論文

査読有り 筆頭著者 責任著者 本文へのリンクあり 国際誌
2021年10月

Objective and quantitative evaluation of angiographic vascularity in meningioma: parameters of dynamic susceptibility contrast-perfusion-weighted imaging as clinical indicators of preoperative embolization.

Neurosurgical review
ダウンロード
回数 : 13
  • Kazuhide Adachi
  • ,
  • Kazuhiro Murayama
  • ,
  • Motoharu Hayakawa
  • ,
  • Mitsuhiro Hasegawa
  • ,
  • Jun Muto
  • ,
  • Yuya Nishiyama
  • ,
  • Shigeo Ohba
  • ,
  • Yuichi Hirose

44
5
開始ページ
2629
終了ページ
2638
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10143-020-01431-y

Digital subtraction angiography (DSA) assesses the necessity of preoperative embolization in meningioma cases but entails complication risks. Previous studies evaluating meningiomas' angiographic vascularity using perfusion-weighted imaging (PWI) have performed subjective visual assessments, not managing to assess the need for preoperative embolization. We objectively assessed the angiographic stain of meningiomas and examined the usefulness of two parameters of dynamic susceptibility contrast (DSC)-PWI, normalized cerebral blood volume (nCBV) and cerebral blood flow (nCBF), in predicting vascularity and the necessity of preoperative embolization. We retrospectively examined 52 patients who underwent surgery for primary meningioma and preoperative DSA and DSC-PWI. We calculated the normalized luminance (nLum) of the tumor stain in DSA. In 29 meningioma cases with a single feeding artery, we determined the DSC-PWI parameter that correlated with meningioma angiographic vascularity and predicted the necessity of preoperative embolization. We also compared vascularity between meningiomas with single and multiple feeding arteries and between convexity and skull-base meningiomas. nCBF (cut off: 3.66, P = 0.03, area under the curve [AUC] = 0.80) alone could predict the necessity of preoperative embolization and was more significantly correlated with the nLum than nCBV (P = 0.08, AUC = 0.73). Vascularity did not differ between meningiomas with single and multiple feeding arteries; skull-base meningiomas were more vascularized than convexity meningiomas (P = 0.0027). Our objective, quantitative assessments revealed nCBF as the most suitable parameter for evaluating meningioma vascularity. Tumor vascularity assessment using nCBF values and CBF images may aid predicting the necessity of preoperative DSA.

リンク情報
DOI
https://doi.org/10.1007/s10143-020-01431-y
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33215366
ID情報
  • DOI : 10.1007/s10143-020-01431-y
  • PubMed ID : 33215366

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