Abstract
Background: Atypical meningiomas form a small group among meningiomas and are characterised by distinct natural history and outcome. Pre-operative detection of atypical meningiomas can help in streamlining the management.
Methods: This study was done at Government Medical College, Trivandrum over a 3 year period. Study population included the patients with meningiomas sent for Magnetic Resonance Imaging, who were investigated by previous CT scan. Sample size was 183. Study design was Observation study. Final pathological diagnosis in all patients was confirmed by biopsy and histo-pathological examination.
Results: Of the 183 cases studied, 165 cases were typical meningiomas, 15 were found to be atypical and 3were anaplastic.
Conclusion: MR imaging is sensitive in differentiating between typical and atypical meningiomas and can be used as a problem solving study when there is diagnostic dilemma with CT scan showing indeterminate findings. This makes conventional advanced MRI as the imaging of choice in meningiomas.
Key Words: Meningioma; Atypical; MRI Brain tumours.
References
1. Nakano T, Asanoa K, Miura H, Itoh S, Suzuki S (2002), Meningiomas with brain oedema: radiological characteristicson MRI and review of the literature. Clin Imaging 26:243–249
2. Cha S, Yang L, Johnson G, Lai A, Chen MH, Tihan T, Wendland M, Dillon WP (2006) Comparison of microvascular permeability measurements, K(trans), determined with conventional steady-state T1-weighted and firstpassT2*-weighted MR imaging methods in gliomas and meningiomas. AJNR Am J Neuroradiol 27:409–417
3. J Jääskeläinen, M Haltia, A Servo. A typical and anaplastic meningiomas: radio-logy, surgery, radiotherapy, and outcome. SurgNeurol, 25 (1986), pp. 233–242
4. C.C Coke, B.W Corn, M Werner-Wasik, Y Xie, W.J Curran Jr.Atypical and malignant meningiomas: an outcome report of seventeen cases JNeurolOncol, 39 (1998), pp. 65–70
5. R.D Tien, P.J Yang, P.K Chu‘Dural tail sign’ a specific MR sign of meningioma?.J Comput Assist Tomogr, 15 (1991), pp. 64–66
6. Y Tanaka, M Matsuo Role of MR imaging in the differentiation of benign and non benign intracranial meningiomas: the utility of contrast-enhanced T1-weighted images. Nippon ActaRadiol, 56 (1996), pp. 1–8
7. C.G Filippi, M.A Edgar, A.M Ulug, J.C Prowda, L.A Heier, R.D Zimmerman. Appearance of meningiomas on diffusion-weighted images: correlating diffusion constants with histopathologic findings. AJNR Am J Neuroradiol, 22 (2001), pp. 65–72
8. Factors associated with recurrence of postoperative meningioma: a clinical study of 138 patients Alfotih Gobran, Fang Cheng Li, Xin Ke Xu, Shang Yi Zhang Romanian Neurosurgery (2013) XX 4: 379 – 387.
Corresponding Author
Beenamol S
Associate Professor, Dept of Radiodiagnosis,
Medical college Trivandrum Kerala