Magnetic resonance imaging and pathological correlates of meningiomas. Academic Article uri icon

Overview

abstract

  • We examined the relationships between specific magnetic resonance imaging features and certain gross and microscopic characteristics of meningiomas, including vascularity, gross texture (consistency), and venous sinus involvement. Magnetic resonance imaging scans, surgery reports, and the histopathological findings of tumors were examined retrospectively in 54 patients. Sinus involvement was accurately predicted on T1-weighted images in 9 of 10 cases (P = 0.001) and tumors with cystic changes in 3 of 3 cases. T1-weighted images were not useful for predicting vascularity unless actual flow voids could be visualized (five of six cases). There was no correlation between T1 signal intensity, tumor consistency, or histological findings. In tumors without detectable vascularity on T1-weighted images, hyperintensity relative to gray matter on T2-weighted images was correlated with increased vascularity (P = 0.004). Tumors with soft consistency (P = 0.007), cellular atypia, invasion, angioblastic, or melanocytic components were also hyperintense, compared with gray matter on T2-weighted images (P = 0.0266). Aggressive meningiomas were found to be more vascular (P = 0.045). No correlation was found between the degree of surrounding edema or contrast enhancement with histopathological findings, vascularity, or consistency.

publication date

  • December 1, 1992

Research

keywords

  • Magnetic Resonance Imaging
  • Meningeal Neoplasms
  • Meningioma

Identity

Scopus Document Identifier

  • 0026491092

Digital Object Identifier (DOI)

  • 10.1227/00006123-199212000-00005

PubMed ID

  • 1281915

Additional Document Info

volume

  • 31

issue

  • 6