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Magnetic resonance image manifestations of the atypical meningioma
Qing-Wu Wu1, Rui-Fang Yan, Qiang Li
1Department of Medical Imaging, the First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China
Abstract:
Through retrospective analysis of 13 cases of magnetic resonance image (MRI) manifestations of atypical meningiomas confirmed by operation and pathology in the First Affiliated Hospital of Xinxiang Medical University, the objective of this study was to evaluate the diagnostic value of MRI in order to improve the accuracy rate of preoperative diagnosis. In this retrospective analysis of MRI findings for atypical meningiomas in First Affiliated Hospital of Xinxiang Medical University from January to July in 2012, the location, morphology and tumor signals and other tumor imaging characteristics were covered. In 13 cases of atypical meningioma patients of this group, most tumors were located at typical sites (10/13), mainly the falx cerebri, parasagittal, convexity, saddle area. Only two cases were at atypical locations, 1 in the cerebellar hemisphere and 1 in a lateral ventricle. Most of the tumors showed T1 and T2 isointensity signals, and necrosis, calcification, and peritumoral edema were always featured. DWI showed isointensity in 11 cases (11/13), and hyperintensity in 2. Some 9 cases had dural tail signs, 12 had accurate positioning (12/13), and 2 were postoperative recurrences. MRI has high value in the diagnosis of atypical meningiomas, with important roles in early clinical diagnosis, treatment and prognosis evaluation.
Insights
Magnetic resonance imaging (MRI) is valuable for diagnosing atypical meningiomas. This study highlights MRI
Area of Science:
- Neurology
- Radiology
- Oncology
Background:
- Atypical meningiomas are challenging to diagnose preoperatively.
- Accurate preoperative diagnosis is crucial for effective treatment planning and prognosis.
Purpose of the Study:
- To evaluate the diagnostic value of magnetic resonance imaging (MRI) for atypical meningiomas.
- To improve the accuracy of preoperative diagnosis of atypical meningiomas.
Main Methods:
- Retrospective analysis of 13 atypical meningioma cases.
- Review of magnetic resonance imaging (MRI) findings including location, morphology, and signal characteristics.
- Correlation of imaging findings with pathological and surgical confirmation.
Main Results:
- Most atypical meningiomas occurred at typical locations (10/13).
- Common MRI features included T1 and T2 isointensity signals, necrosis, calcification, and peritumoral edema.
- Dural tail sign was present in 9 cases; accurate localization was achieved in 12/13 cases.
Conclusions:
- MRI demonstrates high diagnostic value for atypical meningiomas.
- MRI plays a significant role in early clinical diagnosis, treatment guidance, and prognosis assessment.
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