Meningioma MRI: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Meningioma}} | {{Meningioma}} | ||
{{CMG}} {{AE}}{{HL}} | {{CMG}} {{AE}} {{IO}} {{HL}} | ||
==Overview== | ==Overview== | ||
[[MRI]] with [[gadolinium]] is the investigation of choice for the diagnosis of meningioma. On MRI, meningioma is characterized by a [[homogeneous]], well circumscribed, and extra-axial mass with a broad [[Dura mater|dural]] base. Other findings on [[Magnetic resonance imaging|MRI]] suggestive of meningioma include [[CSF]] [[vascular]] [[cleft]] sign, [[Dura mater|dural]] tail sign, and central [[necrosis]] or [[calcification]] that do not enhance. Meningiomas may appear different on T1 and T2-weighted sequence but with a few similarities. | |||
==MRI== | ==MRI== | ||
Head MRI may be helpful in the diagnosis of meningioma. Findings on MRI suggestive of/diagnostic of meningioma include:<ref name="pmid24399610">{{cite journal| author=Watts J, Box G, Galvin A, Brotchie P, Trost N, Sutherland T| title=Magnetic resonance imaging of meningiomas: a pictorial review. | journal=Insights Imaging | year= 2014 | volume= 5 | issue= 1 | pages= 113-22 | pmid=24399610 | doi=10.1007/s13244-013-0302-4 | pmc=3948902 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24399610 }} </ref> | Head [[Magnetic resonance imaging|MRI]] may be helpful in the diagnosis of meningioma. Findings on [[Magnetic resonance imaging|MRI]] suggestive of/diagnostic of meningioma include:<ref name="pmid24399610">{{cite journal| author=Watts J, Box G, Galvin A, Brotchie P, Trost N, Sutherland T| title=Magnetic resonance imaging of meningiomas: a pictorial review. | journal=Insights Imaging | year= 2014 | volume= 5 | issue= 1 | pages= 113-22 | pmid=24399610 | doi=10.1007/s13244-013-0302-4 | pmc=3948902 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24399610 }} </ref> | ||
*Lobular, extra axial masses with well-circumscribed margins | *Lobular, extra axial masses with well-circumscribed margins | ||
*Broad-based dural attachment | *Broad-based [[Dura mater|dural]] attachment | ||
*Inward displacement of the cortical grey matter | *Inward displacement of the cortical [[grey matter]] | ||
*Meningioma en plaque: Tumor with a more | *Meningioma en plaque: [[Tumor]] with a more infiltrating growth pattern over the [[Dura mater|dura]] | ||
*Ardent, [[homogeneous]] enhancement after [[contrast]] administration | |||
*In some cases, may have areas of central [[necrosis]] or [[calcification]] that do not enhance | |||
*Peritumoral [[edema]] | |||
*[[Dura mater|Dural]] tail: enhancement of the [[Dura mater|dura]] infiltrating away from the [[lesion]] | |||
*A [[CSF]] [[cleft]] (may contain [[CSF]] or [[Cortical area|cortical]] [[Blood vessel|vessels]]) between the [[tumor]] and the underlying [[brain]] [[cortex]] | |||
*Intratumoral and peritumoral [[Cyst|cysts]] in cystic meningiomas | |||
*On T1-weighted sequence: | *On T1-weighted sequence: | ||
:* Isointensity to slight hypointensity relative to grey matter | :* Isointensity to slight hypointensity relative to [[grey matter]] | ||
:* Extensive [[Dura mater|dural]] thickening in meningioma en plaque | |||
:* Uniform low signal intensity in microcystic meningiomas | |||
*On T2-weighted sequence: | *On T2-weighted sequence: | ||
:* Isointensity to slight hyperintensity relative to grey matter | :* Isointensity to slight hyperintensity relative to [[grey matter]] | ||
:* [[Calcification]] showing as areas of low signal intensity | |||
:* High signal intensity in microcystic meningiomas | |||
==Gallery== | ==Gallery== | ||
[[File:Cerebellopontine-angle-meningioma-5.jpg|400px|thumb|left|MRI showing meningioma in the cerebellopontine angle [https://radiopaedia.org/articles/meningioma?lang=us source:Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. ]]] | |||
