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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2001-8-20
pubmed:abstractText
The purpose of this study was to clarify the efficacy of single-voxel proton magnetic resonance spectroscopy (MRS) in differentiating high-grade glioma from metastasis. Thirty-one high-grade gliomas (11 anaplastic gliomas and 20 glioblastomas) and 25 metastases were studied. Proton MRS was performed using point-resolved spectroscopy with echo times (TEs) of both 136 and 30 ms. The peaks for lipid were evaluated at short TE, and those for N-acetyl-aspartate (NAA), creatine (Cr), and choline-containing compounds (Cho) were assessed at long TE. All the tumors exhibited a strong Cho peak at long TE. Twenty-one of 25 metastases showed no definite Cr peak. The remaining 4 metastases showed NAA and Cr peaks; however, the presence of NAA and relatively high NAA/Cr ratio (1.58+/-0.56) indicated normal brain contamination. All the gliomas, except for a single glioblastoma, showed a Cr peak with (n=16) or without (n=14) NAA. At short TE all metastases and glioblastomas showed definite lipid or lipid/lactate mixture, but anaplastic gliomas showed no definite lipid signal. Intratumoral Cr suggests glioma. Absence of Cr indicates metastasis. Definite lipid signal indicates cellular necrosis in glioblastoma and metastasis, and no lipid signal may exclude metastases.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0938-7994
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1784-91
pubmed:dateRevised
2005-11-17
pubmed:meshHeading
pubmed-meshheading:11511902-Adolescent, pubmed-meshheading:11511902-Adult, pubmed-meshheading:11511902-Aged, pubmed-meshheading:11511902-Aged, 80 and over, pubmed-meshheading:11511902-Aspartic Acid, pubmed-meshheading:11511902-Astrocytoma, pubmed-meshheading:11511902-Brain, pubmed-meshheading:11511902-Brain Neoplasms, pubmed-meshheading:11511902-Child, pubmed-meshheading:11511902-Choline, pubmed-meshheading:11511902-Creatine, pubmed-meshheading:11511902-Diagnosis, Differential, pubmed-meshheading:11511902-Female, pubmed-meshheading:11511902-Glioblastoma, pubmed-meshheading:11511902-Humans, pubmed-meshheading:11511902-Lactic Acid, pubmed-meshheading:11511902-Lipid Metabolism, pubmed-meshheading:11511902-Magnetic Resonance Imaging, pubmed-meshheading:11511902-Magnetic Resonance Spectroscopy, pubmed-meshheading:11511902-Male, pubmed-meshheading:11511902-Middle Aged
pubmed:year
2001
pubmed:articleTitle
Differentiation between high-grade glioma and metastatic brain tumor using single-voxel proton MR spectroscopy.
pubmed:affiliation
Department of Radiology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. d397031a@stcc.nagasaki-u.ac.jp
pubmed:publicationType
Journal Article