Skip to main content
SpringerLink
Log in

3D Fast Spin-Echo T1 Black-Blood Imaging for the Preoperative Detection of Venous Sinus Invasion by Meningioma

Comparison with Contrast-Enhanced MRV

  • Original Article
  • Published:
Clinical Neuroradiology Aims and scope Submit manuscript

Abstract

Objectives

To prospectively evaluate the diagnostic value of 3D fast spin-echo (FSE) T1 black-blood magnetic resonance (MR) imaging (3D CUBE T1WI) in comparison with contrast-enhanced MR venography (CE-MRV) in the detection of sinus invasion by meningiomas.

Methods

In this study forty consecutive patients with suspected meningiomas adjacent to venous sinus underwent conventional MR imaging, CE-MRV and 3D CUBE T1WI scans. Images obtained by each technique were assessed independently by two neuroradiologists for (1) wall invasion and (2) lumen occlusion of the target venous sinus.

Results

The use of 3D CUBE T1W imaging was found to provide an easy way to detect the venous wall invasion by para-sinus lesions. The interobserver agreement was excellent (κ = 0.843; 95% confidence interval CI 0.757–0.929) and the result was highly consistent with the surgical findings (sensitivity 90.48%, specificity 94.12%). In the analysis of the lumen occlusion, the interobserver agreement obtained by 3D CUBE T1WI sequence was excellent (κ = 0.956; 95% CI, 0.913–0.999) with a diagnostic accuracy of 94.74%, which surpassed CE-MRV not only in interobserver agreement (κ = 0.736; 95% CI, 0.639–0.833) but also in diagnostic value (accuracy = 68.42%). Among 38 patients with meningiomas, the existence and extent of peritumoral edema did not correlate with the invasion of adjacent venous sinus.

Conclusion

Currently, 3D CUBE T1WI sequence is a reliable technique to provide accurate assessment about the venous sinus invasion by meningioma. Meanwhile, CE-MRV is more suitable in the evaluation of the bypass draining veins around the tumor.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Marosi C, Hassler M, Roessler K, Reni M, Sant M, Mazza E, Vecht C. Meningioma. Crit Rev Oncol Hematol. 2008;67(2):153–71.

    Article  PubMed  Google Scholar 

  2. Barnholtz-Sloan JS, Kruchko C. Meningiomas: causes and risk factors. Neurosurg Focus. 2007;23(4):E2.

    Article  PubMed  Google Scholar 

  3. Rogers L, Barani I, Chamberlain M, Kaley TJ, McDermott M, Raizer J, Schiff D, Weber DC, Wen PY, Vogelbaum MA. Meningiomas: knowledge base, treatment outcomes, and uncertainties. A RANO review. J Neurosurg. 2015;122(1):4–23.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Mantovani A, Di Maio S, Ferreira MJ, Sekhar LN. Management of meningiomas invading the major dural venous sinuses: operative technique, results, and potential benefit for higher grade tumors. World Neurosurg. 2014;82(3-4:455–67.

    Article  Google Scholar 

  5. Mathiesen T, Pettersson-Segerlind J, Kihlström L, Ulfarsson E. Meningiomas engaging major venous sinuses. World Neurosurg. 2014;81(1):116–24.

    Article  PubMed  Google Scholar 

  6. Sindou M. Meningiomas involving major dural sinuses: should we attempt at radical removal and venous repair? World Neurosurg. 2014;81(1):46–7.

    Article  PubMed  Google Scholar 

  7. Alexiou GA, Gogou P, Markoula S, Kyritsis AP. Management of meningiomas. Clin Neurol Neurosurg. 2010;112(3):177–82.

    Article  PubMed  Google Scholar 

  8. DiMeco F, Li KW, Casali C, Ciceri E, Giombini S, Filippini G, Broggi G, Solero CL. Meningiomas invading the superior sagittal sinus: surgical experience in 108 cases. Neurosurgery. 2004;55(6):1263–72. discussion 1272-4.

    Article  PubMed  Google Scholar 

  9. Sindou M. Meningiomas invading the sagittal or transverse sinuses, resection with venous reconstruction. J Clin Neurosci. 2001;8 Suppl 1:8-11.

    Article  PubMed  Google Scholar 

  10. Brotchi J. Should we pursue superior sagittal sinus grafting in parasagittal meningiomas in 2013? World Neurosurg. 2014;82(3-4):325-6.

    Article  Google Scholar 

  11. Lettau M1, Sartor K, Heiland S, Hähnel S. 3T high-spatial-resolution contrast-enhanced MR angiography of the intracranial venous system with parallel imaging. AJNR Am J Neuroradiol. 2008;30(1):185–7.

    Article  PubMed  Google Scholar 

  12. Lee JM, Jung S, Moon KS, Seo JJ, Kim IY, Jung TY, Lee JK, Kang SS. Preoperative evaluation of venous systems with 3‑dimensional contrast-enhanced magnetic resonance venography in brain tumors: comparison with time-of-flight magnetic resonance venography and digital subtraction angiography. Surg Neurol. 2005;64(2):128-33; discussion 133-4.

    Article  PubMed  Google Scholar 

  13. Li ML, Xu YY, Hou B, Sun ZY, Zhou HL, Jin ZY, Feng F, Xu WH. High-resolution intracranial vessel wall imaging using 3D CUBE T1 weighted sequence. Eur J Radiol. 2016;85(4):803–7.

