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Congress: ECR25
Poster Number: C-27692
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-27692
Authorblock: D. A. Andres, D. Haba, B. I. Dobrovat, E. A. Marciuc; Iasi/RO
Disclosures:
Diana Andres Andres: Nothing to disclose
Danisia Haba: Nothing to disclose
Bogdan Ionut Dobrovat: Nothing to disclose
Emilia Adriana Marciuc: Nothing to disclose
Keywords: Neuroradiology brain, Oncology, MR, MR-Diffusion/Perfusion, MR-Spectroscopy, Biopsy, Contrast agent-intravenous, Metastases, Multidisciplinary cancer care, Neoplasia
Background

Thirty-six patients with a solitary brain tumor (20 gliomas, 16 metastases) underwent conventional, contrast material–enhanced perfusion-weighted, and proton spectroscopic magnetic resonance imaging before surgical resection or stereotactic biopsy at our neurology and neurosurgery specialized center from April 2024 to December 2024. All patients had a previously untreated solitary enhancing brain tumor and peritumoral non-enhancing lesion and had undergone conventional brain MRI and DWI before surgical intervention. Patients with infratentorial lesion were excluded, as were those with a previous history of surgery or whose peritumoral T2 high-signal lesion was not large enough to evaluate on T2-weighted imaging.The peritumoral region was defined as the area in the white matter immediately adjacent to the enhancing (hyperintense on T2-weighted images, but not enhancing on postcontrast T1-weighted images) portion of the tumo.To ascertain whether there were differences in the morphologic parameters of enhancing tumors, we analysed their shape, margins, and enhancement patterns on postcontrast T1-weighted images.  Furthermore, the aim was to detect peritumoral neoplastic cell infiltration by visual assessment of T2-weighted and diffusion-weighted images, including DWI, ADC maps. Relative cerebral blood volumes in these regions were calculated from perfusion-weighted MR data. Spectra from the enhancing tumor, the peritumoral region, and normal brain were obtained from the two-dimensional spectroscopic MR acquisition.

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