Accuracy of delayed post-contrast FLAIR MR imaging for the diagnosis of leptomeningeal infectious or tumoral diseases.

Details

Serval ID
serval:BIB_B3E18AB7D092
Type
Article: article from journal or magazin.
Collection
Publications
Title
Accuracy of delayed post-contrast FLAIR MR imaging for the diagnosis of leptomeningeal infectious or tumoral diseases.
Journal
Journal of neuroradiology. Journal de neuroradiologie
Author(s)
Kremer S., Abu Eid M., Bierry G., Bogorin A., Koob M., Dietemann J.L., Fruehlich S.
ISSN
0150-9861 (Print)
ISSN-L
0150-9861
Publication state
Published
Issued date
12/2006
Peer-reviewed
Oui
Volume
33
Number
5
Pages
285-291
Language
english
Notes
Publication types: Clinical Trial ; Comparative Study ; Journal Article
Publication Status: ppublish
Abstract
To compare unenhanced, gadolinium enhanced, delayed gadolinium enhanced FLAIR images, gadolinium enhanced and delayed gadolinium enhanced T1 images in different types of leptomeningeal diseases, and to determine the most accurate MRI sequence for the diagnosis of leptomeningeal disease.
and methods: Ten patients (6 men, 4 women, age: 52,7+/-16,4) clinically suspected of cerebral leptomeningeal infectious or tumoral disease underwent brain MR examination: Axial FLAIR and T1 SE images were acquired before, immediately after administration of gadobenate dimeglumine (0.1 mmol per kilogram of body weight) (early enhancement), and 20 minutes after injection of contrast media (delayed enhancement). Images were analysed to determine the more appropriate technique for the diagnosis of leptomeningeal disease.
Early enhanced FLAIR and delayed enhanced T1 were always more or equally accurate for the diagnosis of leptomeningeal diasease, as compared to, respectively, unenhanced FLAIR and early enhanced T1 images Delayed enhanced FLAIR was always more accurate for the diagnosis of leptomeningeal disease as compared to early enhanced FLAIR images. Delayed enhanced FLAIR was in most of the cases more accurate for the diagnosis of leptomeningeal disease as compared to delayed enhanced T1 images.
Delayed enhanced FLAIR MR sequence seems to improve the diagnosis of leptomeningeal infectious or tumoral diseases as compared to other MR sequences.

Keywords
Adolescent, Aged, Contrast Media, Epstein-Barr Virus Infections/diagnosis, Female, Humans, Infant, Magnetic Resonance Imaging/methods, Male, Meningeal Neoplasms/diagnosis, Meningitis, Bacterial/diagnosis, Meningitis, Viral/diagnosis, Middle Aged, Reproducibility of Results, Streptococcal Infections/diagnosis, Streptococcus agalactiae
Pubmed
Web of science
Create date
28/08/2017 13:19
Last modification date
20/08/2019 15:22
Usage data