Multivoxel 1H MR spectroscopy biometrics for preoprerative differentiation between brain tumors

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Sammanfattning

Purpose To investigate multivoxel proton Magnetic Resonance Spectroscopy (1HMRS) biometrics for preoperative differentiation and prognosis of patients with brain metastases (MET), low-(LGG) and high grade glioma (HGG). Methods Thirty-five patients (15 HGG, 9 LGG and 11 MET) were included. Proton Magnetic Resonance Spectroscopy Imaging(1H-MRSI) data was assessed and neurochemical profiles for metabolites (NAA+NAAG, Cr+PCr, Glu+Gln (Glx), Lac, Ins, GPC+PCho) and total Lipids (tLip) and macromolecule (tMM) signals were estimated. Concentrations were reported as either absolute or ratios to total choline (tCho=GPC+PCho) and creatine (tCr=Cr+PCr) levels. Voxels of interest (VOIs) in a MRSI matrix were labelled accordingly to contrast-enhancing/nonenhancing lesional, edema, ipsi- or contralateral healthy appearing tissue and the metabolite averages were reported for each tissue type. Multi-biometric analysis with logistic regression, ROC- and Kaplan-Meier survival analysis was performed in SPSS v.24 and postprocessing with LC Model. Results Across HGG/LGG/MET; the average Ins/tCho was shown to be prognostic for overall survival (OS): with low values (≤1.29) in affected hemisphere predicting worse OS than high values (>1.29), (Log Rank
Originalspråkengelska
Artikelnummer1-O35
Sidor (från-till)S444
TidskriftNeuroradiology
Volym60
NummerS2
DOI
StatusPublished - 2018 sep.

Bibliografisk information

M1 - (Durmo F.; Cuellar-Baena S.; Askaner K.; Lätt J.; Björkman-Burtscher I.) Institution of Clinical Sciences Skane University Hospital SUS, Lund University, Department of Radiology, Lund, Sweden

M1 - (Rydelius A.) Institution of Clinical Sciences Skane University Hospital SUS, Lund University, Department of Neurology, Lund, Sweden

M1 - (Engelholm S.; Kinhult S.) Institution of Clinical Sciences Skane University Hospital SUS, Lund University, Department of Oncology, Lund, Sweden

M1 - (Bengzon J.) Institution of Clinical Sciences Skane University Hospital SUS, Lund University, Department of Neurosurgery, Lund, Sweden

M1 - (Englund E.) Institution of Clinical Sciences Skane University Hospital SUS, Lund University, Department of Pathology, Lund, Sweden

M1 - (Sundgren P.C.) Institution of Clinical Sciences Skane University Hospital SUS, Lund University, Department of Radiology and Neurology, Lund, Sweden

Ämnesklassifikation (UKÄ)

  • Radiologi och bildbehandling

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