Ependymoma MRI: Difference between revisions
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===Brain=== | ===Brain=== | ||
*T1 | *T1 | ||
:*Solid portions of ependymoma typically are isointense to hypointense relative to white matter 7 | |||
*T2 | *T2 | ||
:*Hyper intense to white matter | |||
:*More reliable in differentiating tumour margins than non-contrast T1-weighted images (but less reliable than contrast enhanced T1) | |||
*T2* (e.g. SWI) | *T2* (e.g. SWI) | ||
:*Foci of blooming from haemorrhage or calcification | |||
*T1 C+ (Gd) | *T1 C+ (Gd) | ||
:*Enhancement present but heterogeneous | |||
:*Enhancement with gadolinium is useful in differentiating tumour from adjacent vasogenic oedema and normal brain parenchyma | |||
*DWI/ADC | *DWI/ADC | ||
:*Restricted diffusion may be seen in solid components especially in anaplastic tumour | |||
:*Diffusion should be interpreted with caution in masses with significant haemorrhage or calcification | |||
*MRS | *MRS | ||
Cho peak elevation according to the cellularity of tumor. | :*Cho peak elevation according to the cellularity of tumor. | ||
NAA peak reduction. | :*NAA peak reduction. | ||
Elevated Cho/Cr ratio. | :*Elevated Cho/Cr ratio. | ||
Lipid and lactate rise when degeneration occurs. | :*Lipid and lactate rise when degeneration occurs. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 16:19, 7 October 2015
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Ependymoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Ependymoma MRI On the Web |
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American Roentgen Ray Society Images of Ependymoma MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Imaging plays a central role in the diagnosis of ependymoma. On MRI brain, ependymoma is characterized by isointense to hypointense on T1-weighted scans, or hyperintense to white matter on T2-weighted MRI.
MRI
Brain
- T1
- Solid portions of ependymoma typically are isointense to hypointense relative to white matter 7
- T2
- Hyper intense to white matter
- More reliable in differentiating tumour margins than non-contrast T1-weighted images (but less reliable than contrast enhanced T1)
- T2* (e.g. SWI)
- Foci of blooming from haemorrhage or calcification
- T1 C+ (Gd)
- Enhancement present but heterogeneous
- Enhancement with gadolinium is useful in differentiating tumour from adjacent vasogenic oedema and normal brain parenchyma
- DWI/ADC
- Restricted diffusion may be seen in solid components especially in anaplastic tumour
- Diffusion should be interpreted with caution in masses with significant haemorrhage or calcification
- MRS
- Cho peak elevation according to the cellularity of tumor.
- NAA peak reduction.
- Elevated Cho/Cr ratio.
- Lipid and lactate rise when degeneration occurs.