Proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions
Background/Aim. Advanced magnetic resonance techniques can provide insight in physiological changes within pathological canges and contribute to better distinquishing between different tumor types and their discrimination from non-neoplastic lesions. The aim of this study was to evaluate the role...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2013-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501200044R.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850234320834265088 |
|---|---|
| author | Ristić-Baloš Dragana Gavrilović Svetlana Lavrnić Slobodan Vasić Brankica Mačvanski Marija Damjanović Dušan Stošić-Opinćal Tatjana |
| author_facet | Ristić-Baloš Dragana Gavrilović Svetlana Lavrnić Slobodan Vasić Brankica Mačvanski Marija Damjanović Dušan Stošić-Opinćal Tatjana |
| author_sort | Ristić-Baloš Dragana |
| collection | DOAJ |
| description | Background/Aim. Advanced magnetic resonance techniques can provide insight in physiological changes within pathological canges and contribute to better distinquishing between different tumor types and their discrimination from non-neoplastic lesions. The aim of this study was to evaluate the role of proton magnetic resonance spectroscopy (1H-MRS) and apparent diffusion coefficients (ADC) in distinguishing intracranial glial tumors from tumor like nonneoplastic lesions, as well as for differentiating high- from low-grade gliomas. Methods. This retrospective study included 47 patients with solid brain lesions (25 nonneoplastic, 14 low-grade and 8 anaplastic glial tumors). In all patients 1H-MRS (at a TE of 135 ms and 30 ms) and diffusion- weighted imaging (DWI) were performed. The choline to creatine (Cho/Cr), choline to N-acetyl aspartate (Cho/NAA), N-acetyl aspartate to creatine (NAA/Cr) and myoinositol to creatine (mIn/Cr) ratios and the apparent diffusion coefficient (ADC) were determined. Results. The Cho/Cr ratio was significantly higher in glial tumors grade II than in non-neoplastic lesions (p = 0.008) and in glial tumors grade III than in non-neoplastic lesions (p = 0.001). The Cho/NAA ratio was significantly higher in glial tumors grade II than in non-neoplastic lesions (p = 0.037). ΔADC/ADC between glial tumors grade II and glial tumors grade III showed a statistical significance (p = 0.023). Conclusion. Our study showed that 1H-MRS and apparent diffusion coefficients can help in evaluation and differentiation of solid brain lesions. |
| format | Article |
| id | doaj-art-b4995646deb14cd4abec4d4f6c0f3414 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-b4995646deb14cd4abec4d4f6c0f34142025-08-20T02:02:40ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502013-01-0170763764410.2298/VSP110223044RProton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesionsRistić-Baloš DraganaGavrilović SvetlanaLavrnić SlobodanVasić BrankicaMačvanski MarijaDamjanović DušanStošić-Opinćal TatjanaBackground/Aim. Advanced magnetic resonance techniques can provide insight in physiological changes within pathological canges and contribute to better distinquishing between different tumor types and their discrimination from non-neoplastic lesions. The aim of this study was to evaluate the role of proton magnetic resonance spectroscopy (1H-MRS) and apparent diffusion coefficients (ADC) in distinguishing intracranial glial tumors from tumor like nonneoplastic lesions, as well as for differentiating high- from low-grade gliomas. Methods. This retrospective study included 47 patients with solid brain lesions (25 nonneoplastic, 14 low-grade and 8 anaplastic glial tumors). In all patients 1H-MRS (at a TE of 135 ms and 30 ms) and diffusion- weighted imaging (DWI) were performed. The choline to creatine (Cho/Cr), choline to N-acetyl aspartate (Cho/NAA), N-acetyl aspartate to creatine (NAA/Cr) and myoinositol to creatine (mIn/Cr) ratios and the apparent diffusion coefficient (ADC) were determined. Results. The Cho/Cr ratio was significantly higher in glial tumors grade II than in non-neoplastic lesions (p = 0.008) and in glial tumors grade III than in non-neoplastic lesions (p = 0.001). The Cho/NAA ratio was significantly higher in glial tumors grade II than in non-neoplastic lesions (p = 0.037). ΔADC/ADC between glial tumors grade II and glial tumors grade III showed a statistical significance (p = 0.023). Conclusion. Our study showed that 1H-MRS and apparent diffusion coefficients can help in evaluation and differentiation of solid brain lesions.http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501200044R.pdfbrain neoplasmsgliomabrain ischemiadiagnosisdiagostic techniques and proceduresmagnetic resonance imagingmagnetic resonance spectroscopy |
| spellingShingle | Ristić-Baloš Dragana Gavrilović Svetlana Lavrnić Slobodan Vasić Brankica Mačvanski Marija Damjanović Dušan Stošić-Opinćal Tatjana Proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions Vojnosanitetski Pregled brain neoplasms glioma brain ischemia diagnosis diagostic techniques and procedures magnetic resonance imaging magnetic resonance spectroscopy |
| title | Proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions |
| title_full | Proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions |
| title_fullStr | Proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions |
| title_full_unstemmed | Proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions |
| title_short | Proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions |
| title_sort | proton magnetic resonance spectroscopy and apparent diffusion coefficient in evaluation of solid brain lesions |
| topic | brain neoplasms glioma brain ischemia diagnosis diagostic techniques and procedures magnetic resonance imaging magnetic resonance spectroscopy |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501200044R.pdf |
| work_keys_str_mv | AT risticbalosdragana protonmagneticresonancespectroscopyandapparentdiffusioncoefficientinevaluationofsolidbrainlesions AT gavrilovicsvetlana protonmagneticresonancespectroscopyandapparentdiffusioncoefficientinevaluationofsolidbrainlesions AT lavrnicslobodan protonmagneticresonancespectroscopyandapparentdiffusioncoefficientinevaluationofsolidbrainlesions AT vasicbrankica protonmagneticresonancespectroscopyandapparentdiffusioncoefficientinevaluationofsolidbrainlesions AT macvanskimarija protonmagneticresonancespectroscopyandapparentdiffusioncoefficientinevaluationofsolidbrainlesions AT damjanovicdusan protonmagneticresonancespectroscopyandapparentdiffusioncoefficientinevaluationofsolidbrainlesions AT stosicopincaltatjana protonmagneticresonancespectroscopyandapparentdiffusioncoefficientinevaluationofsolidbrainlesions |