Young G S, Setayesh K
Department of Radiology of Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
AJNR Am J Neuroradiol. 2009 Mar;30(3):575-7. doi: 10.3174/ajnr.A1239. Epub 2008 Dec 18.
Unlike the more widely reported gradient-echo echo-planar perfusion-weighted imaging (EPI-PWI) technique, spin-echo (SE) EPI relative cerebral blood volume maps select for blood volume in microvessels <8 microm in diameter. This first report of SE-EPI PWI for distinguishing brain metastasis from high-grade glioma demonstrated 88% sensitivity and 72% specificity in 83 patients. We discuss differences in microvessel architecture between high-grade glioma and brain metastasis that may explain the surprising success of SE-EPI in this application and may deserve further investigation.
与报道更为广泛的梯度回波平面回波灌注加权成像(EPI-PWI)技术不同,自旋回波(SE)EPI相对脑血容量图所选择的是直径<8微米的微血管中的血容量。这篇关于SE-EPI PWI用于鉴别脑转移瘤与高级别胶质瘤的首次报告显示,在83例患者中,其灵敏度为88%,特异度为72%。我们讨论了高级别胶质瘤与脑转移瘤在微血管结构上的差异,这些差异可能解释了SE-EPI在该应用中取得惊人成功的原因,可能值得进一步研究。