Application of Multivoxel ۱H-Magnetic Resonance Spectroscopy in the Grading of Cerebral Glioma
Publish place: Iranian Journal of Medical Physics، Vol: 20، Issue: 2
Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
View: 129
This Paper With 6 Page And PDF Format Ready To Download
- Certificate
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_IJMP-20-2_006
تاریخ نمایه سازی: 28 فروردین 1402
Abstract:
Introduction: Gliomas represent a considerable percentage of all diagnosed primary central nervous system tumors. A non-invasive access method, like magnetic resonance spectroscopy (MRS), is required for preoperative evaluation. So, the present study aimed to evaluate the application of Multivoxel ۱H-MR Spectroscopy in the differentiation of high-grade from low-grade gliomas.Material and Methods: ۱۳ patients suspected of Cerebral Glioma, which already had been selected for brain surgery or biopsy, underwent a Multivoxel ۱H-MR Spectroscopy. After the MRS exam, the pathology tests on specimens confirmed the grade of tumors. Then results were compared and represented as receiver operating characteristic (ROC) curves to show their sensitivity and specificity as well.Results: Choline to creatine (Cho/Cr) and choline to N-acetyl-aspartate (Cho/NAA) were statistically lower in the low-grade group than in high-grade (p=۰.۰۰۷ and p=۰.۰۲۷, respectively) and N-acetyl-aspartate to creatine (NAA/Cr) was statistically higher in the high-grade group (p=۰.۰۳۷). But in border regions, only Cho/Cr and Cho/NAA were significant (P values= ۰.۱۹ and ۰.۲۲, respectively). With receiver operating characteristic (ROC) curves analysis, Cho/Cr had the best sensitivity and specificity in the differentiation of high-grade from low-grade gliomas in tumor area (۹۲.۸۶% sensitivity and ۸۵.۷۱% specificity) and this ratio had the best sensitivity and specificity in border regions of tumor (۹۲.۸۶% sensitivity and ۷۸.۴۳% specificity).Conclusion: Metabolite ratios of low and high-grade gliomas (HGG) were significantly different from each other. Cho/Cr and Cho/NAA ratios can use as an internal reference for grading the glioma non-invasively in the tumor area and the border area of the tumor.
Keywords:
Authors
Erfan Saatchian
medical physics, medical faculty mashhad university of medical science mashhad iran
sina Ehsani
Department of medical physics, Medicine Faculty, Mashhad University of Medical sciences, Mashhad, Iran
Farnoosh Musavi
Department of medical imaging, Medicine Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran
مراجع و منابع این Paper:
لیست زیر مراجع و منابع استفاده شده در این Paper را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود Paper لینک شده اند :