Intracerebral metastases other imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Other Imaging Findings
Magnetic Resonance Spectroscopy
- MR spectroscopy may be helpful in the diagnosis of intracerebral metastases.[1]
- Findings on MR spectroscopy include:[1]
- Intratumoural choline peak with no choline elevation in the peritumoral oedema
- Any tumor necrosis results in a lipid peak
- N-Acetylaspartate (NAA) depleted
Magnetic Resonance Perfusion
- MR perfusion demonstrates reduced CBV (cerebral blood volume) and CBF (cerebral blood flow) in the region of metastasis. Surrounding edema demonstrates normal CBV.
Gallery
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MR perfusion of brain of a known case of renal cell carcinoma demonstrates reduced CBV (cerebral blood volume) and CBF (cerebral blood flow) in the region of metastasis. Surrounding edema demonstrates normal CBV.[2]
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MR perfusion of brain of a case of renal cell carcinoma demonstrates highly variable appearance of hemorrhagic metastases to the brain.[2]