiating grade III from grade IV with cutoff value of 6,sensitivity of 90.5%, specificity of 68.4%, PVP of 76% and NPV of 86.7%. In proton MR spectroscopy, (CHo/Cr) ratio was significant in differentiating grade III from grade IV glioma (P = 0.02), while CHo/NAA, NAA/Cr and MI/Cr ratios were not significant. Conclusion: The rCBV estimation and the metabolite ratios separately or in combination increase the sensitivity of grading of glioma rather than the conventional MRI. |
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High grade gliomas: The role of dynamic contrast-enhanced susceptibility-weighted perfusion MRI and proton MR spectroscopic imaging in differentiating grade III from grade IV |
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