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Research ArticleBrain

MR Cerebral Blood Volume Maps Correlated with Vascular Endothelial Growth Factor Expression and Tumor Grade in Nonenhancing Gliomas

Antonio C. M. Maia, Suzana M. F. Malheiros, Antonio J. da Rocha, Carlos J. da Silva, Alberto A. Gabbai, Fernando A. P. Ferraz and João N. Stávale
American Journal of Neuroradiology April 2005, 26 (4) 777-783;
Antonio C. M. Maia Jr
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Suzana M. F. Malheiros
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Antonio J. da Rocha
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Carlos J. da Silva
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Alberto A. Gabbai
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Fernando A. P. Ferraz
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João N. Stávale
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  • Fig 1.
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    Fig 1.

    Anaplastic astrocytoma. Axial enhanced T1–weighted image demonstrates a right frontal, nonenhancing lesion (A). rCBV map shows a markedly elevated rCBV of 3.6, which is consistent with biopsy-proved anaplastic astrocytoma (B). Immunohistochemical staining (400×) with monoclonal antibody against VEGF reveals strong cellular and endothelial positivity (C).

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    Fig 2.

    Diffuse astrocytoma. Axial enhanced T2-weighted image shows a left frontal nonenhancing lesion (A). rCBV map shows an obviously reduced rCBV of 0.72, which is consistent with biopsy-proved diffuse astrocytoma (WHO grade II). Immunohistochemical staining (400×) with the monoclonal antibody against VEGF is negative (C).

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    Fig 3.

    Diffuse astrocytoma. Axial enhanced T1-weighted image shows a left frontal nonenhancing lesion (A). rCBV map shows an elevated rCBV of 1.9 (B). Histologic section (400×) reveals a diffuse astrocytoma (WHO grade II), but VEGF staining shows strong cellular and endothelial positivity (C).

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    Fig 4.

    Anaplastic astrocytoma. Coronal enhanced T1-weighted image shows a heterogeneous left frontal lesion (A). rCBV map demonstrates a focal area with a high rCBV of 3.11. Histologic section (400X) of this focus is consistent with biopsy-proved anaplastic astrocytoma, and VEGF staining shows strong cellular and endothelial positivity (C).

Tables

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  • rCBV ratios, histologic results, and VEGF expression

    Patient/Sex/Age (y)HistologyrCBV*VEGF
    WHO grade II
        1/M/30Diffuse astrocytoma0.65/0.77−
        2/M/35Diffuse astrocytoma0.55/0.72−
        3/F/33Diffuse astrocytoma0.57/0.7−
        4/M/27Diffuse astrocytoma0.69/0.81−
        5/M/41Diffuse astrocytoma0.62/0.65−
        6/M/39Diffuse astrocytoma1.73/2.1+
        7/M/38Diffuse astrocytoma1.07/1.2+
        8/F/22Diffuse astrocytoma1.61/1.9+
        9/M/32Diffuse astrocytoma0.68/0.82−
        10/M/39Oligodendroglioma1.27/1.62−
        11/M/26Oligoastrocytoma1.72/1.88−
        12/F/37Oligoastrocytoma1.59/1.97+
        13/M/27Oligoastrocytoma2.64/2.99+
    WHO grade III
        14/M/42Anaplastic astrocytoma2.78/3.11+
        15/M/30Anaplastic astrocytoma2.89/3.08+
        16/M/58Anaplastic astrocytoma3.45/3.6+
        17/F/55Anaplastic astrocytoma3.79/3.9+
        18/M/25Anaplastic astrocytoma3.22/3.7+
        19/M/56Anaplastic astrocytoma3.30/3.8+
        20/M/25Anaplastic oligoastrocytoma2.99/3.19+
    • * Mean/maximum.

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American Journal of Neuroradiology: 26 (4)
American Journal of Neuroradiology
Vol. 26, Issue 4
1 Apr 2005
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Cite this article
Antonio C. M. Maia, Suzana M. F. Malheiros, Antonio J. da Rocha, Carlos J. da Silva, Alberto A. Gabbai, Fernando A. P. Ferraz, João N. Stávale
MR Cerebral Blood Volume Maps Correlated with Vascular Endothelial Growth Factor Expression and Tumor Grade in Nonenhancing Gliomas
American Journal of Neuroradiology Apr 2005, 26 (4) 777-783;

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MR Cerebral Blood Volume Maps Correlated with Vascular Endothelial Growth Factor Expression and Tumor Grade in Nonenhancing Gliomas
Antonio C. M. Maia, Suzana M. F. Malheiros, Antonio J. da Rocha, Carlos J. da Silva, Alberto A. Gabbai, Fernando A. P. Ferraz, João N. Stávale
American Journal of Neuroradiology Apr 2005, 26 (4) 777-783;
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