ムラガキ ヨシヒロ   MURAGAKI Yoshihiro
  村垣 善浩
   所属   医学部 医学科(東京女子医科大学病院)
   職種   客員教授
Language Japanese
Title Proton MRS characteristics of intracranial meningiomas
Conference 第67回日本脳神経外科学会総会
Conference Type Nationwide Conferences
Presentation Type Poster notice
Lecture Type General
Publisher and common publisher◎Chernov, Mikhail , 糟谷英俊, 小野由子, 加藤宏一, 村垣善浩, 伊関洋, 堀智勝, 高倉公朋
Date 2008/10/02
Venue
(city and name of the country)
岩手県
Society abstract 日本脳神経外科学会総会CD-ROM抄録集 67回,2J-10-P67-03 2008
Summary 2008-10-2:ポスター 髄膜腫・神経鞘腫1
OBJECTIVE The objective of the present analysis was evaluation of possible
associations between content of choline-containing compounds (Cho) detected by
proton magnetic resonance spectroscopy (MRS) with proliferative activity of
meningiomas.
MATERIALS AND METHODS One hundred patients (78 women and 22 men; mean age, 56 years)
with histologically confirmed meningiomas were included in the study. Before surgery
all tumors were evaluated with single-voxel long-echo MRS.
RESULTS Histopathological investigation revealed 82 WHO grade I meningiomas, 11 –
WHO grade II, and 7 – WHO grade III. MIB-1 index varied from 0% to 27.3% (mean,
3.2%), and in 18 cases, it was more, than 5%. Preoperative MRS-detected Cho content
in meningiomas estimated relatively to normal brain tissue varied from 0.13 to 13.11
(mean, 2.28), and was significantly greater in cases with MIB-1 rate more, than 5%
(3.13 vs. 2.09; P=0.0444).
CONCLUSION MRS-detected Cho content seems to be associated with proliferative
activity in meningiomas, and may be potentially helpful for non-invasive
identification of biologically aggressive neoplasms.