Intraparenchymal brain metastases: MR imaging versus contrast-enhanced CT. Academic Article uri icon

Overview

abstract

  • Prospective and retrospective studies of 75 patients were performed to assess the sensitivities of magnetic resonance (MR) imaging and computed tomography (CT) in the evaluation of suspected intraparenchymal brain metastases. The findings on MR images were equivalent to those on CT scans in 49 of the 75 patients; the remaining findings were discordant in 26 patients, and neither MR imaging nor CT was consistently superior. MR imaging demonstrated more metastases in nine of these 26 patients. However, contrast material-enhanced CT scans were superior in lesion depiction in eight of the 26 patients. Large enhanced lesions that were nearly isointense on MR images were seen well on CT scans. In several cases in which results were discordant, gadolinium-diethylenetriaminepentaacetic acid (DTPA)-enhanced MR images were obtained, and this agent behaved similarly to iodinated contrast agents. If indicated clinically, such as before surgery for a single metastasis, the authors perform both MR imaging and contrast-enhanced CT. Gd-DTPA-enhanced MR imaging may prove to be the method of choice for depiction of intraparenchymal metastases.

publication date

  • July 1, 1988

Research

keywords

  • Brain Neoplasms
  • Magnetic Resonance Imaging
  • Tomography, X-Ray Computed

Identity

Scopus Document Identifier

  • 0023907487

Digital Object Identifier (DOI)

  • 10.1148/radiology.168.1.3380956

PubMed ID

  • 3380956

Additional Document Info

volume

  • 168

issue

  • 1