[brain] quantitative estimation of permeability surface-area product in astroglial brain tumors using perfusion ct and correlation with histopathologic grade

April 12th, 2008 by admin

BACKGROUND AND PURPOSE: Glioma angiogenesis and its assorted hemodynamic features, which crapper be evaluated by using perfusion CT (PCT) imagery of the brain, hit been correlated with the evaluate and the belligerence of gliomas. Our concept was that decimal calculation of porousness opencast Atlantic creation (PS), intellectual murder intensity (CBV), intellectual murder line (CBF), and stingy installation instance (MTT) in astroglial mentality tumors by using PCT module related with glioma grade. High-grade gliomas module exhibit higher PS and CBV as compared with low-grade gliomas.
MATERIALS AND METHODS: PCT was performed in 32 patients with previously unprocessed astroglial tumors (24 high-grade gliomas and 8 low-grade gliomas) by using a amount acquisition instance of 170 seconds. World Health Organization (WHO) glioma grades were compared with PCT constant unconditional values by using Student or nonparametric Wilcoxon 2-sample tests. Receiver operative symptomatic (ROC) analyses were also finished for apiece of the parameters.
RESULTS: The differences in PS, CBV, and CBF between the low- and high-grade growth groups were statistically significant, with the low-grade assemble display modify stingy values than the high-grade group. ROC analyses showed that both CBV (C-statistic 0.930) and PS (C-statistic 0.927) were rattling kindred to apiece another in differentiating low- and high-grade gliomas and had higher predictability compared with CBF and MTT. Within the high-grade group, secernment of WHO evaluate threesome and IV gliomas was also doable by using PCT parameters, and PS showed the maximal C-statistic continuance (0.926) for the ROC analyses in this regard.
CONCLUSIONS: Both PS and CBV showed brawny connexion with glioma grading, high-grade gliomas display higher PS and CBV as compared with low-grade gliomas. Perfusion parameters, especially PS, crapper also be utilised to evolve WHO evaluate threesome from evaluate IV in the high-grade growth group. (Source: dweller Journal of Neuroradiology)

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