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Research ArticleBrain
Open Access

Correlation of MR Relative Cerebral Blood Volume Measurements with Cellular Density and Proliferation in High-Grade Gliomas: An Image-Guided Biopsy Study

S.J. Price, H.A.L. Green, A.F. Dean, J. Joseph, P.J. Hutchinson and J.H. Gillard
American Journal of Neuroradiology March 2011, 32 (3) 501-506; DOI: https://doi.org/10.3174/ajnr.A2312
S.J. Price
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H.A.L. Green
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A.F. Dean
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J. Joseph
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P.J. Hutchinson
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J.H. Gillard
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    Fig 1.

    An example of how the regions of interest were determined in this patient with a glioblastoma. The upper panel shows the images from the image-guidance system, and the lower panel shows the SPGR image with the region of interest corresponding to this biopsy site (black box). The center of the region of interest is located at the biopsy site, and the orientation is in line with the biopsy tract.

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    Fig 2.

    Graph shows the correlation between mean rCBV values and the MIB-1 labeling index. There is a good correlation between these parameters—a finding that was mirrored by the other measures of rCBV.

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    Fig 3.

    Graph shows a lack of correlation between rCBV and cellular packing attenuation. The results shown here for mean rCBV are mirrored by the other measures of rCBV, except the rCBV90%, which showed a correlation.

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    Fig 4.

    An example of the perfusion imaging and photomicrographs of MIB-1 immunohistochemistry (×40) from 2 biopsy sites in a patient with a glioblastoma. A, A biopsy obtained at the center of the tumor. The rCBV mean is 8.1 and the MIB-1 labeling index is 33%. B, A second biopsy site was obtained 2 cm from the edge of the contrast-enhanced region. The mean rCBV is elevated at 2.3, and histology showed that the MIB-1 was 3.5% in this sparsely cellular region.

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    Table 1:

    Patient details

    No.Age/ SexWHO GradeHistology
    142 MIIIAnaplastic astrocytoma
    275 MIVGlioblastoma
    360 MIVGlioblastoma
    455 FIVGlioblastoma
    532 MIVGlioblastoma
    672 MIVGlioblastoma
    779 MIVGlioblastoma
    867 MIVGlioblastoma with oligodendroglial component
    966 FIVGlioblastoma with oligodendroglial component
    1023 MIVPNET
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    Table 2:

    Correlation coefficients for different rCBV measures and MIB-1 index

    rCBV MeasureCorrelation CoefficientP Value
    rCBVmean0.66<.001
    rCBVmax0.56<.001
    rCBV75%0.60<.001
    rCBV90%0.58<.001
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    Table 3:

    Correlation coefficients for different rCBV measures and cellular packing density

    rCBV MeasureCorrelation CoefficientP Value
    rCBVmean0.09NS
    rCBVmax0.29NS
    rCBV75%0.19NS
    rCBV90%0.36.03
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American Journal of Neuroradiology: 32 (3)
American Journal of Neuroradiology
Vol. 32, Issue 3
1 Mar 2011
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Cite this article
S.J. Price, H.A.L. Green, A.F. Dean, J. Joseph, P.J. Hutchinson, J.H. Gillard
Correlation of MR Relative Cerebral Blood Volume Measurements with Cellular Density and Proliferation in High-Grade Gliomas: An Image-Guided Biopsy Study
American Journal of Neuroradiology Mar 2011, 32 (3) 501-506; DOI: 10.3174/ajnr.A2312

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Correlation of MR Relative Cerebral Blood Volume Measurements with Cellular Density and Proliferation in High-Grade Gliomas: An Image-Guided Biopsy Study
S.J. Price, H.A.L. Green, A.F. Dean, J. Joseph, P.J. Hutchinson, J.H. Gillard
American Journal of Neuroradiology Mar 2011, 32 (3) 501-506; DOI: 10.3174/ajnr.A2312
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