Comparison of conventional MR imaging and diffusion tensor imaging measures in 7 pediatric patients with pontine tumors
Patient No. | Tumor Characteristics | Conventional MR Imaging | Diffusion Tensor Imaging | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Location | Size (cm) | T1W | T2W | Enhancement | Focality | Necrosis | Mass Effect | Hydrocephalus | Corticospinal Tracts | Transverse Pontine Tracts | Sensory Tracts | |
1 | Midbrain/pons | 4.6 × 3.6 | Hypo | Hyper | No | No | No | Moderate | Shunt in place | Bilateral sev exp, distinct CB | Sev exp of left tract | Posterior displ, noninfiltrated |
2 | Pons | 3.0 × 3.4 | Hypo | Hyper | No | No | No | Minimal | No | Mild exp, lateral displ of right tract | Sev bilateral exp | Posterior displ, noninfiltrated |
Mild reduction, medial deviation, and slightly isotropic left tract | ||||||||||||
3 | Pons | 2.8 × 3.1 | Hypo | Hyper | No | No | No | Minimal | No | Bilateral sev exp, minimal posterior displ of right tract | Mild bilateral exp | Normal |
4 | Pons | 3.2 × 4.3 | Sev hypo | Sev hyper | No | No | No | Minimal | No | Bilateral sev exp | Sev bilateral exp | Bilateral grossly posterior displ (left > right) |
5 | Pons | 3.8 × 4.5 | Sev hypo | Sev hyper | Surrounding necrosis | No | Yes* | Moderate | Mild | Bilateral sev exp, distinct CB | Sev bilateral exp, necrosis | Bilateral grossly posterior displ (left > right) |
6 | Pons | 3.9 × 4.7 | Sev hypo | Sev hyper | No | No | No | Mild | No | Bilateral sev exp, posterior displ, distinct right CB | Sev prominently anterior exp | Bilateral grossly posterior displ (left > right) |
7† | Pons | 1.6 × 1.0 | Hypo | Hyper | Minimal focal | Yes | No | Minimal | No | Mild exp of left tract | Normal | Normal |
1.0 × 0.8 |
Note:—hypo indicates hypointense; hyper, hyperintense; sev, severe; exp, expansion; CB, corticobulbar tracts; displ, displacement.
* The necrotic region measured 2.2 × 2.5 cm.
† This patient’s tumor had an exophytic component that measured 1.0 × 0.8 cm.