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Assessment of brain tumors by magnetic resonance dynamic susceptibility contrast perfusion-weighted imaging and computed tomography perfusion: a comparison study.
Scola, Elisa; Desideri, Ilaria; Bianchi, Andrea; Gadda, Davide; Busto, Giorgio; Fiorenza, Alessandro; Amadori, Tommaso; Mancini, Sara; Miele, Vittorio; Fainardi, Enrico.
Afiliación
  • Scola E; Struttura Organizzativa Dipartimentale di Neuroradiologia, Dipartimento di Radiologia, Ospedale Universitario Careggi, Largo Brambilla 3, 50134, Florence, Italy. scolae@aou-careggi.toscana.it.
  • Desideri I; Struttura Organizzativa Dipartimentale di Neuroradiologia, Dipartimento di Radiologia, Ospedale Universitario Careggi, Largo Brambilla 3, 50134, Florence, Italy.
  • Bianchi A; Struttura Organizzativa Dipartimentale di Neuroradiologia, Dipartimento di Radiologia, Ospedale Universitario Careggi, Largo Brambilla 3, 50134, Florence, Italy.
  • Gadda D; Struttura Organizzativa Dipartimentale di Neuroradiologia, Dipartimento di Radiologia, Ospedale Universitario Careggi, Largo Brambilla 3, 50134, Florence, Italy.
  • Busto G; Struttura Organizzativa Dipartimentale di Neuroradiologia, Dipartimento di Radiologia, Ospedale Universitario Careggi, Largo Brambilla 3, 50134, Florence, Italy.
  • Fiorenza A; Radiodiagnostic Unit N. 2, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
  • Amadori T; Radiodiagnostic Unit N. 2, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
  • Mancini S; Radiodiagnostic Unit N. 2, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
  • Miele V; Department of Emergency Radiology, Careggi University Hospital, Florence, Italy.
  • Fainardi E; Struttura Organizzativa Dipartimentale di Neuroradiologia, Dipartimento di Radiologia, Ospedale Universitario Careggi, Largo Brambilla 3, 50134, Florence, Italy.
Radiol Med ; 127(6): 664-672, 2022 Jun.
Article en En | MEDLINE | ID: mdl-35441970
PURPOSE: To investigate the association and agreement between magnetic resonance dynamic susceptibility contrast perfusion-weighted imaging (DSC-PWI) and computed tomography perfusion (CTP) in determining vascularity and permeability of primary and secondary brain tumors. MATERIAL AND METHODS: DSC-PWI and CTP studies from 97 patients with high-grade glioma, low-grade glioma and solitary brain metastasis were retrospectively reviewed. Normalized cerebral blood flow (nCBF), cerebral blood volume (nCBV), capillary transfer constant (nK2) and permeability surface area product (nPS) values were obtained. Variables among groups were compared, and correlation and agreement between DSC-PWI and CTP were tested. RESULTS: All DSC-PWI and CTP parameters were higher in high-grade than in low-grade gliomas (p < 0.01 and p < 0.001). Metastases had greater DSC-PWI nCBV (p < 0.05), nCTP-CBF (p < 0.05), nCTP-CBV (p < 0.01) and nCTP-PS (p < 0.0001) than low-grade gliomas and more elevated nCTP-PS (p < 0.01) than high-grade gliomas. The correlation was strong between DSC-PWI nCBF and CTP nCBF (r = 0.79; p < 0.00001) and between DSC-PWI nCBV and CTP nCBV (r = 0.83; p < 0.00001), weaker between DSC-PWI nK2 and CTP nPS (r = 0.29; p < 0.01). Bland-Altman plots indicated that the agreement was strong between DSC-PWI nCBF and CTP nCBF, good between DSC-PWI nCBV and CTP nCBV and poorer between DSC-PWI nK2 and CTP nPS. CONCLUSION: DSC-PWI and CTP CBF and CBV maps were comparable and interchangeable in the assessment of tumor vascularity, unlike DSC-PWI K2 and CTP PS maps that were more discordant in the analysis of tumor permeability. CTP could be an alternative method to quantify tumor neoangiogenesis when MRI is not available or when the patient does not tolerate it.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Glioma Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Radiol Med Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Glioma Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Radiol Med Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia