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Research ArticleBRAIN

Diffusion Tensor MR Imaging of High-Grade Cerebral Gliomas

Saurabh Sinha, Mark E. Bastin, Ian R. Whittle and Joanna M. Wardlaw
American Journal of Neuroradiology April 2002, 23 (4) 520-527;
Saurabh Sinha
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Mark E. Bastin
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Ian R. Whittle
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Joanna M. Wardlaw
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  • Fig 1.
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    Fig 1.

    Images in patient 4.

    A and B, Contrast-enhanced T1-weighted volume images. In B, the solid arrow indicates a region of an enhancing tumor margin; dashed arrow, enhancing tumor core; dotted arrow, nonenhancing tumor core.

    C and D, T2-weighted EP images. Arrow in D indicates a region of edematous brain.

    E, 〈D〉 parametric map.

    F, FA parametric map.

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    Fig 2.

    Images in patient 5.

    A, Contrast-enhanced T1-weighted volume image. The solid arrow indicates a region of enhancing tumor margin; dashed arrow, enhancing tumor core; dotted arrow, nonenhancing tumor core.

    B, T2-weighted EP images. Arrow indicates a region of edematous brain.

    C and D, Note the high 〈D〉 and low FA values in the nonenhancing tumor core and edematous brain on the 〈D〉 parametric map (C) and FA parametric map (D).

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    Fig 3.

    Images in patient 3. The thick arrow indicates a region of enhancing tumor margin; the thin arrow in B indicates edematous brain.

    A, Contrast-enhanced T1-weighted volume image.

    B, T2-weighted EP images.

    C, 〈D〉 parametric map. Note the diffuse nature of the edema.

    D, FA parametric map.

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    TABLE 1:

    TABLE 1: 〈D〉 values in the neoplasm, surrounding edematous brain, and normal white matter in nine patients with high-grade glioma

    Patient/Age (y)/SexMean 〈D〉 Value (× 10−6 mm2/s)
    Enhancing Tumor MarginEnhancing Tumor CoreNonenhancing Tumor CoreEdematous BrainNormal White Matter
    IpsilateralContralateral
    1/61/F*958.69 ± 64.28NANA1127.17 ± 155.62725.53 ± 16.08720.90 ± 37.18
    2/43/M*†948.56 ± 52.35NANA923.87 ± 60.71747.34 ± 1.43731.76 ± 11.34
    3/56/F*‡928.34 ± 50.88NANA1221.99 ± 261.25NANA
    4/65/M1238.54 ± 158.931500.83 ± 275.191861.26 ± 292.521494.35 ± 210.91717.50 ± 23.28704.44 ± 19.58
    5/71/M1195.37 ± 206.511181.63 ± 294.641890.93 ± 275.341477.25 ± 279.53753.10 ± 50.43774.64 ± 63.37
    6/50/M1289.65 ± 227.581571.22 ± 108.361784.93 ± 301.461575.23 ± 215.07745.16 ± 25.87735.33 ± 29.34
    7/42/M1208.40 ± 170.221256.69 ± 213.051264.92 ± 395.201143.00 ± 326.96739.16 ± 21.58720.83 ± 18.43
    8/55/F1185.35 ± 262.881031.14 ± 326.10NA1674.29 ± 253.11725.90 ± 27.08715.58 ± 34.79
    9/74/M§1309.58 ± 142.091356.45 ± 225.761957.34 ± 424.161565.69 ± 219.01NA768.67 ± 9.05
    Mean1229.80 ± 206.801308.67 ± 292.501825.38 ± 404.061411.23 ± 322.31733.51 ± 31.59730.00 ± 37.69
    • Note.—All values are reported as the mean ± the standard deviation. Normal white matter was the centrum semiovale. NA indicates not applicable.

    • * This patient had a multifocal glioma.

    • † This patient had a low-grade glioma with a malignant core.

