title: Fast inversion recovery magnetic resonance imaging with the real reconstruction method: a diagnostic tool for cerebral gliomas.
abstract: The fast inversion recovery (IR) technique was evaluated for the localization of gliomas. Fast IR imaging with real reconstruction and T1-weighted spin echo (SE) imaging before and after contrast administration were performed in 20 patients with gliomas. The tumor-to-white matter contrast ratio (TWCR), tumor-to-gray matter contrast ratio (TGCR), tumor-to-white matter contrast-to-noise ratio (TWCNR), and tumor-to-gray matter contrast-to-noise ratio (TGCNR) were calculated and compared. Fast IR imaging visualized tumors with significantly higher TWCR, TGCR, TWCNR, and TGCNR values (p < 0.01) than those for T1-weighted SE imaging. In particular, fast IR imaging clearly revealed seven non-enhanced tumors that were poorly visualized on T1-weighted SE imaging. Fast IR imaging showed a similar TGCR and significantly higher TWCR (p < 0.01) compared to T1-weighted SE imaging with contrast medium in 13 enhanced tumors. However, fast IR imaging showed similar TWCNR and lower TGCNR compared to T1-weighted SE imaging with contrast medium. The fast IR technique can discriminate tumors from normal cerebral tissues with high contrast and without the use of contrast medium. This technique is extremely useful for the localization of non-enhanced tumors.
authors.affiliation: Department of Neurosurgery, Juntendo University School of Medicine, Tokyo. nb3h-bndi@asahi-net.or.jp
authors.forename: Hideki
authors.initials: H
authors.lastname: Bandai
authors.forename: Akira
authors.initials: A
authors.lastname: Tsunoda
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mitsuoka
authors.forename: Hajime
authors.initials: H
authors.lastname: Arai
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Sato
authors.forename: Junichi
authors.initials: J
authors.lastname: Makita
mesh_terms: D000328:Adult; D000368:Aged; D001254:Astrocytoma / Q000175:diagnosis* / Q000473:pathology; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology; D003287:Contrast Media; D005260:Female; D005625:Frontal Lobe / Q000473:pathology; D019786:Gadolinium DTPA; D005909:Glioblastoma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010296:Parietal Lobe / Q000473:pathology
chemical_list: D003287:Contrast Media; D019786:Gadolinium DTPA