RT Journal Article SR Electronic T1 Perfusion MR Imaging of an Intracranial Collision Tumor Confirmed by Image-Guided Biopsy JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 94 OP 97 VO 27 IS 1 A1 Jun, P. A1 Garcia, J. A1 Tihan, T. A1 McDermott, M.W. A1 Cha, S. YR 2006 UL http://www.ajnr.org/content/27/1/94.abstract AB SUMMARY: We present a patient with a new intracranial mass lesion that was initially interpreted as a metastasis on conventional anatomic MR imaging. On dynamic, contrast-enhanced, susceptibility-weighted perfusion MR imaging, however, there were regional hemodynamic differences within the lesion. Image-guided open biopsy targeting these regions uncovered a collision tumor between a typical meningioma and a metastatic breast carcinoma. In cases where conventional anatomic MR imaging is ambiguous, physiology-based neuroimaging methods provide complementary physiologic information useful for discriminating between histologically unique tissue types.