    Article  PubMed  Google Scholar 

  14. Saam T, Habs M, Pollatos O, Cyran C, Pfefferkorn T, Dichgans M, Dietrich O, Glaser C, Reiser MF, Nikolaou K. High-resolution black-blood contrast-enhanced T1 weighted images for the diagnosis and follow-up of intracranial arteritis. Br J Radiol. 2010;83(993):e182–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Ryoo S, Cha J, Kim SJ, Choi JW, Ki CS, Kim KH, Jeon P, Kim JS, Hong SC, Bang OY. High-resolution magnetic resonance wall imaging findings of moyamoya disease. Stroke. 2014;45(8):2457–60.

    Article  PubMed  Google Scholar 

  16. Edjlali M, Roca P, Rabrait C, Naggara O, Oppenheim C. 3D fast spin-echo T1 black-blood imaging for the diagnosis of cervical artery dissection. AJNR Am J Neuroradiol. 2013;34(9):E103–6.

    Article  CAS  PubMed  Google Scholar 

  17. Mihai G, Winner MW, Raman SV, Rajagopalan S, Simonetti OP, Chung YC. Assessment of carotid stenosis using three-dimensional T2-weighted dark blood imaging: initial experience. J Magn Reson Imaging. 2012;35(2):449–55.

    Article  PubMed  Google Scholar 

  18. Qiao Y, Steinman DA, Qin Q, Etesami M, Schär M, Astor BC, Wasserman BA. Intracranial arterial wall imaging using three-dimensional high isotropic resolution black blood MRI at 3.0 Tesla. J Magn Reson Imaging. 2011;34(1):22–30.

    Article  PubMed  Google Scholar 

  19. Yang Q, Duan J, Fan Z, Qu X, Xie Y, Nguyen C, Du X, Bi X, Li K, Ji X, Li D. Early detection and quantification of cerebral venous thrombosis by magnetic resonance black-blood thrombus imaging. Stroke. 2016;47(2):404–9.

    Article  PubMed  Google Scholar 

  20. Nanda A, Bir SC, Konar S, Maiti TK, Bollam P. World health organization grade I convexity meningiomas: study on outcomes, complications and recurrence rates. World Neurosurg. 2016;89:620–627.e2.

    Article  PubMed  Google Scholar 

  21. Sindou MP, Alvernia JE. Results of attempted radical tumor removal and venous repair in 100 consecutive meningiomas involving the major dural sinuses. J Neurosurg. 2016;105(4):514–525

    Article  PubMed  Google Scholar 

  22. Osawa T, Tosaka M, Nagaishi M, Yoshimoto Y. Factors affecting peritumoral brain edema in meningioma: special histological subtypes with prominently extensive edema. J Neurooncol. 2013;111(1):49–57.

    Article  PubMed  Google Scholar 

  23. Bitzer M, Wöckel L, Morgalla M, Keller C, Friese S, Heiss E, Meyermann R, Grote E, Voigt K. Peritumoural brain oedema in intracranial meningiomas: influence of tumour size, location and histology. Acta Neurochir (Wien). 1997;139(12):1136–42.

    Article  CAS  Google Scholar 

  24. Tamiya T, Ono Y, Matsumoto K, Ohmoto T. Peritumoral brain edema in intracranial meningiomas: effects of radiological and histological factors. Neurosurgery. 2001;49(5):1046–51. discussion 1051-2.

    CAS  PubMed  Google Scholar 

  25. Raza SM, Gallia GL, Brem H, Weingart JD, Long DM, Olivi A. Perioperative and long-term outcomes from the management of parasagittal meningiomas invading the superior sagittal sinus. Neurosurgery. 2010;67(4):885–93. discussion 893.

    Article  PubMed  Google Scholar 

Download references

Funding

This project was supported by the National Natural Science Foundation of China (Grant No. 81471627, 81501435).

Author information

Authors and Affiliations

  1. Department of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Road Middle, 200040, Shanghai, China

    Dongdong Wang, Yiping Lu, Bo Yin, Daoying Geng, Jianbo Wen & Yuan Li

  2. Department of Neurosurgery, Huashan Hospital, Fudan University, 12 Wulumuqi Road Middle, 200040, Shanghai, China

    Mingyu Chen & Ping Zhong

  3. Department of Radiology, Fudan University, Shanghai Cancer Center, 270th Dongan Road, 200032, Shanghai, China

    Li Liu

Authors
  1. Dongdong Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yiping Lu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Bo Yin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mingyu Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Daoying Geng
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Li Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Jianbo Wen
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Ping Zhong
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Yuan Li
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Ping Zhong or Yuan Li.

Ethics declarations

Conflict of interest

D. Wang, Y. Lu, B. Yin, M. Chen, D. Geng, L. Liu, J. Wen, P. Zhong and Y. Li declare that they have no competing interests.

Ethical standards

The present study was approved by the local ethics committee at Fudan University. Informed consents from all patients were obtained before enrolment.

Additional information

D. Wang, Y. Lu, B. Yin and M. Chen contributed equally to the work.

This research Originated from Department of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Rd. Middle, Shanghai 200040, China

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, D., Lu, Y., Yin, B. et al. 3D Fast Spin-Echo T1 Black-Blood Imaging for the Preoperative Detection of Venous Sinus Invasion by Meningioma. Clin Neuroradiol 29, 65–73 (2019). https://doi.org/10.1007/s00062-017-0637-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00062-017-0637-1

Keywords

Search

Navigation