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Paradoxical perfusion metrics of high-grade gliomas with an oligodendroglioma component: quantitative analysis of dynamic susceptibility contrast perfusion MR imaging

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Title
Paradoxical perfusion metrics of high-grade gliomas with an oligodendroglioma component: quantitative analysis of dynamic susceptibility contrast perfusion MR imaging
Author(s)
Sunwoo, L.; Seung Hong Choi; Yoo, R.-E.; Kang, K.M.; Yun, T.J.; Kim, T.M.; Lee, S.-H.; Park, C.-K.; Kim, J.-H.; Park, S.-W.; Sohn, C.-H.; Won, J.-K.; Park, S.-H.; Kim, I.H.
Subject
Glioblastoma with an oligodendroglioma component (GBMO), ; Histogram analysis, ; Microvessel density (MVD), ; Perfusion metrics
Publication Date
2015-11
Journal
NEURORADIOLOGY, v.57, no.11, pp.1111 - 1120
Publisher
SPRINGER
Abstract
Introduction: The aim of this study is to investigate perfusion characteristics of glioblastoma with an oligodendroglioma component (GBMO) compared with conventional glioblastoma (GBM) using dynamic susceptibility contrast (DSC) perfusion magnetic resonance (MR) imaging and microvessel density (MVD). Methods: The study was approved by the institutional review board. Newly diagnosed high-grade glioma patients were enrolled (n = 72; 20 GBMs, 14 GBMOs, 19 anaplastic astrocytomas (AAs), 13 anaplastic oligodendrogliomas (AOs), and six anaplastic oligoastrocytomas (AOAs)). All participants underwent preoperative MR imaging including DSC perfusion MR imaging. Normalized cerebral blood volume (nCBV) values were analyzed using a histogram approach. Histogram parameters were subsequently compared across each tumor subtype and grade. MVD was quantified by immunohistochemistry staining and correlated with perfusion parameters. Progression-free survival (PFS) was assessed according to the tumor subtype. Results: GBMO displayed significantly reduced nCBV values compared with GBM, whereas grade III tumors with oligodendroglial components (AO and AOA) exhibited significantly increased nCBV values compared with AA (p < 0.001). MVD analyses revealed the same pattern as nCBV results. In addition, a positive correlation between MVD and nCBV values was noted (r = 0.633, p < 0.001). Patients with oligodendroglial tumors exhibited significantly increased PFS compared with patients with pure astrocytomas in each grade. Conclusion: In contrast to grade III tumors, the presence of oligodendroglial components in grade IV tumors resulted in paradoxically reduced perfusion metrics and MVD. In addition, patients with GBMO exhibited a better clinical outcome compared with patients with GBM. © 2015, Springer-Verlag Berlin Heidelberg
URI
https://pr.ibs.re.kr/handle/8788114/2263
DOI
10.1007/s00234-015-1569-6
ISSN
0028-3940
Appears in Collections:
Center for Nanoparticle Research(나노입자 연구단) > 1. Journal Papers (저널논문)
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