Title: Magnetic Resonance Imaging in Characterisation of Intra-Cranial Ring Enhancing Lesions in Correlation with MR Spectroscopy

Authors: Harshwardhan Thite, Kulamani Sahoo, Pramod Shaha, Varun Goyal, Varun Tyagi, Dhruv Aggarwal

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.99

Abstract

Background & Objectives: This study is intended to study the characteristic imaging findings in various ring enhancing lesions which help in their characterization.

Methods: 50 patients (males=31; females=19 ) were evaluated in this study conducted at Krishna hospital & medical research centre, Karad  from Aug 2015  to Aug  2017 over a period of 2 years.

MRI along with MRS was performed using SIEMENS AVANTO 1.5 T in patients ranging from ages of 4-80 years.

Results: Out of the 50 patients evaluated 18 cases were tuberculomas, 12 were NCC, 5 abscesses, 10 metastasis & amp; 5 cases of primary CNS neoplasia. Seizures were most common presenting complaint seen in 42 cases (84

percent). Tuberculomas were found to be most commonly occurring lesions in this part of western Maharashtra

Interpretation & Conclusion: MRI is the most sensitive modality in the characterization of intracranial ring enhancing lesions – RELs. It shows characteristic imaging findings which helps in differentiating the various RELs. MRI plays a critical role in patient management by suggesting the correct diagnosis based on characterisitic imaging findings.

Keywords: MRI; MR spectroscopy; Neurocysticercosis; tuberculoma; abscess; neoplastic.

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Corresponding Author

Harshwardhan Thite

Department of Radiodiagnosis,

Krishna Institute of Medical Sciences, Karad, Maharashtra, India-415110

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone No- + 91 9881113111