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T2-Weighted Imaging and Apparent Diffusion Coefficient Histogram Parameters Predict Meningioma Consistency.
Han, Tao; Liu, Xianwang; Sun, Jiachen; Long, Changyou; Jiang, Jian; Zhou, Fengyu; Zhao, Zhiyong; Zhang, Bin; Jing, Mengyuan; Deng, Liangna; Zhang, Yuting; Zhou, Junlin.
Afiliação
  • Han T; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Liu X; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Sun J; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Long C; Image Center of Affiliated Hospital of Qinghai University, Xining 810001, China (C.L.).
  • Jiang J; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Zhou F; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Zhao Z; Department of Neurosurgery, The Second Hospital of Lanzhou University, Lanzhou 730000, China (Z.Z.).
  • Zhang B; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Jing M; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Deng L; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Zhang Y; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Second Clinical School, Lanzhou University, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical I
  • Zhou J; Department of Radiology, Lanzhou University Second Hospital, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Key Laboratory of Medical Imaging of Gansu Province, Lanzhou 730000, China (T.H., X.L., J.S., J.J., F.Z., B.Z., M.J., L.D., Y.Z., J.Z.); Gansu Internationa
Acad Radiol ; 31(6): 2511-2520, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38155025
ABSTRACT
RATIONALE AND

OBJECTIVES:

Preoperative prediction of meningioma consistency is of great clinical value for risk stratification and surgical approach selection. However, to date, objective quantitative criteria for predicting meningioma consistency have not been developed. This study aimed to investigate the predictive value of magnetic resonance imaging (MRI) T2-weighted imaging (T2WI) and apparent diffusion coefficient (ADC) histogram parameters for meningioma consistency. MATERIALS AND

METHODS:

We retrospectively analyzed the clinical, preoperative MRI, and pathological data of 103 patients with histopathologically confirmed meningiomas. Histogram parameters (mean, variance, skewness, kurtosis, Perc.01%, Perc.10%, Perc.50%, Perc.90%, and Perc.99%) were calculated automatically on the whole tumor using MaZda software. Chi-square test, Mann-Whitney's U test, or independent samples t-test was used to compare clinical, conventional MRI features, and histogram parameters between soft and hard meningiomas. Receiver operating characteristic curve and binary logistic regression analysis were employed to assess the predictive performance of T2WI and ADC histogram parameters.

RESULTS:

Tumor enhancement was the only conventional MRI feature that was statistically different between soft and hard meningiomas. ADCmean, ADCp1, ADCp10, and ADCp50 among ADC histogram parameters, and T2mean, T2p1, T2p10, T2p50, T2p90, and T2p99 among T2WI histogram parameters showed statistically significant differences between soft and hard meningiomas (all P < 0.05). We found that all combined variables (combinedall) had the best accuracy in predicting meningioma consistency, with area under the curve, sensitivity, specificity, accuracy, positive predictive, and negative predictive values of 0.873 (0.804-0.941), 88.89%, 67.50%, 80.58%, 81.20%, and 79.40%, respectively. Among them, combinedT2 is the most beneficial for predicting meningioma consistency.

CONCLUSION:

CombinedT2 demonstrated better predictive performance for meningioma consistency than combinedADC. T2WI and ADC histogram parameters may be imaging markers for predicting meningioma consistency.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Imagem de Difusão por Ressonância Magnética / Neoplasias Meníngeas / Meningioma Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Imagem de Difusão por Ressonância Magnética / Neoplasias Meníngeas / Meningioma Idioma: En Ano de publicação: 2024 Tipo de documento: Article