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Published on: July 5, 2021
Descriptive epidemiological analysis, MRI signals intensity and histopathological correlations of meningiomas
Azmy M Hadidy1, Mustafa M Nadi, Tahani M Ahmad
1Department of Radiology, Faculty of Medicine, Jordan University Hospital, Amman, Jordan. amshadidy@yahoo.com
Objectives:
To present our experience in operated meningioma cases regarding their prevalence, anatomical location, multiplicity, presenting signs and symptoms, and the possible correlation between MRI signal intensity and histological grades to set criteria for radio-pathological diagnosis.
Methods:
In this retrospective study, operated meningioma cases in the Department of Neurosurgery, Jordan University Hospital (JUH), Amman, Jordan between January 1997 and January 2007 were reviewed. Our study included 90 cases, and their medical records, histopathological reports, and neuroimages were analyzed thoroughly.
Results:
Meningioma was more common in females than males with a ratio of 2.2:1. Para-sagittal meningiomas were the most common (23.3%). Multiple intracranial meningiomas were found in 4.4% of the cases. Most cases were of benign histopathology and exhibited iso-intense signals on T1 and T2, and appeared with hyper-intense signals on FLAIR with vivid enhancement.
Conclusion:
The prevalence of meningioma among genders and its anatomical location at JUH corresponds to the published medical literature worldwide. There was no correlation between signal intensities (as seen on T1WI, T2WI, and FLAIR sequences), enhancement pattern on one side, and histological grades on the other side.
Insights
This study analyzed 90 operated meningioma cases, finding they are more common in females and often located in the para-sagittal region. MRI signal intensity did not correlate with tumor grade.
Area of Science:
- Neurosurgery
- Neuropathology
- Radiology
Background:
- Meningiomas are the most common primary intracranial tumors.
- Understanding their epidemiological and radiological characteristics is crucial for diagnosis and management.
Purpose of the Study:
- To report the experience with operated meningioma cases at Jordan University Hospital.
- To analyze prevalence, location, and clinical presentation.
- To investigate the correlation between MRI signal intensity and histological grades for radio-pathological diagnosis.
Main Methods:
- Retrospective review of 90 operated meningioma cases from January 1997 to January 2007.
- Analysis of medical records, histopathological reports, and neuroimages.
- Evaluation of tumor characteristics including location, multiplicity, and MRI signal intensity.
Main Results:
- Meningioma prevalence was higher in females (2.2:1 ratio).
- Para-sagittal meningiomas were most common (23.3%).
- Most tumors were benign, showing iso-intense signals on T1/T2 and hyper-intense signals on FLAIR with vivid enhancement.
Conclusions:
- Findings on gender prevalence and anatomical location align with global literature.
- No significant correlation was found between MRI signal intensities (T1WI, T2WI, FLAIR) or enhancement patterns and histological grades.
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