Department of Radiology, DDHCC, University Hospital Rotterdam, Groene Hilledijk 301, 3008 AE Rotterdam, Netherlands Dr. Daniel den Hoed Cancer Center (DDHCC), Department of Radiology, University Hospital Rotterdam, The Netherlands.
In a cooperative study involving six clinical MR centers, localized 1H MR spectroscopy was used to characterize untreated metastatic brain tumors (40 cases, 45 lesions). Cubic volumes (3.4 or 8 cm3) filled for more than 50% by metastatic brain tissue were examined by single-voxel double spin echo MRS, by using chemical shift selective imaging (CHESS) pulses for water suppression and TE = 135 ms. Choline (Cho), creatine (Cr) and N-acetyl aspartate (NAA) levels in brain metastases of mammary carcinoma (n = 13), lung cancer (n = 11) and melanoma (n = 10) were similar. Metastasis NAA/Cho signal intensity ratio varied between 0.00 and 1.17, compared with 2.68 ± 0.56 (SD) in lobus occipitalis and 1.94 ± 0.63 in corpus nuclei caudati region (P < 0.0001, both). 1H MR spectroscopy, although not suited to recognize the primary tumor of metastases, could serve as a clinical test for excluding (metastatic) tumor as cause of solitary focal brain disorders that are hard to diagnose with current imaging methods.
101 Records (92 escludendo Abstract e Conferenze). Impact factor totale: 364.484 (342.483 escludendo Abstract e Conferenze). Impact factor a 5 anni totale: 390.041 (362.359 escludendo Abstract e Conferenze).