CALCIFICATION CALL SHORTEN T2, BUT NOT T1, AT MAGNETIC-RESONANCE-IMAGING FIELDS - RESULTS OF A RELAXOMETRY STUDY OF CALCIFIED HUMAN MENINGIOMAS

RATIONALE AND OBJECTIVES. Water content and water-proton relaxation rates are reported for fresh, histologically characterized, surgical specimens of calcified human intracranial meningiomas and compared with results for noncalcified meningiomas from an earlier study and with calcium hydroxyapatite (CaHA) suspensions to elucidate the influence of calcification on magnetic resonance imaging (MRI) signal intensity of calcified meningiomas. METHODS. The magnetic field dependence of 1/T1 of water protons (nuclear magnetic relaxation dispersion profile) and dry weights are reported for 38 calcified nonhemorrhagic and 3 hemorrhagic specimens of known histologic subtype, a subset of the 67 specimens measured earlier, Calcification was considered mild or heavy when the dry weight was within or above the range for noncalcified meningiomas, Preliminary 1/T1 profiles for pure CaHA and a single high-field 1/T2 value also are reported. RESULTS. The ranges of dry weights and of low-field 1/T1 values were twice as large for calcified as for noncalcified meningiomas, No correlation was found between low-field 1/T1 and either histologic subtype or dry weight, Mild calcification produced the highest low-field 1/T1 values; the most heavily calcified tumor had slightly increased low-field 1/TI, Calcium hydroxyapatite increases low-field 1/TI significantly but not high-field 1/T1; high-field 1/T2 is large, For calcified hemorrhagic meningiomas, increases in both low-field and high-field 1/T1 were seen. CONCLUSION. For mild calcification, MRI signal voids result from an increased high-field 1/T2; for heavier calcification, reduced proton density (from excluded water) becomes of increasing importance, Cellular CaHA appears to brighten the signal in T1-weighted MRI in the presence of hemorrhage.