    • ‡ T2-weighted EP images depicted abnormal signal intensity throughout the ipsilateral and contralateral centrum semiovale.

    • § T2-weighted EP images depicted abnormal signal intensity throughout the ipsilateral centrum semiovale.

    • View popup
    TABLE 2:

    TABLE 2: FA values in the neoplasm, surrounding edematous brain, and normal white matter in nine patients with high-grade glioma

    PatientFA Value
    Enhancing Tumor MarginEnhancing Tumor CoreNonenhancing Tumor CoreEdematous BrainNormal White Matter
    IpsilateralContralateral
    1*0.20 ± 0.06NANA0.21 ± 0.070.51 ± 0.020.42 ± 0.07
    2*†0.22 ± 0.04NANA0.23 ± 0.080.50 ± 0.040.47 ± 0.11
    3*‡0.18 ± 0.06NANA0.17 ± 0.07NANA
    40.16 ± 0.070.10 ± 0.030.07 ± 0.010.14 ± 0.050.43 ± 0.100.48 ± 0.06
    50.15 ± 0.050.14 ± 0.060.08 ± 0.020.18 ± 0.090.47 ± 0.070.52 ± 0.07
    60.13 ± 0.030.08 ± 0.030.07 ± 0.010.15 ± 0.050.45 ± 0.090.51 ± 0.05
    70.18 ± 0.050.15 ± 0.070.10 ± 0.030.25 ± 0.100.44 ± 0.100.46 ± 0.09
    80.20 ± 0.050.14 ± 0.04NA0.15 ± 0.060.48 ± 0.080.48 ± 0.08
    9§0.18 ± 0.060.13 ± 0.050.10 ± 0.030.17 ± 0.06NA0.46 ± 0.02
    Mean0.16 ± 0.060.13 ± 0.060.09 ± 0.030.17 ± 0.080.46 ± 0.080.48 ± 0.08
    • Note.—All values are reported as the mean ± the standard deviation. Normal white matter was the centrum semiovale. NA indicates not applicable.

    • * This patient had a multifocal glioma.

    • † This patient had a low-grade glioma with a malignant core.

    • ‡ T2-weighted EP images depicted abnormal signal intensity throughout the ipsilateral and contralateral centrum semiovale.

    • § T2-weighted EP images depicted abnormal signal intensity throughout the ipsilateral centrum semiovale.

    • View popup
    TABLE 3:

    TABLE 3: Statistical analysis of differences in 〈D〉 and FA values in nine patients with high-grade glioma

    ComparisonPatients with a Statistically Significant Difference*
    〈D〉 ValueFA
    Edematous brain versus enhancing tumor margin1–91, 4–9
    Ipsilateral white matter versus enhancing tumor margin1, 2, 4–91, 2, 4–9
    Ipsilateral white matter versus edematous brain1, 2, 4–91, 2, 4–9
    • Note.—In patient 3, T2-weighted EP images depicted abnormal signal intensity throughout the ipsilateral and contralateral centrum semiovale. In patient 9, T2-weighted EP images depicted abnormal signal intensity throughout ipsilateral centrum semiovale. Data in the contralateral centrum semiovale were used in this analysis.

    • * P < .05, post hoc Scheffé test.

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American Journal of Neuroradiology: 23 (4)
American Journal of Neuroradiology
Vol. 23, Issue 4
1 Apr 2002
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Cite this article
Saurabh Sinha, Mark E. Bastin, Ian R. Whittle, Joanna M. Wardlaw
Diffusion Tensor MR Imaging of High-Grade Cerebral Gliomas
American Journal of Neuroradiology Apr 2002, 23 (4) 520-527;

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Diffusion Tensor MR Imaging of High-Grade Cerebral Gliomas
Saurabh Sinha, Mark E. Bastin, Ian R. Whittle, Joanna M. Wardlaw
American Journal of Neuroradiology Apr 2002, 23 (4) 520-527;
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