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Magnetic Resonance Diffusion Tensor Tractography in Assessment of Cystic Brain Lesions

Received: 17 January 2021    Accepted: 3 February 2021    Published: 10 February 2021
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Abstract

Brain cystic lesions is significant neurosurgical dilemma. Differencing cystic brain lesions by CT and conventional MRI may be difficult due to similar findings clinically and similar appearance radiologically, On conventional MRI most of the lesions appear hyper intense on T2-WI and hypo intense on T1-WI. The aim of this study was to assess the role of magnetic resonance diffusion tensor tractography in the assessment and differentiation between cystic brain lesions. The study was a prospective one that was conducted on 30 patients who were suspected to have cystic brain lesions and referred to radio diagnosis department from the neuro-surgery department and outpatient clinics of Tanta university hospitals. In this study mean age of patients was 43.453 + 12.23 years, their age ranged from 5 - 60 years. DTI guides the surgeons regarding the relation between the intra-axial tumor and local WM tracts in different planes. A variety of aspects of the tumor–tract relationship can, therefore, be revealed. The nature of the tract can be suggested from its position and course, such as the corticospinal tract (CST) and optic radiations, and effect of the tumor to the tract can be appreciated. Furthermore, the location of the tumor can be seen in relation to the tract. Neurosurgery for brain tumors is comparison between maximum surgical resection on one hand and maximum sparing of functions on other hand. Total resection of the tumor reduces risk of relapse and permits following radiotherapy or chemotherapy to be much more effective.

Published in International Journal of Medical Imaging (Volume 9, Issue 1)
DOI 10.11648/j.ijmi.20210901.16
Page(s) 57-71
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

MRI, Tractography, Cystic Brain Lesions, Diffusion MRI

References
[1] Lai P., Hsu S., Ding S., et al. Proton magnetic resonance spectroscopy and diffusion-weighted imaging in intracranial cystic mass lesions. Surg Neurol, 2007; 68: 25-36.
[2] Talos IF., Zou KH., Kikinis R., et al. Volumetric assessment of tumor infiltration of adjacent white matter basedon anatomic MRI and diffusion tensor tractography. tumor characteristics. Radiology 2007; 14 (4): 431-621.
[3] Nico S., Alessia F., Haosu Z., et al. Association between clinical outcome and tractography based on navigated intracranial magnetic stimulation in patients with language-eloquent brain lesions. J Neurosurg. 2019; 132 (4): 1033-1042.
[4] Oppenheim C., Ducreux D., Rodrigo S., et al. Diffusion tensor imaging and tractography of the brain and spinal cord. J Radiol. 2007; 88 (3 Pt 2): 510-520.
[5] Ilona L, Greg D, Emma C, et al. Tractography in the presence of multiple sclerosis lesions. Neuroimage .2020; 209: 116471.
[6] Lai P., Hsu S., Ding S. et al. Proton magnetic resonance spectroscopy and diffusion-weighted imaging in intracranial cystic mass lesions. Surg Neurol. 2007; 68: 25-36.
[7] Chanraud S., Zahr N., Sullivan EV., et al. A MR diffusion tensor imaging: A window into white matter integrity of the working brain. Neuropsychol Rev, 2010; 20: 25.
[8] Provenzale JM., Mukundan S., Barboriak DP. Diffusion-weighted and perfusion MR imaging for brain tumor characterization and assessment of treatment response. Radiology, 2007; 239: 632-649
[9] Smith JS., Chang EF., Lamborn KR., et al. Role of extent of resection in the long-term outcome of low-grade hemispheric gliomas. J Clin Oncol. 2008; 26: 1338-1345.
[10] Mandonnet E., Jbabdi S., Taillandier L., et al. Preoperative estimation of residual volume for WHO grade II glioma resected with intraoperative functional mapping. Neuro Oncol. 2007; 9: 63-69.
[11] Romano A., Ferrante M., Cipriani V., et al. Role of magnetic resonance tractography in the preoperative planning and intraoperative assessment of patients with intra-axial brain tumours. La radiologia medica. 2007; 88: 906-920.
[12] Dubey A., Kataria R., Sinha VD. Role of diffusion tensor imaging in brain tumor surgery. Asian J Neurosurg. 2018; 13: 302-306.
[13] Dolecek TA., Propp JM., Stroup NE., et al. Statistical report: Primary brain and central nervous system tumors diagnosed in the United States in 2005: 2009. Neuro Oncol. 2012; 14 Suppl 5: v1-49.
[14] Gomaa M. and Abdel Zaher Y. Role of Diffusion Tensor Imaging in Characterization and Preoperative Planning of Brain Neoplasms. Life Sciences. 2012; 9: 163-176.
[15] Romano A., D’Andrea G., Minniti G., et al. Pre surgical planning and MR tractography utility in brain tumour resection. Eur Radiol. 2010; 19: 2798-2808.
[16] Kleiser R., Staempfli P., Valavanis A., et al. Impact of fMRI guided advanced DTI fiber tracking techniques on their clinical applications in patients with brain tumors. Neuroradiology, 2010; 52: 37-46.
[17] Berman J. Diffusion MR tractography as a tool for surgical planning. Magn Reson Imaging Clin N Am و2009; 17: 205-214.
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  • APA Style

