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논문 기본 정보

자료유형
학술저널
저자정보
배오근 (한양대학교 의과대학 진단방사선과학교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제32권 제5호
발행연도
1995.1
수록면
695 - 701 (7page)

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Purpose: To correlate histologic subtypes with MR signal intensity in meniagioma and to find etiologic factorsresponsible for the signal characteristics of T2WI. Materials and methods: We reviewed MRIs and histopathologicstudies in 35 cases of meningioma. MR signal intenisty was measured with respect to cerebral cortex(gray matter)as hypointense,isointense,or hyperintense. Pathologically, meningioma was classified into subtypes, acording tothe new WHO classification of brain tumors. The degree of cellularity,collagen,and vascularity was graded from 1to 3, and presence or absence of psammoma bodies,microcysts,micronecrosis and microhemorrhage was obeserved.Multiple linear regression analysis was done to find relationship between the pathologic findings and MR signalintensity of T2WI. Results: Even in the same subtype, cellularity,collagen and vascularty of the tumor weredifferent. T1WI was not useful in discriminating pathologic subtype because most tumors were isointense orhypointense to the cortex regardless of histologic type. Most tumors showed various signal intensity on T2WI, butT2WI were not useful, either. Exceptionally, all five cases of microcystic meningiomas were hyperintense on T2W1.In analysing the relationship between MR signal intensity and pathologic factor, increased collagen contentproduced decreased signal intensity (P<0.01) and the existence of microcyst resulted in high signalintensity(P<0.01). Cellularity, vascularity, microcalcification, micronecrosis and microhemorrhage had norelationship with signal intensity on T2WI. Conclusion: Except for the five microcystic meningiomas withhyperintense on T2WI, there was no relationship between MR signal intensity and subtype of meningiomas. Pathologicfactors influencing T2 signal intensity were microcyst and collagen. Even in the same subtypes of meningiomas, theT2 signal intensity was different. This may be due to different ratio of microcyst and collagen.

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