<br style="clear:left" /> [[File:Cystic meningioma.jpg|400px|thumb|left|MRI showing cystic meningioma [https://radiopaedia.org/articles/meningioma?lang=us source:Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. ]]] | |||
<br style="clear:left" /> | |||
[[File:Craniocervical-junction-meningioma.jpg|400px|thumb|left|MRI showing meningioma in the craniocervical junction [https://radiopaedia.org/articles/meningioma?lang=us source:Case courtesy of Dr Mohammad Taghi Niknejad, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. ]]] | |||
<br style="clear:left" /> | |||
[[File:Multiple-meningiomas-1.jpg|400px|thumb|left|MRI showing multiple meningiomas [https://radiopaedia.org/articles/meningioma?lang=us source:Case courtesy of Dr Paresh K Desai , <a href="https://radiopaedia.org/">Radiopaedia.org</a>. ]]] | |||
<br style="clear:left" /> | |||
[[File:Meningioma-with-dural-tail.jpg|400px|thumb|left|MRI showing meningioma with a dural tail [https://radiopaedia.org/articles/meningioma?lang=us source:Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. ]]] | |||
<br style="clear:left" /> | |||
[[File:Intraventricular-meningioma-third-ventricle-1.jpg|400px|thumb|left|MRI showing a meningioma in the third ventricle [https://radiopaedia.org/articles/meningioma?lang=us source:Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. ]]] | |||
<br style="clear:left" /> | |||
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==References== | ==References== | ||
Latest revision as of 14:38, 10 September 2019
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Meningioma Microchapters |
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Meningioma MRI On the Web |
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American Roentgen Ray Society Images of Meningioma MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ifeoma Odukwe, M.D. [2] Haytham Allaham, M.D. [3]
Overview
MRI with gadolinium is the investigation of choice for the diagnosis of meningioma. On MRI, meningioma is characterized by a homogeneous, well circumscribed, and extra-axial mass with a broad dural base. Other findings on MRI suggestive of meningioma include CSF vascular cleft sign, dural tail sign, and central necrosis or calcification that do not enhance. Meningiomas may appear different on T1 and T2-weighted sequence but with a few similarities.
MRI
Head MRI may be helpful in the diagnosis of meningioma. Findings on MRI suggestive of/diagnostic of meningioma include:[1]
- Lobular, extra axial masses with well-circumscribed margins
- Broad-based dural attachment
- Inward displacement of the cortical grey matter
- Meningioma en plaque: Tumor with a more infiltrating growth pattern over the dura
- Ardent, homogeneous enhancement after contrast administration
- In some cases, may have areas of central necrosis or calcification that do not enhance
- Peritumoral edema
- Dural tail: enhancement of the dura infiltrating away from the lesion
- A CSF cleft (may contain CSF or cortical vessels) between the tumor and the underlying brain cortex
- Intratumoral and peritumoral cysts in cystic meningiomas
- On T1-weighted sequence:
- Isointensity to slight hypointensity relative to grey matter
- Extensive dural thickening in meningioma en plaque
- Uniform low signal intensity in microcystic meningiomas
- On T2-weighted sequence:
- Isointensity to slight hyperintensity relative to grey matter
- Calcification showing as areas of low signal intensity
- High signal intensity in microcystic meningiomas
Gallery
References
- ↑ Watts J, Box G, Galvin A, Brotchie P, Trost N, Sutherland T (2014). "Magnetic resonance imaging of meningiomas: a pictorial review". Insights Imaging. 5 (1): 113–22. doi:10.1007/s13244-013-0302-4. PMC 3948902. PMID 24399610.