    Mona Tharwat, Al-Siagy Ali, Ahmed Yousef, Samah Ahmed. (2021). Magnetic Resonance Diffusion Tensor Tractography in Assessment of Cystic Brain Lesions. International Journal of Medical Imaging, 9(1), 57-71. https://doi.org/10.11648/j.ijmi.20210901.16

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    ACS Style

    Mona Tharwat; Al-Siagy Ali; Ahmed Yousef; Samah Ahmed. Magnetic Resonance Diffusion Tensor Tractography in Assessment of Cystic Brain Lesions. Int. J. Med. Imaging 2021, 9(1), 57-71. doi: 10.11648/j.ijmi.20210901.16

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    AMA Style

    Mona Tharwat, Al-Siagy Ali, Ahmed Yousef, Samah Ahmed. Magnetic Resonance Diffusion Tensor Tractography in Assessment of Cystic Brain Lesions. Int J Med Imaging. 2021;9(1):57-71. doi: 10.11648/j.ijmi.20210901.16

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  • @article{10.11648/j.ijmi.20210901.16,
      author = {Mona Tharwat and Al-Siagy Ali and Ahmed Yousef and Samah Ahmed},
      title = {Magnetic Resonance Diffusion Tensor Tractography in Assessment of Cystic Brain Lesions},
      journal = {International Journal of Medical Imaging},
      volume = {9},
      number = {1},
      pages = {57-71},
      doi = {10.11648/j.ijmi.20210901.16},
      url = {https://doi.org/10.11648/j.ijmi.20210901.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20210901.16},
      abstract = {Brain cystic lesions is significant neurosurgical dilemma. Differencing cystic brain lesions by CT and conventional MRI may be difficult due to similar findings clinically and similar appearance radiologically, On conventional MRI most of the lesions appear hyper intense on T2-WI and hypo intense on T1-WI. The aim of this study was to assess the role of magnetic resonance diffusion tensor tractography in the assessment and differentiation between cystic brain lesions. The study was a prospective one that was conducted on 30 patients who were suspected to have cystic brain lesions and referred to radio diagnosis department from the neuro-surgery department and outpatient clinics of Tanta university hospitals. In this study mean age of patients was 43.453 + 12.23 years, their age ranged from 5 - 60 years. DTI guides the surgeons regarding the relation between the intra-axial tumor and local WM tracts in different planes. A variety of aspects of the tumor–tract relationship can, therefore, be revealed. The nature of the tract can be suggested from its position and course, such as the corticospinal tract (CST) and optic radiations, and effect of the tumor to the tract can be appreciated. Furthermore, the location of the tumor can be seen in relation to the tract. Neurosurgery for brain tumors is comparison between maximum surgical resection on one hand and maximum sparing of functions on other hand. Total resection of the tumor reduces risk of relapse and permits following radiotherapy or chemotherapy to be much more effective.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Magnetic Resonance Diffusion Tensor Tractography in Assessment of Cystic Brain Lesions
    AU  - Mona Tharwat
    AU  - Al-Siagy Ali
    AU  - Ahmed Yousef
    AU  - Samah Ahmed
    Y1  - 2021/02/10
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    N1  - https://doi.org/10.11648/j.ijmi.20210901.16
    DO  - 10.11648/j.ijmi.20210901.16
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 57
    EP  - 71
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20210901.16
    AB  - Brain cystic lesions is significant neurosurgical dilemma. Differencing cystic brain lesions by CT and conventional MRI may be difficult due to similar findings clinically and similar appearance radiologically, On conventional MRI most of the lesions appear hyper intense on T2-WI and hypo intense on T1-WI. The aim of this study was to assess the role of magnetic resonance diffusion tensor tractography in the assessment and differentiation between cystic brain lesions. The study was a prospective one that was conducted on 30 patients who were suspected to have cystic brain lesions and referred to radio diagnosis department from the neuro-surgery department and outpatient clinics of Tanta university hospitals. In this study mean age of patients was 43.453 + 12.23 years, their age ranged from 5 - 60 years. DTI guides the surgeons regarding the relation between the intra-axial tumor and local WM tracts in different planes. A variety of aspects of the tumor–tract relationship can, therefore, be revealed. The nature of the tract can be suggested from its position and course, such as the corticospinal tract (CST) and optic radiations, and effect of the tumor to the tract can be appreciated. Furthermore, the location of the tumor can be seen in relation to the tract. Neurosurgery for brain tumors is comparison between maximum surgical resection on one hand and maximum sparing of functions on other hand. Total resection of the tumor reduces risk of relapse and permits following radiotherapy or chemotherapy to be much more effective.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Ministry of Health, Damietta, Egypt

  • Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Department of Neurosurgery, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt

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