Intracerebral metastases other imaging findings: Difference between revisions

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==Other Imaging Findings==
==Other Imaging Findings==
===Magnetic Resonance Spectroscopy===
===Magnetic Resonance Spectroscopy===
*[[Nuclear magnetic resonance spectroscopy|MR spectroscopy]] may be helpful in the diagnosis of intracerebral metastases.<ref name=mriofbrainmets1>Radiographic MRI features of brain metastasis. Bruno Di Muzio and Dr Trent Orton et al. Radiopaedia 2015. http://radiopaedia.org/articles/brain-metastases</ref>
*Findings on [[Nuclear magnetic resonance spectroscopy|MR spectroscopy]] include:<ref name=mriofbrainmets1>Radiographic MRI features of brain metastasis. Bruno Di Muzio and Dr Trent Orton et al. Radiopaedia 2015. http://radiopaedia.org/articles/brain-metastases</ref>
:*Intratumoural [[choline]] peak with no choline elevation in the peritumoral oedema
:*Any tumor necrosis results in a [[lipid]] peak
:*[[N-Acetylaspartate|NAA]] depleted


===Magnetic Resonance Perfusion===
===Magnetic Resonance Perfusion===

Revision as of 20:18, 13 November 2015

Intracerebral metastases Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Other Imaging Findings

Magnetic Resonance Spectroscopy

  • Intratumoural choline peak with no choline elevation in the peritumoral oedema
  • Any tumor necrosis results in a lipid peak
  • NAA depleted

Magnetic Resonance Perfusion

  • MR perfusion demonstrates reduced CBV (cerebral blood volume) and CBF (cerebral blood flow) in the region of metastasis. Surrounding edema demonstrates normal CBV.

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References

  1. 1.0 1.1 Radiographic MRI features of brain metastasis. Bruno Di Muzio and Dr Trent Orton et al. Radiopaedia 2015. http://radiopaedia.org/articles/brain-metastases
  2. 2.0 2.1 Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC


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