Fast Inversion Recovery Magnetic Resonance Imaging with the Real Reconstruction Method : A Diagnostic Tool for Cerebral Gliomas

概要

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The fast inversion recovery(IR) technique was evaluated for the localization of gliomas. Fast IR imaging with real reconstruction and T_1-weighted spin echo(SE) imaging before and after contrast administration were performed in 20 patients with gliomas. The tumor-to-white matter contrast ratio(TWCR), tumor-to-gray matter contrast ratio(TGCR), tumor-to-white matter contrast-to-noise ratio(TWCNR), and tumor-to-gray matter contrast-to-noise ratio(TGCNR) were calculated and compared. Fast IR imaging visualized tumors with significantly higher TWCR, TGCR, TWCNR, and TGCNR values(p<0.01) than those for T_1-weighted SE imaging. In particular, fast IR imaging clearly revealed seven nonenhanced tumors that were poorly visualized on T_1-weighted SE imaging. Fast IR imaging showed a similar TGCR and significantly higher TWGR(p<0.01) compared to T_1^weighted SE imaging with contrast medium in 13 enhanced tumors. However, fast IR imaging showed similar TWCNR and lower TGCNER compared to T_1-weighted SE imaging with contrast medium. The fast IR technique can discriminate tumors from normal cerebral tissues with high contrast and without the use of contrast medium. This technique is extremely useful for the localization of non-enhanced tumors.
日本脳神経外科学会の論文
2002-01-15