Usefulness of PRESTO Magnetic Resonance Imaging for the Differentiation of Schwannoma and Meningioma in the Cerebellopontine Angle
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- TOMOGANE Yusuke
- Department of Neurosurgery, Hyogo College of Medicine
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- MORI Kanji
- Department of Neurosurgery, Hyogo College of Medicine
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- IZUMOTO Shuichi
- Department of Neurosurgery, Hyogo College of Medicine
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- KABA Keizo
- Department of Neurosurgery, Hyogo College of Medicine
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- ISHIKURA Reiichi
- Department of Radiology, Hyogo College of Medicine
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- ANDO Kumiko
- Department of Radiology, Hyogo College of Medicine
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- WAKATA Yuki
- Department of Radiology, Hyogo College of Medicine
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- FUJITA Shigekazu
- Department of Neurosurgery, Hyogo College of Medicine
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- SHIRAKAWA Manabu
- Department of Neurosurgery, Hyogo College of Medicine
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- ARITA Norio
- Department of Neurosurgery, Hyogo College of Medicine
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抄録
The principles of echo-shifting with a train of observations (PRESTO) magnetic resonance (MR) imaging technique employs an MR sequence that sensitively detects susceptibility changes in the brain. The effectiveness of PRESTO MR imaging was examined for distinguishing between cerebellopontine angle (CPA) schwannomas and meningiomas in 24 patients with CPA tumors, 12 with vestibular schwannomas, and 12 with meningiomas. Histopathological study of surgical specimens showed that 11 of the 12 schwannomas contained hemosiderin deposits and all had microhemorrhages. One meningioma contained hemosiderin deposits and two involved microhemorrhages. Abnormal vessel proliferation, and dilated and thrombosed vessels were observed in all schwannomas and in 4 meningiomas. In addition to MR imaging with all basic sequences, PRESTO MR imaging and computed tomography were performed. PRESTO imaging showed significantly more schwannomas (n = 12) than meningiomas (n = 2) exhibited intratumoral spotty signal voids which were isointense to air in the mastoid air cells (p < 0.001). These spotty signal voids were significantly associated with histopathologically demonstrated hemosiderin deposits (p < 0.001), microhemorrhages (p < 0.01), and abnormal vessels (p < 0.04). The visualization of spotty signal voids on PRESTO images is useful to distinguish schwannomas from meningiomas.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 53 (7), 482-489, 2013
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001205055721472
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- NII論文ID
- 10031178554
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- NII書誌ID
- AN00358613
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- COI
- 1:STN:280:DC%2BC3sfjvVWguw%3D%3D
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- ISSN
- 13498029
- 04708105
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- PubMed
- 23883559
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可