Abstract:
We investigated the enhancement patterns of meningiomas on fast fluid-attenuated inversion-recovery (FLAIR) images and related them to the size and histology of the tumour and the associated oedema. We studied 30 meningiomas with T2-weighted fast spin-echo (SE) images plus T1-weighted SE images with magnetisation-transfer saturation and fast FLAIR before and after contrast enhancement at 0.5 tesla. There were 21 meningiomas (70%) which showed peripheral (rim) enhancement on fast FLAIR, while only one, which showed heavy central calcification, enhanced peripherally on the SE images. Of the meningiomas with capsular enhancement on fast FLAIR 20 (95%) were more than 2 cm in diameter. The nine 9 smaller meningiomas enhanced homogeneously. This difference was statistically significant pattern ( P <0.01). All meningiomas which had associated oedema showed the capsular pattern although their number (6; 20%) was to small to analyse statistically. Only 11 (36%) tumours were examined histologically; peripheral enhancement was observed in all types of meningioma. This pattern may help to differentiate meningiomas from other extra-axial masses.
Similar content being viewed by others
References
Mathews VP, Caldemeyer KS, Lowe MJ, Greenspan SL, Weber DM, Ulmer JL (1999) Brain: gadolinium-enhanced fast fluid-attenuated inversion-recovery MR imaging. Radiology 211: 257–263
Hesselink JR, Healy ME, Press GA, Brahme FJ (1988) Benefits of Gd-DTPA for MR imaging of intracranial abnormalities. J Comput Assist Tomogr 12: 266–274
Wessbecher FW, Maravilla KR, Dalley RW(1991) Optimizing brain imaging protocols with gadopentetate dimeglumine: enhancement of intracranial lesions on spin density- and T2-weighted images. AJNR 12: 675–679
Essig M, Knopp MV, Schoenberg SO, et al (1999) Cerebral gliomas and metastases: assessment with contrast-enhanced FAST fluid-attenuated inversion-recovery MR imaging. Radiology 210: 551–557
Melhem RE, Bert RJ, Walker RE (1998) Usefulness of optimized gadolinium-enhanced fast fluid-attenuated inversion recovery MR imaging in revealing lesions of the brain. Am J Roentgenol 171: 803–807
Finelli D, Hurst GC, Gullapalli RP (1998) T1-weighted three-dimensional magnetization transfer MR of the brain: improved lesion contrast enhancement. AJNR 19: 59–64
Boorstein JM, Wong KT, Grossmann RI, Bolinger L, McGowan JC (1994) Metastatic lesions of the brain: imaging with magnetization transfer. Radiology 191: 799–803
Abdullah ND, Mathews VP (1999) Contrast issues in brain tumour imaging. Neuroimaging Clin North Am 8: 733–747
Spagnoli MV, Goldberg HI, Grossman RI, et al (1986) Intracranial meningiomas: high-field MR imaging. Radiology 161: 369–375
Lindsey RO, Yetkin FZ, Prost R, Haughton VM (1994) Effect of dose and field strength on enhancement with paramagnetic contrast media. AJNR 15: 1849–1852
Sindou M, Alawyan M (1994) Role of pia mater vascularization of the tumour in the surgical outcome of intracranial meningiomas Acta Neurochir (Wien) 130: 90–93
Yoshioka H, Hama S, Taniguchi E, Sugiyama K, Arita K, Kurisu K (1999) Peritumoural brain edema associated with meningioma: influence of vascular endothelial growth factor expression and vascular blood supply. Cancer 15;85: 936–944
Bitzer M, Wockel L, Morgalla M, et al (1997) Peritumoural brain oedema in intracranial meningiomas: influence of tumour size, location and histology. Acta Neurochir (Wien) 139: 1136–1142
Lobato RD, Alday R, Gómez PA, et al J (1996) Brain oedema in patients with intracranial meningioma. Correlation between clinical, radiological, and histological factors and the presence and intensity of oedema. Acta Neurochir (Wien) 138: 485–493
Holodny AI, Nusbaum AO, Festa S, Pronin IN, Lee HJ, Kalnin AJ (1999) Correlation between the degree of contrast enhancement and the volume of peritumoural edema in meningiomas and malignant gliomas. Neuroradiology 41: 820–825
Vassilouthis J, Ambrose J (1979) Computerized tomography scanning appearances of intracranial meningiomas. J Neurosurg 50: 320–327
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Oguz, K.K., Cila, A. Rim enhancement of meningiomas on fast FLAIR imaging. Neuroradiology 45, 78–81 (2003). https://doi.org/10.1007/s00234-002-0914-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00234-002-0914-8