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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1998-2-5
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pubmed:abstractText |
The purpose of this study was to develop a technique for differentiating between recurrent brain tumors and treatment-related changes, such as radiation necrosis, using dynamic MRI. Ninety-five patients with intracranial mass lesions were evaluated using T1-weighted fast spin-echo (FSE) MRI at 1.5 T. Pathologies included treatment-related changes (n = 32), primary tumors (n = 41), metastatic tumors (n = 5), meningiomas (n = 4), and mixed primary/treatment related changes (n = 13). Signal enhancement-time curves were analyzed by fitting to a sigmoidal-exponential function. Maximal enhancement rates were calculated as the first derivative of the fitted curve. Based on the maximal enhancement rates, treatment-related changes could be differentiated from primary tumors, metastatic tumors, and meningiomas at the P < .05 confidence level. Lesions of mixed tumor and treatment-related change had intermediate values. Dynamic MRI can be used to differentiate treatment-related changes from primary tumors in previously treated patient populations based on maximal enhancement rates. Individual case studies demonstrate the clinical significance of these findings.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1053-1807
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1084-93
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9400853-Adolescent,
pubmed-meshheading:9400853-Adult,
pubmed-meshheading:9400853-Aged,
pubmed-meshheading:9400853-Astrocytoma,
pubmed-meshheading:9400853-Brain Neoplasms,
pubmed-meshheading:9400853-Child,
pubmed-meshheading:9400853-Female,
pubmed-meshheading:9400853-Glioblastoma,
pubmed-meshheading:9400853-Glioma,
pubmed-meshheading:9400853-Humans,
pubmed-meshheading:9400853-Image Enhancement,
pubmed-meshheading:9400853-Magnetic Resonance Imaging,
pubmed-meshheading:9400853-Male,
pubmed-meshheading:9400853-Meningioma,
pubmed-meshheading:9400853-Middle Aged,
pubmed-meshheading:9400853-Pilot Projects,
pubmed-meshheading:9400853-Prospective Studies
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pubmed:articleTitle |
Dynamic imaging of intracranial lesions using fast spin-echo imaging: differentiation of brain tumors and treatment effects.
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pubmed:affiliation |
Department of Diagnostic Radiology, The University of Texas, M. D. Anderson Cancer Center, Houston 77030, USA.
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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