Abstract:Objective: To review the relationship between MRI features and pathology in subtypes of WHO grade Ⅰ meningiomas, and to improve the skill in diagnosis. Methods: MRI features and pathology of 131 surgically treated WHO grade Ⅰ meningiomas were retrospectively reviewed. The MRI features of meningioma were analyzed, including signal intensity on T1-weighted and T2-weighted images, peritumoral brain edema, and degree of enhancement in contrast-enhanced MRI. These features were scored according to their criteria. The correlation between MR features and pathology was calculated by Kruskal-Wallis H test(P<0.05). Results: T1WI signal intensity in subtypes was statistically different(χ2=30.4, P<0.001), and T2WI signal intensity in subtypes was statistically different(χ2=20.1, P<0.001). Peritumoral brain edema in subtypes was not statistically different(χ2=9.09, P=0.059). Enhancement degree in subtypes was statistically different(χ2=47.2, P<0.001). Conclusion: The angiomatous meningioma is the easiest to be identified from other subtypes. The meningothelial meningioma is easier to be identified from other subtypes. Transitional, fibrous and psammomatous meningioma are hard to be identified from each other, but easier to be identified from angiomatous meningioma and meningothelial meningioma.
张 涛,方龙江,王永奇,尹丹丹. WHO Ⅰ级脑膜瘤各亚型MRI表现与病理对照研究[J]. 中国临床医学影像杂志, 2016, 27(7): 457-461.
ZHANG Tao, FANG Long-jiang, WANG Yong-qi, YIN Dan-dan. A correlative study between MRI features and pathology in subtypes of WHO grade Ⅰ meningiomas. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(7): 457-461.