J Korean Radiol Soc.  1999 Oct;41(4):763-768. 10.3348/jkrs.1999.41.4.763.

Benign and Malignant Musculoskeletal Tumors Evaluated with the Aid of Pa rametric Maximum Slope and Blood Volume Images

• Choi JY
• Suh JS
• Huh YM
• Jeong EK
• Cho JM
• Shin KH
• Yang WI

• KMID: 2103455
• DOI: http://doi.org/10.3348/jkrs.1999.41.4.763

Abstract

PURPOSE: To assess the values of parametric "maximum slope(MS) and blood volume(BV)" images as indicators of tissue vascularization and perfusion in distinguishing benign from malignant musculoskeletal tumors. MATERIAL AND METHODS: Dynamic inversion recovery spin-echo echo-planar imaging (TR/TE/TI/NEX: 1 5 0 0 / 2 4 / 5 00 ms/1; matrix 128 x 128; slice thickeness 5 mm, interleaved) at 1.5-second intervals(200 phases) was performed after intravenous bolus injection of Gd-DTPA. A total of 32 pathologically proven muscu-loskeletal masses(benign 9, malignant 23) were included in this study. MS was derived by fitting a time-intensity curve using a polynomial model. BV was determined by integration until maximum slope was reached. On a pixel-by-pixel basis, MS and BV images were generated and displayed by gray-scale. We selected a region of interest(ROI, more than 6 x 6 pixels) including the highest value of the tumors and calculated mean values of MS and BV. Wilcoxon's signed rank test was used to compare benign tumors with malignant pre- and postchemotherapy tumors. RESULT: The mean values of ROIs selected on MS images were significantly different (p=.008) between benign (mean 3.33, range 0.01 -16.47 ) and prechemotherapy malignant(mean 8.54, range 1.61 -16.90) tumors, as were the mean values of ROIs on BV images(p=.005; benign tumors: mean 162.17, range 91.17 -2 8 3 . 7 ; prechemotherapy malignant tumors: mean 330.18, range 117.5 -845.1). MS and BV values of benign and malignant tumors overlapped but tended to be separated. CONCLUSION: BV and MS images may help distinguish benign from malignant musculoskeletal tumors.

Keyword

Bone neoplasms, MR; Soft tissues, neoplasms; Magnetic resonance (MR), contrast enhancement

MeSH Terms

Blood Volume*
Echo-Planar Imaging
Gadolinium DTPA
Models, Statistical
Perfusion
Gadolinium DTPA