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Intracranial meningiomas: How frequent are indicative findings in CT and MRI?

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Summary

Frequencies of CT and MRI findings characteristic of meningiomas were compared in 50 cases. Plain and contrast enhanced examinations with CT and MRI were evaluated retrospectively regarding 12 criteria known to be indicative of the diagnosis of meningiomas. CT proved to be superior in demonstrating calcifications and a typical tumor density. On the other hand, MRI was better suited for identifying the extraaxial location of tumors, the broad contact of tumors to the meninges, tumor capsules and meningeal contrast enhancement adjacent to the tumor. Both methods provided nearly equal results in demonstrating mass effects, hyperostoses, intensive and homogeneous contrast enhancement, and smooth tumor contours after contrast administration. On the whole, neither of the two methods demonstrated a universal superiority for the diagnosis of intracranial meningiomas. Rather, each method displayed distinct advantages.

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References

  1. Brant-Zawadzki M (1988) MR imaging of the brain. Radiology 166: 1–10

    PubMed  CAS  Google Scholar 

  2. Bradley WG, Waluch V, Yadley RA, Wycoff RR (1984) Comparison of CT and MR in 400 patients with suspected disease of the brain and cervical spinal cord. Radiology 152: 695–702

    PubMed  Google Scholar 

  3. Zimmerman RD, Fleming CA, Saint-Louis LA, Lee BCP, Manning JJ, Deck MDF (1985) Magnetic resonance imaging of meningiomas. AJNR 6: 149–157

    PubMed  CAS  Google Scholar 

  4. Haughton VM, Rimm A, Sobocinski K, Papke RA, Daniels D, Williams A, Lynch R, Levine R (1986) Blinded clinical comparison of MR proton imaging and CT in neuroradiology. Radiology 160: 751–755

    PubMed  CAS  Google Scholar 

  5. New PFJ, Aronow S, Hesseli JR (1980) National cancer institute study: Evaluation of computed tomography in the diagnosis of intracranial neoplasms. IV Meningiomas. Radiology 136: 665–675

    PubMed  CAS  Google Scholar 

  6. Bydder GM, Kingsley DPE, Brown J, Niendorf HP, Young IR (1985) MR imaging of meningiomas including studies with and without Gadolinium-DTPA. J Comput Assist Tomogr 9: 690–697

    Article  PubMed  CAS  Google Scholar 

  7. Spagnoli MV, Goldberg HI, Grossman RI, Bilaniuk LT, Gomori JM, Hackney DB, Zimmerman RA (1986) Intracranial meningiomas: high-field MR imaging. Radiology 161: 369–375

    PubMed  CAS  Google Scholar 

  8. Berger RK, Papke RA, Pojunas KW, Haughton VM, Williams AL, Daniels DL (1987) Benign extraaxial tumors: contrast enhancement with Gd-DTPA. Radiology 163: 427–429

    Google Scholar 

  9. Just M, Higer HP, Grigat M, Kunze S, Bohl D, Schmitt HP, Voth D, Pfannenstiel P (1987) MR-Tomographie intrakranieller Meningeome. RÖFO 146: 705–710

    PubMed  CAS  Google Scholar 

  10. Treisch J, Schörner W, Laniado M, Felix R (1987) Charakteristika intrakranieller Meningeome in der magnetischen Resonanztomographie. RÖFO 146: 207–214

    PubMed  CAS  Google Scholar 

  11. Haughton VM, Rimm AA, Czervionke LF, Berger RK, Fisher ME, Papke RA, Hendrix LE, Strother CM, Turski PA, Williams AL, Daniels DL (1988) Sensivity of Gd-DTPA-enhanced MR imaging of benign extraaxial tumors. Radiology 166: 829–833

    PubMed  CAS  Google Scholar 

  12. Yeakley JW, Kulkarni MV, McArdle CB, Haar FL, Tang RA (1988) High resolution MR imaging of juxtasellar meningiomas with CT and angiographic correlation. AJNR 9: 279–285

    PubMed  CAS  Google Scholar 

  13. Schörner W, Schubeus P, Henkes H, Lanksch WR, Felix R (1990) “Meningeal sign”: a characteristic finding of meningiomas on contrast enhanced MR images. Neuroradiology 32: 90–93

    Article  PubMed  Google Scholar 

  14. Curnes JT (1987) MR imaging of peripheral intracranial neoplasms: extraaxial vs. extraaxial masses. J Comput Assist Tomogr 11: 932–937

    PubMed  CAS  Google Scholar 

  15. Elster AD, Challa VR, Gilbert TH, Richardson DN, Contento JC (1989) Meningiomas: MR and histopathologic features. Radiology 170: 857–862

    PubMed  CAS  Google Scholar 

  16. Pullicino P, Kendall BE, Jakubowski J (1980) Difficulties in diagnosis of intracranial meningiomas by computed tomography. J Neurol Psychiatry 43: 1022–1029

    Article  CAS  Google Scholar 

  17. Atlas SW, Grossman RI, Hackney DB, Gomori JM, Campagna N, Goldberg HI, Bilaniuk LT, Zimmerman RA (1988) Calcified intracranial lesions: Detection with gradient-echo-aquisition rapid MR imaging. AJR 150: 1383–1389

    PubMed  CAS  Google Scholar 

  18. Kendall B, Pullicino P (1979) Comparison of consistency of meningiomas and CT appearances. Neuroradiology 18: 173–176

    Article  PubMed  CAS  Google Scholar 

  19. Vassilouthis J, Ambrose J (1979) Computerized tomography scanning appearance of intracranial meningiomas: an attempt to predict histological features. J Neurosurg 50: 320–327

    Article  PubMed  CAS  Google Scholar 

  20. Just M, Higer HP, Vahldiek G, Bohl J, Kunze S, Hey O, Pfannenstiel P (1987) MR-Tomographie benigner Hirntumoren. RÖFO 147: 386–392

    PubMed  CAS  Google Scholar 

  21. Sage MR (1982) Blood brain barrier: phenomen of increasing importance to the imaging clinician. AJNR 3: 127–138

    Google Scholar 

  22. Runge VM, Claton JA, Price AC, Herzer WA, Allen JH, Partain CL, James AE (1985) Evaluation of contrast enhanced MR imaging in a brain abscess model. AJNR 6: 139–147

    PubMed  CAS  Google Scholar 

  23. Russell EJ, George AE, Kricheff II, Budzilovich G (1980) Atypical computed tomographic features of intracranial meningioma. Radiology 135: 673–682

    PubMed  CAS  Google Scholar 

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Schubeus, P., Schörner, W., Rottacker, C. et al. Intracranial meningiomas: How frequent are indicative findings in CT and MRI?. Neuroradiology 32, 467–473 (1990). https://doi.org/10.1007/BF02426457

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  • DOI: https://doi.org/10.1007/BF02426457

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