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Research ArticleBrain

Differentiation among Glioblastoma Multiforme, Solitary Metastatic Tumor, and Lymphoma Using Whole-Tumor Histogram Analysis of the Normalized Cerebral Blood Volume in Enhancing and Perienhancing Lesions

J.H. Ma, H.S. Kim, N.-J. Rim, S.-H. Kim and K.-G. Cho
American Journal of Neuroradiology October 2010, 31 (9) 1699-1706; DOI: https://doi.org/10.3174/ajnr.A2161
J.H. Ma
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H.S. Kim
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N.-J. Rim
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S.-H. Kim
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K.-G. Cho
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  • Fig 1.
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    Fig 1.

    The schema of histogram distribution in a patient with GBM. A and B, Axial postcontrast T1-weighted image (A) and the normalized CBV map (B) show typical findings of GBM. C, Three histogram parameters are defined as HW, PHP, and MV.

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    Fig 2.

    MR images and dynamic susceptibility contrast-enhanced imaging histograms in patients with GBM (A), metastatic tumor (B), and lymphoma (C).

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    Fig 3.

    Box-and-whisker plots of 6 histogram parameters for 3 pathologic groups of solitary enhancing brain lesions. A, HW in contrast-enhancing lesions. B, PHP in contrast-enhancing lesions. C, MV in contrast-enhancing lesions. D, HW in perienhancing lesions. E, PHP in perienhancing lesions. F, MV in perienhancing lesions.

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    Fig 4.

    Comparison of ROC curves of 6 histogram parameters in the contrast-enhancing lesions and perienhancing lesions for differentiating GBM and SMT (A), GBM and lymphoma (B), and SMT and lymphoma (C).

Tables

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    Table 1:

    Mean ± SD of histogram parameters for glioblastomas, metastatic tumors, and lymphomas

    ParametersGlioblastomaMetastatic TumorLymphoma
    HWCEL6.01 ± 1.156.36 ± 1.501.93 ± 0.79
    PHPCEL4.79 ± 1.313.32 ± 1.102.08 ± 0.54
    MVCEL7.43 ± 1.288.04 ± 1.202.83 ± 0.83
    HWPEL1.60 ± 0.220.65 ± 0.200.71 ± 0.42
    PHPPEL1.42 ± 0.280.46 ± 0.230.91 ± 0.37
    MVPEL1.90 ± 0.260.80 ± 0.211.27 ± 0.34
    • View popup
    Table 2:

    P values for the differential diagnosis among glioblastomas, metastatic tumors, and lymphomas using each histogram parameter

    ParametersGBM versus SMTGBM versus LymphomaSMT versus Lymphoma
    HWCEL.502<.0001<.0001
    PHPCEL.031.007.019
    MVCEL.177<.0001<.0001
    HWPEL<.0001<.0001.263
    PHPPEL.005.011.093
    MVPEL<.0001<.0001.038
    • View popup
    Table 3:

    Optimum threshold, sensitivity, and specificity of each histogram parameter for distinguishing glioblastoma from SMT

    GBM versus SMT
    PHPCELHWPELPHPPELMVPEL
    Threshold3.51.21.11.4
    Sensitivity89.2%96.4%89.2%100.0%
    Specificity72.7%100.0%95.4%100.0%
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    Table 4:

    Optimum threshold, sensitivity, and specificity of each histogram parameter for distinguishing glioblastoma from lymphoma

    GBM versus Lymphoma
    HWCELPHPCELMVCELHWPELPHPPELMVPEL
    Threshold2.72.73.91.30.91.2
    Sensitivity100.0%96.4%100.0%85.7%95.4%92.2%
    Specificity100.0%100.0%100.0%100.0%91.7%100.0%
    • View popup
    Table 5:

    Optimum threshold, sensitivity, and specificity of each histogram parameter for distinguishing SMT from lymphoma

    SMT versus Lymphoma
    HWCELPHPCELMVCELMVPEL
    Threshold2.52.43.90.8
    Sensitivity100.0%85.7%100.0%83.3%
    Specificity92.7%83.3%100.0%67.7%
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American Journal of Neuroradiology: 31 (9)
American Journal of Neuroradiology
Vol. 31, Issue 9
1 Oct 2010
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Cite this article
J.H. Ma, H.S. Kim, N.-J. Rim, S.-H. Kim, K.-G. Cho
Differentiation among Glioblastoma Multiforme, Solitary Metastatic Tumor, and Lymphoma Using Whole-Tumor Histogram Analysis of the Normalized Cerebral Blood Volume in Enhancing and Perienhancing Lesions
American Journal of Neuroradiology Oct 2010, 31 (9) 1699-1706; DOI: 10.3174/ajnr.A2161

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Differentiation among Glioblastoma Multiforme, Solitary Metastatic Tumor, and Lymphoma Using Whole-Tumor Histogram Analysis of the Normalized Cerebral Blood Volume in Enhancing and Perienhancing Lesions
J.H. Ma, H.S. Kim, N.-J. Rim, S.-H. Kim, K.-G. Cho
American Journal of Neuroradiology Oct 2010, 31 (9) 1699-1706; DOI: 10.3174/ajnr.A2161
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  • Discrimination between Glioblastoma and Solitary Brain Metastasis: Comparison of Inflow-Based Vascular-Space-Occupancy and Dynamic Susceptibility Contrast MR Imaging
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  • Differentiation between Brain Glioblastoma Multiforme and Solitary Metastasis: Qualitative and Quantitative Analysis Based on Routine MR Imaging
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