Division of Clinical Radiology, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Division of Neurological Sciences, Department of Clinical Research and Veterinary Public Health, Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
J Vet Intern Med. 2022 Nov;36(6):2104-2112. doi: 10.1111/jvim.16519. Epub 2022 Nov 10.
BACKGROUND: Oligodendroglioma (OG) accounts for 22% of primary brain tumors in dogs. Oligodendroglioma in dogs is graded as low-grade (II) or high-grade (III), based on the presence of microvascular proliferation and necrosis. OBJECTIVE: To investigate if magnetic resonance imaging (MRI) features differ between OG II and III in dogs. ANIMALS: Thirty-two dogs with histological diagnosis of intracranial OG and MRI. METHODS: Retrospective descriptive study. Histology was reviewed to grade OG according to the revised classification. Brain MRI results were reviewed following criteria including contrast enhancement (CE) pattern, presence of cystic structures, gradient-recalled-echo (GRE) signal voids, and necrosis based on signal intensity, as well as diffusion-weighted imaging characteristics. The MRI features were compared between OG II and III using Fisher's exact tests and logistic regression models. RESULTS: Histology identified 8 dogs with OG II (25%) and 24 with OG III (75%). All OG III showed moderate-to-marked CE including 18/24 (75%) with a ring pattern. These features were not seen in OG II. Heterogeneity, cystic structures, GRE signal voids, and necrosis were associated with OG III. No difference in diffusion characteristics was detected between OG II and III. CONCLUSION AND CLINICAL IMPORTANCE: Moderate-to-marked CE and ring pattern were present in dogs with OG III but not in OG II. The presence of cystic structures, GRE signal voids, and necrosis was strongly associated with OG III. Although the importance of brain tumor grading in dogs with regard to prognosis and treatment options remains unknown, the results indicate that MRI reflects the histological features used for grading OG in dogs.
背景:少突胶质细胞瘤(OG)占犬原发性脑肿瘤的 22%。根据微血管增生和坏死的存在,犬的少突胶质细胞瘤分为低级别(II 级)或高级别(III 级)。
目的:研究犬 OG II 和 III 之间的磁共振成像(MRI)特征是否存在差异。
动物:32 只经组织学诊断为颅内 OG 并接受 MRI 的犬。
方法:回顾性描述性研究。对组织学进行回顾性分析,根据修订分类对 OG 进行分级。根据增强模式、囊性结构、梯度回波(GRE)信号缺失以及信号强度的坏死情况以及弥散加权成像特征,对脑 MRI 结果进行评估。使用 Fisher 确切检验和逻辑回归模型比较 OG II 和 III 之间的 MRI 特征。
结果:组织学鉴定出 8 只 OG II(25%)和 24 只 OG III(75%)犬。所有 OG III 均表现为中度至明显增强,包括 18/24 只(75%)呈环形。这些特征在 OG II 中未见。异质性、囊性结构、GRE 信号缺失和坏死与 OG III 相关。OG II 和 III 之间的弥散特征无差异。
结论和临床意义:OG III 犬中存在中度至明显增强和环形模式,但在 OG II 中不存在。囊性结构、GRE 信号缺失和坏死的存在与 OG III 密切相关。虽然脑肿瘤分级对犬预后和治疗方案的重要性尚不清楚,但结果表明 MRI 反映了用于分级犬 OG 的组织学特征。
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