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T1, T2 and proton density measurements in the grading of cerebral gliomas
Authors:S Newman  V M Haughton  Z Yetkin  R Breger  L F Czervionke  A L Williams  K C Ho  R A Papke  A A Rimm  M E Fischer  G A Meyer  R Asleson
Institution:(1) Department of Radiology, Medical College of Wisconsin, 53226 Milwaukee, WI, USA;(2) Department of Pathology, Medical College of Wisconsin, 53226 Milwaukee, WI, USA;(3) Department of Biostatistics and Clinical Epidemiology, Medical College of Wisconsin, 53226 Milwaukee, WI, USA;(4) Department of Neurosurgery, Medical College of Wisconsin, 53226 Milwaukee, WI, USA
Abstract:The possibility that cerebral tumours may be graded by measuring T1 or T2 with magnetic resonance (MR) imaging was studied. A consecutive series of patients with subsequently verified gliomas was enrolled, and studied with MR. Patients who had prior surgical, chemotherapeutic or steroid treatment were excluded. Single slice multiple saturation recovery and multiple spin echo techniques were used to measure T1, T2 and proton density in the tumour. In 33 patients with cerebral gliomas there were 5 grade I, 12 grade II, 7 grade III and 9 grade IV. T1 and T2 values tended to be smaller in grade I gliomas than in grades II, III and IV gliomas. Relaxation parameters overlapped considerably in tumours with different grades. Proton density values did not show much change between different grades of gliomas. Relaxation parameters cannot be used to determine tumour grade reliably. Correspondence to: S. Newman
Keywords:Brain tumor  MRI  T1  T2
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