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역동적 조영증강 $T2^*$-강조 자기공명영상을 이용한 축내 뇌종양이 혈용적 평가
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  • 역동적 조영증강 $T2^*$-강조 자기공명영상을 이용한 축내 뇌종양이 혈용적 평가
저자명
김재수
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대한방사선의학회지
권/호정보
1997년|37권 5호|pp.783-788 (6 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose : To evaluate the utility of dynamic contrast-enhanced T2**-weighted MR imaging in assessing thecerebral blood volume (CBV) in intra-axial brain tumors. Materials and Methods : Ten malignant gliomas (fiveglioblastomas, three anaplastic astrocytomas, two anaplastic oligodendrogliomas), five metastatic tumors and threehemangioblastomas were included in this study. In conjunction with T1- and T2-weighted imagings, all patientsunderwent dynamic contrast-enhanced T2*-weighted imaging, using the conventional gradient-echo technique(TR/TE/flip angle: 40/26/10o; 64x128 matrix; 5-6 mm thickness) during the bolus injection of 15 mmol/kg Gd-DTPA.From these dynamic images, CBV was calculated on a pixel-by-pixel basis and a CBV map was obtained. The CBVs ofthe tumor and contralateral normal white matter were measured by placing the ROI on the CBV map. The CBV ratios oftumor/normal white matter were compared among the three tumor groups. Results : CBV maps were successfully createdin all cases. CBV ratios varied from 1.7 to 13.0 (mean 6.1) in malignant gliomas, from 3.9 to 11.4 (mean 7.3) inmetastatic tumors and from 17.8 to 26.4 (mean 22.2) in hemangioblastomas (malignant gliomas vs hemangioblastomas,p<.05; metastatic tumors vs hemangioblastomas, p<.05; and malignant gliomas vs metastatic tumors, p>.05).Conclusion : Hypervascular hemangioblastomas have the highest CBV, and this allows for easy differentiation frommalignant gliomas and metastatic tumors. Both show a similar, moderately increased range of CBV suggesting thatthere is no significant difference in vascularity between the two tumor groups. Dynamic contrast-enhanced T2*imaging is a clinically useful technique which provides information about tumor vascularity not provided by standard MRI techniques.