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Research ArticleBrain
Open Access

Perfusion Measurement in Brain Gliomas with Intravoxel Incoherent Motion MRI

C. Federau, R. Meuli, K. O'Brien, P. Maeder and P. Hagmann
American Journal of Neuroradiology February 2014, 35 (2) 256-262; DOI: https://doi.org/10.3174/ajnr.A3686
C. Federau
aFrom the Department of Diagnostic and Interventional Radiology (C.F., R.M., P.M., P.H.), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
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R. Meuli
aFrom the Department of Diagnostic and Interventional Radiology (C.F., R.M., P.M., P.H.), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
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K. O'Brien
bCenter for Biomedical Imaging (K.O.), University of Geneva, Geneva, Switzerland.
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P. Maeder
aFrom the Department of Diagnostic and Interventional Radiology (C.F., R.M., P.M., P.H.), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
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P. Hagmann
aFrom the Department of Diagnostic and Interventional Radiology (C.F., R.M., P.M., P.H.), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
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    Fig 1.

    A–C, Glioblastoma multiforme involving the paraventricular region of the right frontal lobe seen on axial T2-weighted, T1-weighted postgadolinium, and DSC CBV. D–F, IVIM parametric maps f, D*, and fD* (scale bars: f = unitless; D*, fD* = mm2s−1). G, Logarithmic plot of signal-intensity decay as a function of b of the region of interest of maximal perfusion fraction, with the corresponding biexponential fit.

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    Fig 2.

    A–C, Oligoastrocytoma, grade 2, centered on the pre-central gyrus of the right frontal lobe, seen on axial T2-weighted, T1-weighted postgadolinium, and DSC CBV. D–F, IVIM parametric maps f, D*, and fD* (scale bars: f = unitless; D*, fD* = mm2s−1). G, Logarithmic plot of signal-intensity decay as a function of b of the region of interest of the maximal perfusion fraction, with the corresponding biexponential fit.

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    Fig 3.

    Box-and-whisker plot (median, 25th and 75th percentiles, minimum, maximum, and outliers) of f, D*, fD*, and D, as measured in ROIs of the maximum perfusion fraction. Dark gray indicates high-grade tumors; medium gray, low-grade tumors; light gray, contralateral control region of both high- and low- grade. P values are indicated when <.05.

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    Fig 4.

    Scatterplots comparing relative DSC CBV (y-axis) with absolute IVIM f (x-axis). Pearson r correlation coefficient is given.

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    Fig 5.

    Normalized histograms of the perfusion fraction comprising the voxels of all whole tumor volumes for the high-grade (A) and low-grade (B) groups and for the control group (C). The total number of voxels included is indicated by n. An increase in the normalized number of highly perfused voxels can be observed in the high-grade tumor group in comparison with the low-grade and control groups.

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    Table 1:

    Patient demographics, tumor localization, and histologic diagnosis

    GradeAge (yr)SexLocalizationSample ObtainedPathologic DiagnosisWHO Grade
    High
        177MaleLeft parietal lobeSurgical resectionGlioblastoma multiformeIV
        267MaleRight parietal lobeSurgical resectionGlioblastoma multiformeIV
        384FemaleLeft parietal lobeStereotaxic biopsyGlioblastoma multiformeIV
        461FemaleRight frontal lobeSurgical resectionGlioblastoma multiformeIV
        560MaleRight frontal lobeSurgical resectionGlioblastoma multiformeIV
        668MaleRight insulaSurgical resectionGlioblastoma multiformeIV
        773MaleRight frontotemporal lobesSurgical resectionAnaplastic oligoastrocytomaIII
        836MaleLeft insulaStereotaxic biopsyDiffuse gliomaIII
        950MaleLeft temporal lobeStereotaxic biopsyGlioblastoma multiformeIV
        1043MaleLeft temporal lobeSurgical resectionGlioblastoma multiformeIV
        1173MaleLeft temporal lobeSurgical resectionGlioblastoma multiformeIV
        1253MaleLeft parietal lobeSurgical resectionGlioblastoma multiformeIV
        1360FemaleLeft operculumStereotaxic biopsyGlioblastoma multiformeIV
        1424MaleLeft cingulumStereotaxic biopsyAnaplastic oligoastrocytomaIII
        1561MaleLeft temporal lobeSurgical resectionGlioblastoma multiformeIV
        1663FemaleRight frontal lobeSurgical resectionGlioblastoma multiformeIV
    Low
        138MaleRight frontal lobeSurgical resectionOligoastrocytomaII
        258MaleRight frontal lobeSurgical resectionNeuroglial tumorII
        354MaleLeft temporo-occipital lobesStereotaxic biopsyDiffuse astrocytomaII
        438MaleLeft frontal lobeStereotaxic biopsyOligodendrogliomaII
        52MaleCentered on 3rd ventricleStereotaxic biopsyPilomyxoid astrocytomaII
    • Note:—WHO indicates World Health Organization.

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American Journal of Neuroradiology: 35 (2)
American Journal of Neuroradiology
Vol. 35, Issue 2
1 Feb 2014
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Cite this article
C. Federau, R. Meuli, K. O'Brien, P. Maeder, P. Hagmann
Perfusion Measurement in Brain Gliomas with Intravoxel Incoherent Motion MRI
American Journal of Neuroradiology Feb 2014, 35 (2) 256-262; DOI: 10.3174/ajnr.A3686

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Perfusion Measurement in Brain Gliomas with Intravoxel Incoherent Motion MRI
C. Federau, R. Meuli, K. O'Brien, P. Maeder, P. Hagmann
American Journal of Neuroradiology Feb 2014, 35 (2) 256-262; DOI: 10.3174/ajnr.A3686
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