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
Originalspråk | engelska |
---|---|
Artikelnummer | 1-O35 |
Sidor (från-till) | S444 |
Tidskrift | Neuroradiology |
Volym | 60 |
Nummer | S2 |
DOI | |
Status | Published - 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, SwedenM1 - (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