Possible role of single-voxel 1H-MRS in differential diagnosis of suprasellar tumors

Mikhail F. Chernov, Takakazu Kawamata, Kosaku Amano, Yuko Ono, Takashi Suzuki, Ryoichi Nakamura, Yoshihiro Muragaki, Hiroshi Iseki, Osami Kubo, Tomokatsu Hori, Kintomo Takakura

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    21 Citations (Scopus)

    Abstract

    The objective of the present study was investigation of the possible role of proton magnetic resonance spectroscopy (1H-MRS) for differential diagnosis of suprasellar tumors. Forty patients (23 men and 17 women; median age, 45 years) with suprasellar, hypothalamic, and third ventricle neoplasms underwent long-echo (TR: 2000 ms, TE: 136 ms, 128-256 acquisitions) single-voxel 1H-MRS before surgical treatment. The volume of the voxel was either 3.4 cc or 8 cc. Spectroscopic data were analyzed by calculation of the various metabolite ratios as well as by determination of the type of the pathological 1H-MR spectra. There were 19 pituitary adenomas, 7 gliomas, 5 craniopharyngiomas, 3 chordomas, meningioma, hemangiopericytoma, malignant lymphoma, germinoma, Rathke cleft cyst, and hypothalamic hamartoma (one of each). Six tumors were recurrent after initial surgical resection with or without irradiation. Comparison of the individual metabolite ratios revealed only few subtle differences among neoplasms. In the same time, pattern analysis with determination of the type of the pathological 1H-MR spectra disclosed certain specific characteristics, which seemingly can be used for tumor typing. Meanwhile, metabolic imaging was less effective for characterization of recurrent neoplasms. In conclusion, in cases of initially diagnosed suprasellar tumors with involvement of the hypothalamus and extension into the third ventricle pattern analysis of the single-voxel 1H-MRS can provide valuable information, which, in addition to structural MRI, can be effectively used for diagnostic purposes.

    Original languageEnglish
    Pages (from-to)191-198
    Number of pages8
    JournalJournal of Neuro-Oncology
    Volume91
    Issue number2
    DOIs
    Publication statusPublished - 2009 Jan 1

    Keywords

    • Chordoma
    • Craniopharyngioma
    • Differential diagnosis
    • Glioma
    • Pituitary adenoma
    • Protonmagnetic resonance spectroscopy
    • Suprasellar tumor

    ASJC Scopus subject areas

    • Oncology
    • Neurology
    • Clinical Neurology
    • Cancer Research

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  • Cite this

    Chernov, M. F., Kawamata, T., Amano, K., Ono, Y., Suzuki, T., Nakamura, R., Muragaki, Y., Iseki, H., Kubo, O., Hori, T., & Takakura, K. (2009). Possible role of single-voxel 1H-MRS in differential diagnosis of suprasellar tumors. Journal of Neuro-Oncology, 91(2), 191-198. https://doi.org/10.1007/s11060-008-9698-y