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Research ArticleBrain
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Differentiation of Primary Central Nervous System Lymphomas and Glioblastomas: Comparisons of Diagnostic Performance of Dynamic Susceptibility Contrast-Enhanced Perfusion MR Imaging without and with Contrast-Leakage Correction

C.H. Toh, K.-C. Wei, C.-N. Chang, S.-H. Ng and H.-F. Wong
American Journal of Neuroradiology June 2013, 34 (6) 1145-1149; DOI: https://doi.org/10.3174/ajnr.A3383
C.H. Toh
aFrom the Departments of Medical Imaging and Intervention (C.H.T, S.-H.N, H.-F.W)
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K.-C. Wei
bNeurosurgery (K.-C.W, C.-N.C), Chang Gung Memorial Hospital, Linkou and Chang Gung University College of Medicine, Tao-Yuan, Taiwan.
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C.-N. Chang
bNeurosurgery (K.-C.W, C.-N.C), Chang Gung Memorial Hospital, Linkou and Chang Gung University College of Medicine, Tao-Yuan, Taiwan.
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S.-H. Ng
aFrom the Departments of Medical Imaging and Intervention (C.H.T, S.-H.N, H.-F.W)
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H.-F. Wong
aFrom the Departments of Medical Imaging and Intervention (C.H.T, S.-H.N, H.-F.W)
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    Fig 1.

    Measurements of perfusion parameters in a 22-year-old man with PCNSL. Axial contrast-enhanced MPRAGE (A) shows an enhancing mass in the right temporo-occipital region. B, On contrast-enhanced MPRAGE, 2 ROIs are placed, one over the entire enhancing tumor and another at the contralateral NAWM for the measurement of CBV (C), corrected CBV (D), and K2 (E), respectively.

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    Fig 2.

    Measurements of perfusion parameters in a 40-year-old woman with glioblastoma. Axial contrast-enhanced MPRAGE (A) shows an enhancing mass in the right lateral frontal region. B, On contrast-enhanced MPRAGE, 2 ROIs are placed, one over the entire enhancing tumor and another at the contralateral NAWM for the measurement of CBV (C), corrected CBV (D), and K2 (E), respectively.

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    Fig 3.

    Receiver operating characteristic curve analysis for comparisons of the diagnostic performance of CBV, corrected CBV, and K2.

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    Table 1:

    Quantitative comparisons of perfusion parameters between PCNSLs and glioblastomasa

    ParameterPCNSLGlioblastomaP Value95% CI
    CBV ratio1.16 ± 0.665.01 ± 2.01<.001−4.82 to −2.84
    Corrected CBV ratio2.28 ± 0.605.47 ± 2.05<.001−4.19 to −2.18
    K21.88 ± 1.110.79 ± 0.68.0010.47–1.71
    • Note:—CI indicates confidence interval.

    • ↵a Data are means.

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    Table 2:

    ROC of CBV, corrected CBV, and K2 in differentiating PCNSLs from glioblastomasa

    ParameterAUC95% CIP ValueCVSENSPEAccuracy
    CBV ratio0.9840.952–1.000<.0011.8810086.794.2
    Corrected CBV ratio0.9400.861–1.000<.0013.019093.391.4
    2.0810046.777.1
    K20.7880.624–0.953.0041.27580.077.1
    • Note:—CI indicates confidence interval; CV, cutoff value; SEN, sensitivity; SPE, specificity; AUC, area under the curve; ROC, receiver operating characteristic curve analysis.

    • ↵a Data of sensitivity, specificity, and accuracy are in percentages.

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American Journal of Neuroradiology: 34 (6)
American Journal of Neuroradiology
Vol. 34, Issue 6
1 Jun 2013
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C.H. Toh, K.-C. Wei, C.-N. Chang, S.-H. Ng, H.-F. Wong
Differentiation of Primary Central Nervous System Lymphomas and Glioblastomas: Comparisons of Diagnostic Performance of Dynamic Susceptibility Contrast-Enhanced Perfusion MR Imaging without and with Contrast-Leakage Correction
American Journal of Neuroradiology Jun 2013, 34 (6) 1145-1149; DOI: 10.3174/ajnr.A3383

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Differentiation of Primary Central Nervous System Lymphomas and Glioblastomas: Comparisons of Diagnostic Performance of Dynamic Susceptibility Contrast-Enhanced Perfusion MR Imaging without and with Contrast-Leakage Correction
C.H. Toh, K.-C. Wei, C.-N. Chang, S.-H. Ng, H.-F. Wong
American Journal of Neuroradiology Jun 2013, 34 (6) 1145-1149; DOI: 10.3174/ajnr.A3383
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  • Added Value of Spectroscopy to Perfusion MRI in the Differential Diagnostic Performance of Common Malignant Brain Tumors
  • Diagnostic Accuracy of T1-Weighted Dynamic Contrast-Enhanced-MRI and DWI-ADC for Differentiation of Glioblastoma and Primary CNS Lymphoma
  • On the Use of DSC-MRI for Measuring Vascular Permeability
  • ASFNR Recommendations for Clinical Performance of MR Dynamic Susceptibility Contrast Perfusion Imaging of the Brain
  • Evaluation of Microvascular Permeability with Dynamic Contrast-Enhanced MRI for the Differentiation of Primary CNS Lymphoma and Glioblastoma: Radiologic-Pathologic Correlation
  • Assessment of Angiographic Vascularity of Meningiomas with Dynamic Susceptibility Contrast-Enhanced Perfusion-Weighted Imaging and Diffusion Tensor Imaging
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