Wada Masae, Hasegawa Daisuke, Hamamoto Yuji, Yu Yoshihiko, Fujiwara-Igarashi Aki, Fujita Michio
Department of Clinical Veterinary Medicine, Nippon Veterinary and Life Science University, 180-8601, Tokyo, Japan.
ORM Co. Ltd., 330-0803, Saitama, Japan.
Vet Radiol Ultrasound. 2017 Jul;58(4):422-432. doi: 10.1111/vru.12497. Epub 2017 Mar 23.
Although MRI has become widely used in small animal practice, little is known about the validity of advanced MRI techniques such as diffusion-weighted imaging and diffusion tensor imaging. The aim of this retrospective analytical observational study was to investigate the characteristics of diffusion parameters, that is the apparent diffusion coefficient and fractional anisotropy, in dogs with a solitary intracranial meningioma or histiocytic sarcoma. Dogs were included based on the performance of diffusion MRI and histological confirmation. Statistical analyses were performed to compare apparent diffusion coefficient and fractional anisotropy for the two types of tumor in the intra- and peritumoral regions. Eleven cases with meningioma and six with histiocytic sarcoma satisfied the inclusion criteria. Significant differences in apparent diffusion coefficient value (× 10 mm /s) between meningioma vs. histiocytic sarcoma were recognized in intratumoral small (1.07 vs. 0.76) and large (1.04 vs. 0.77) regions of interest, in the peritumoral margin (0.93 vs. 1.08), and in the T2 high region (1.21 vs. 1.41). Significant differences in fractional anisotropy values were found in the peritumoral margin (0.29 vs. 0.24) and the T2 high region (0.24 vs. 0.17). The current study identified differences in measurements of apparent diffusion coefficient and fractional anisotropy for meningioma and histiocytic sarcoma in a small sample of dogs. In addition, we observed that all cases of intracranial histiocytic sarcoma showed leptomeningeal enhancement and/or mass formation invading into the sulci in the contrast study. Future studies are needed to determine the sensitivity of these imaging characteristics for differentiating between these tumor types.
尽管磁共振成像(MRI)已在小动物临床实践中广泛应用,但对于扩散加权成像和扩散张量成像等先进MRI技术的有效性却知之甚少。这项回顾性分析观察研究的目的是调查患有孤立性颅内脑膜瘤或组织细胞肉瘤的犬类中扩散参数的特征,即表观扩散系数和分数各向异性。根据扩散MRI表现和组织学确认纳入犬只。进行统计分析以比较两种类型肿瘤在瘤内和瘤周区域的表观扩散系数和分数各向异性。11例脑膜瘤病例和6例组织细胞肉瘤病例符合纳入标准。在瘤内小(1.07对0.76)和大(1.04对0.77)感兴趣区域、瘤周边缘(0.93对1.08)以及T2高信号区域(1.21对1.41),脑膜瘤与组织细胞肉瘤之间的表观扩散系数值(×10⁻³mm²/s)存在显著差异。在瘤周边缘(0.29对0.24)和T2高信号区域(0.24对0.17)发现分数各向异性值存在显著差异。本研究在一小群犬只中确定了脑膜瘤和组织细胞肉瘤在表观扩散系数和分数各向异性测量上的差异。此外,我们观察到在对比研究中,所有颅内组织细胞肉瘤病例均显示软脑膜强化和/或肿块形成侵入脑沟。未来需要开展研究以确定这些影像学特征对区分这些肿瘤类型的敏感性。