[MRI performance and diagnosis of meningioma--a report of 126 cases].
OBJECTIVE
In MRI study of meningioma, it was lack of large group of patients to evaluate MRI qualitative diagnosis, and no consensus had been achieved concerning problems such as peritumoral edema in meningioma. This study was to summarize main clues for diagnosing meningioma through analyzing MRI performance of 126 patients with meningioma.


METHODS
Among 126 patients with meningioma, 32 were syncytial, 35 were fibroblastic, 24 were psammomatous, 9 were angioblastic, 18 were transitional, 3 were papillary, and 5 were malignant. All patients were scanned with T1, T2-weighted imaging (T1WI, T2WI), and contrast-enhanced T1WI.


RESULTS
Convexity of brain was more likely to be involved, among 126 cases of meningioma, 45 (35.7%) tumors located at convexity of brain. The size of tumor ranged from 1.4 to 9.9 cm. Eighty-one percent of tumors were round or oval in shape. Isointensity or slight hyperintensity of T2WI signals detected in 70.6% patients. The rates of tail sign, and pseudo-capsule were 62.7%, and 49.2%. Extruding sign of brain parenchyma was observed in 83.8% (57/68)of patients with tumor size of > 4 cm. Significantly even and increasing sign in contrast-enhanced T1WI were observed in 104 patients (82.5%). Peritumoral edema occurred in 57 patients (45.1%), and related to tumor size. Other rare signs included cystic changes, bleeding, calcification, osteal changes, and introtumoral vessel symptoms. The correct rate of diagnosis was 95.2%.


CONCLUSIONS
MRI performances of meningioma are various. Judgment of extra-brain tumor, typical T2WI signals, tail sign, and significantly even and increasing sign are key factors for diagnosing meningioma.
Huang
Sui-Qiao
SQ
Radiology Department, the Second Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510 120, P.R. China. hsq-h@hotmail.com
Liang
Bi-Ling
BL
Xie
Bang-Kun
BK
Yuan
Jian-Peng
JP
Zhong
Jing-Lian
JL
Ye
Rui-Xin
RX
D000293:Adolescent; D000328:Adult; D000368:Aged; D001929:Brain Edema / Q000175:diagnosis / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications / Q000175:diagnosis*; D008579:Meningioma / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged