Tumour blood flow and partition coefficients: Correlation with grade of cerebral gliomas using xenon-enhanced computed tomography

被引:0
作者
Našel C. [1 ]
Rössler K. [2 ]
Heimberger K. [1 ]
Görzer H. [1 ]
Lassmann H. [3 ]
Schindler E. [1 ]
机构
[1] Department of Radiology, University of Vienna, AKH Wien, A-1090 Vienna
[2] Department of Neurosurgery, University of Vienna, Vienna
[3] Res. U. for Exp. Neuropathology, Austrian Academy of Sciences, Vienna
关键词
Astrocytoma; Brain-blood partition coefficient; Xenon CT;
D O I
10.1007/s002340050481
中图分类号
学科分类号
摘要
It is possible to underestimate the grade of nonenhancing cerebral tumours on conventional contrast-enhanced MRI or CT. Differentiation of high- and low-grade gliomas by measurement of the brain-blood partition coefficient lambda (Tλ) with Xe-enhanced CT (XeCT) has been reported. We assessed the practical applications of XeCT in suspected low-grade astrocytomas. We examined 15 patients with tumours which showed no contrast enhancement on conventional MRI and CT, using XeCT. Tumour blood flow (TBF) and Tλ,were calculated. Fourteen patients underwent surgery, one patient had a biopsy, We recognised three histological groups. While Tλ differed significantly between them, TBF did not. Group 1 contained grade II-III astrocytomas and Tλ was 0.77; group 2 contained grade I-II astrocytomas with Tλ 1.14, and group 3 four oligodendrogliomas in which a Tλ of 1.50 was found.
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页码:627 / 632
页数:5
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共 25 条
  • [1] Levivier M., Goldman S., Pirotte B., Diagnostic yield of stereotactic brain biopsy guided by positron emission tomography with F18 fluorodeoxyglucose, J Neurosurg, 82, pp. 445-452, (1995)
  • [2] Aronen H.J., Gazit I.E., Louis D.N., Et al., Cerebral blood volume maps of gliomas: Comparison with tumor grade and histologica findings, Radiology, 191, pp. 41-51, (1994)
  • [3] Nakamura O., Nomura K., Segawa H., Et al., Cerebral blood flow measured by Xenon enhanced CT in brain tumors, No Shinkei Geka, 13, pp. 37-43, (1985)
  • [4] Meyer J.S., Hayman L.A., Amano T., Et al., Mapping local blood flow of human brain by CT scanning during stable xenon inhalation, Stroke, 12, pp. 426-436, (1981)
  • [5] Shigeki N., Tetsuo Y., Shiro K., Masaaki H., Teiichi T., Haruhide I., Optimization of the inhalation protocol, Cerebral Blood Flow Measurement with Stable Xenon-enhanced Computed Tomography, pp. 40-45, (1992)
  • [6] Kety S.S., Schmidt C.F., The nitrous oxide method for quantitative determination of cerebral blood flow in man: Theory, procedure, and normal values, J Clin Invest, 27, pp. 476-483, (1948)
  • [7] Yonas H., Gur D., Johnson D.W., Latchaw R.E., Xenon/CT cerebral blood flow analysis, Edn., pp. 109-128, (1991)
  • [8] Kernohan J.W., Mabon R.F., Svien H.J., Et al., Symposium on new and simplified concepts of gliomas. A simplified classification of the glioma, Proc Staff Meet Mayo Clin, 24, pp. 71-75, (1949)
  • [9] Kleihues P., Burger P.C., Scheithauer B.W., The new WHO classification of brain tumours, Brain Pathol, 3, pp. 255-268, (1993)
  • [10] Chamberlain M.C., Murovic J.A., Levin V.A., Absence of contrast enhancement on CT brain scans of patients with supratentorial malignant gliomas, Neurology, 38, pp. 1371-1374, (1988)