Abstract
A group of 41 patients with intracranial meningiomas were examined by MR imaging (MRI) and MR angiography (MRA) to assess the. clinical value of MRA in the preoperative evaluation of these patients. The results of MRA were compared with the results of intraarterial cerebral catheter X-ray angiography (XRA; n = 19) and with the operative findings (n = 41 ): Our results showed a good correlation between MRA and XRA/surgery in demonstrating the relationship between the tumor and adjacent venous and arterial structures. Use of MRA was also helpful in demonstrating the degree of intrinsic tumor vascularity. It also supplied important information for operative planning Adjunct XRA was mandatory if detailed information about tumor-feeding vessels was requested by the neurosurgeon, especially in highly vascularized angiomatous meningiomas and in meningiomas suspected of tumor feeding by vessels of the internal carotid artery.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Zülch KJ (1965) Brain tumors: their biology and pathology. Springer, Berlin Heidelberg New York
Crompton MR, Gautier-Smith PC (1970) The prediction of recurrence in meningiomas. J Neurol Neurosurg Psychiatry 33:80
Skullerud K, Loken AC (1974) The prognosis in meningiomas. Acta Neuropathol 29:337
Watabe T, Azuma T (1989) T1 and T2 measurements of meningiomas and neuromas before and after Gd-DTPA. AJNR 10:463–470
Maxwell RE, Chou SN (1988) Preoperative evaluation and management of meningiomas. In: Schmidek HH, Sweet WH (eds) Operative neurosurgical techniques (2nd edn). Grune & Stratton, New York, pp 547–554
Edelman RR, Alm SS, Chien D, Li W, Goldmann A, Mantello M, Kramer J, Kleefield J (1992) Improved time of flight MR angiographie of the brain with magnetization transfer contrast. Radiology 184,2:395–399
Cushing H (1922) The meningiomas (dural endotheliomas). Their source and favoured seats of origin. Brain 45:282–316
Challa VR, Markesbery WR (1985) Meningiomas: pathology. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 613–622
Gilbertson EL, Good CA (1956) Roentgenographic signs of tumor of the brain. AJR 76:226
New PF, Aronow S, Hesselink JR (1980) National Cancer Institute study: evaluation of computed tomography in the diagnosis of intracerebral neoplasms. IV Meningiomas. Radiology 136:665
Schörner W, Schubeus P, Henkes H, Rottacker C, Hamm B, Felix R (1990) Intracranial meningiomas. Comparison of plain and contrast-enhanced examinations in CT and MRI. Neuroradiology 32:12–18
Spagnoli MV, Goldberg HI, Grossman RI, Bilaniuk LT, Gomori JM, Hackney DB, Zimmerman RA (1986) Intracranial meningiomas. High field MR imaging. Radiology 161:369–375
Schörner W, Schubeus P, Henkes H, Lanksch W, Felix R (1990) “Meningeal sign”: a characteristic finding of meningiomas on contrast-enhanced MR images. Neuroradiology 32:90–93
Tokumaru A, O'uchi T, Eguchi T, Kawamoto S, Kokubo T, Suzuki M, Kameda T (1990) Prominent meningeal enhancement adjacent to meningioma on Gd-DTPA-enhanced MR images: histopathologic correlation. Radiology 175:431–433
Chen TC, Zee CS, Miller CA, Weiss MH, Tang G, Chin L, Levy ML, Apuzzo MLJ (1992) Magnetic resonance imaging and pathological correlates of meningiomas. Neurosurgery 31,6:1015–1022
Young SC, Grossman RI, Goldberg HI et al. (1988) MR of vascular encasement in parasellar masses: comparison with angiography and CT. AJNR 9:35–38
Lewin JS, Laub G (1991) Intracranial MR angiography: a direct comparison of three time-of-flight techniques. AJNR 12:1133–1139
Dumoulin CL (1992) Phase contrast magnetic resonance angiography. Neuroimaging Clin North Am 2:21–41
Mattle HP, Wentz KU, Edelmann RR, Wallner B, Finn JP, Barnes P, Atkinson DJ, Kleefield J, Hoogewoud HM (1991) Cerebral venography with MR. Radiology 178:453–458
Anderson CM, Saloner D, Tsuruda JS, Shapeero LG, Lee RE (1990) Artifacts in maximum-intensity-projection display of MR Angiograms. AJR 154:623–629
Parker DL, Haacke EM (1993) Signal-to-noise, contrast-tonoise, and resolution. In: Potchen EJ, Haacke EM, Siebert JE, Gottschalk A (eds) Magnetic resonance angiography. Concepts and applications. Mosby Year Book, St. Louis, pp56–79
Author information
Authors and Affiliations
Additional information
Correspondence to: A. Goldmann
Rights and permissions
About this article
Cite this article
Goldmann, A., Kunz, U., Bader, C. et al. MR imaging and MR angiography in preoperative evaluation of intracranial meningiomas. Eur. Radiol. 4, 538–544 (1994). https://doi.org/10.1007/BF00226826
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00226826