Abstract
Introduction
“Brain surface motion imaging” (BSMI) is the subtraction of pulse-gated, 3D, heavily T2-weighted image of two different phases of cerebrospinal fluid (CSF) pulsation, which enables the assessment of the dynamics of brain surface pulsatile motion. The purpose of this study was to evaluate the feasibility of this imaging method for providing presurgical information about adhesions between meningiomas and the brain surface.
Methods
Eighteen cases with surgically resected meningioma in whom BSMI was presurgically obtained were studied. BSMI consisted of two sets of pulse-gated, 3D, heavily T2-weighted, fast spin echo scans. Images of the systolic phase and the diastolic phase were obtained, and subtraction was performed with 3D motion correction. We analyzed the presence of band-like texture surrounding the tumor and judged the degree of motion discrepancy as “total,” “partial,” or “none.” The correlation between BSMI and surgical findings was evaluated. For cases with partial adhesions, agreements in the locations of the adhesions were also evaluated.
Results
On presurgical BSMI, no motion discrepancy was seen in eight cases, partial in six cases, and total in four cases. These presurgical predictions about adhesions and surgical findings agreed in 13 cases (72.2%). The locations of adhesions agreed in five of six cases with partial adhesions.
Conclusion
In the current study, BSMI could predict brain and meningioma adhesions correctly in 72.2% of cases, and adhesion location could also be predicted. This imaging method appears to provide presurgical information about brain/meningioma adhesions.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Sindou MP, Alaywan M (1998) Most intracranial meningiomas are not cleavable tumors: anatomic-surgical evidence and angiographic predictibility. Neurosurgery 42:476–480
Salpietro FM, Alafaci C, Lucerna S, Iacopino DG, Todaro C, Tomasello F (1994) Peritumoral edema in meningiomas: microsurgical observations of different brain tumor interfaces related to computed tomography. Neurosurgery 35:638–641, discussion 641–632
Ildan F, Tuna M, Gocer AP et al (1999) Correlation of the relationships of brain–tumor interfaces, magnetic resonance imaging, and angiographic findings to predict cleavage of meningiomas. J Neurosurg 91:384–390
Nakasu S, Nakasu Y, Matsumura K, Matsuda M, Handa J (1990) Interface between the meningioma and the brain on magnetic resonance imaging. Surg Neurol 33:105–116
Spagnoli MV, Goldberg HI, Grossman RI et al (1986) Intracranial meningiomas: high-field MR imaging. Radiology 161:369–375
Takeguchi T, Miki H, Shimizu T et al (2003) Prediction of tumor–brain adhesion in intracranial meningiomas by MR imaging and DSA. Magn Reson Med Sci 2:171–179
Takeguchi T, Miki H, Shimizu T et al (2003) Evaluation of the tumor–brain interface of intracranial meningiomas on MR imaging including FLAIR images. Magn Reson Med Sci 2:165–169
Suzuki Y, Sugimoto T, Shibuya M, Sugita K, Patel SJ (1994) Meningiomas: correlation between MRI characteristics and operative findings including consistency. Acta Neurochir (Wien) 129:39–46
Alvernia JE, Sindou MP (2004) Preoperative neuroimaging findings as a predictor of the surgical plane of cleavage: prospective study of 100 consecutive cases of intracranial meningioma. J Neurosurg 100:422–430
Kalkanis SN, Carroll RS, Zhang J, Zamani AA, Black PM (1996) Correlation of vascular endothelial growth factor messenger RNA expression with peritumoral vasogenic cerebral edema in meningiomas. J Neurosurg 85:1095–1101
Inamura T, Nishio S, Takeshita I, Fujiwara S, Fukui M (1992) Peritumoral brain edema in meningiomas—influence of vascular supply on its development. Neurosurgery 31:179–185
Tamiya T, Ono Y, Matsumoto K, Ohmoto T (2001) Peritumoral brain edema in intracranial meningiomas: effects of radiological and histological factors. Neurosurgery 49:1046–1051, discussion 1051–1042
Salpietro FM, Alafaci C, Tomasello F (2000) Meningioma cleavage. J Neurosurg 93:159–160
Miyazaki M, Ichinose N, Sugiura S, Kassai Y, Kanazawa H, Machida Y (1998) A novel MR angiography technique: SPEED acquisition using half-Fourier RARE. J Magn Reson Imaging 8:505–507
Conflict of interest statement
We declare that we have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Taoka, T., Yamada, S., Yamatani, Y. et al. Brain surface motion imaging to predict adhesions between meningiomas and the brain surface. Neuroradiology 52, 1003–1010 (2010). https://doi.org/10.1007/s00234-010-0671-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00234-010-0671-z