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

Published version
Peer-reviewed

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Type

Article

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Authors

Oth, Isabelle 
Schöpf, Veronika 
Nenning, Karl-Heinz 
Asenbaum, Ulrika 

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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Keywords

Brain metastases, Extra-axial brain tumors, Intratumoral neovascularization, Meningioma, Pulsed arterial spin labeling, Adult, Aged, Aged, 80 and over, Contrast Media, Diagnosis, Differential, Dura Mater, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Angiography, Male, Meningeal Neoplasms, Meningioma, Middle Aged, Neoplasm Metastasis, Prospective Studies, Spin Labels

Journal Title

Clin Neuroradiol

Conference Name

Journal ISSN

1869-1439
1869-1447

Volume Title

30

Publisher

Springer Science and Business Media LLC