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使用表观扩散系数和分数各向异性对犬猫脑膜瘤进行比较

Comparison of Canine and Feline Meningiomas Using the Apparent Diffusion Coefficient and Fractional Anisotropy.

作者信息

Wada Masae, Hasegawa Daisuke, Hamamoto Yuji, Yu Yoshihiko, Asada Rikako, Fujiwara-Igarashi Aki, Fujita Michio

机构信息

Laboratory of Veterinary Radiology, Nippon Veterinary and Life Science University, Musashino, Japan.

ORM Co.Ltd., Saitama, Japan.

出版信息

Front Vet Sci. 2021 Jan 11;7:614026. doi: 10.3389/fvets.2020.614026. eCollection 2020.

DOI:10.3389/fvets.2020.614026
PMID:33506001
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7829344/
Abstract

Meningiomas are the most common intracranial tumor in dogs and cats, and their surgical resection is often performed because they are present on the brain surface. Typical meningiomas show comparatively characteristic magnetic resonance imaging findings that lead to clinical diagnosis; however, it is necessary to capture not only macroscopic changes but also microstructural changes to devise a strategy for surgical resection and/or quality of removal. To visualize such microstructural changes, diffusion-weighted imaging (DWI) and diffusion tensor imaging (DTI) have been used in human medicine. The aim of this retrospective study was to investigate the different characteristics of the apparent diffusion coefficient (ADC) from DWI and fractional anisotropy (FA) from DTI of meningioma between dogs and cats. Statistical analyses were performed to compare ADC and FA values between the intratumoral or peritumoral regions and normal-appearing white matter (NAWM) among 13 dogs (13 lesions, but 12 each in ADC and FA analysis) and six cats (seven lesions). The NAWM of cats had a significantly lower ADC and higher FA compared to dogs. Therefore, for a comparison between dogs and cats, we used ADC and FA ratios that were calculated by dividing the subject (intra- or peritumoral) ADC and FA values by those of NAWM on the contralateral side. Regarding the intratumoral region, feline meningiomas showed a significantly lower ADC ratio and higher FA ratio than canine meningiomas. This study suggested that ADC and FA may be able to distinguish a meningioma that is solid and easy to detach, like as typical feline meningiomas.

摘要

脑膜瘤是犬猫最常见的颅内肿瘤,由于其位于脑表面,常需进行手术切除。典型的脑膜瘤在磁共振成像上有相对特征性的表现,有助于临床诊断;然而,为了制定手术切除策略和/或确定切除质量,不仅要捕捉宏观变化,还需观察微观结构变化。为了可视化这些微观结构变化,扩散加权成像(DWI)和扩散张量成像(DTI)已应用于人类医学。本回顾性研究的目的是探讨犬猫脑膜瘤的表观扩散系数(ADC)和扩散张量成像分数各向异性(FA)的不同特征。对13只犬(13个病灶,但ADC和FA分析各12个)和6只猫(7个病灶)的肿瘤内或瘤周区域与正常白质(NAWM)的ADC和FA值进行了统计分析比较。猫的NAWM的ADC显著低于犬,FA则显著高于犬。因此,为了在犬猫之间进行比较,我们使用了通过将研究对象(肿瘤内或瘤周)的ADC和FA值除以对侧NAWM的相应值计算得到的ADC和FA比值。在肿瘤内区域,猫脑膜瘤的ADC比值显著低于犬脑膜瘤,FA比值则显著高于犬脑膜瘤。本研究表明,ADC和FA可能能够区分像典型猫脑膜瘤那样质地坚实且易于分离的脑膜瘤。

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