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01-07-2015 | Original Article

Differences between glioblastomas and primary central nervous system lymphomas in ¹H-magnetic resonance spectroscopy

Authors: Hiroyuki Aburano, Fumiaki Ueda, Yuichi Yoshie, Osamu Matsui, Mitsutoshi Nakada, Yutaka Hayashi, Toshifumi Gabata

Published in: Japanese Journal of Radiology | Issue 7/2015

Abstract

Purpose

The present study aimed to distinguish between glioblastomas and primary central nervous system lymphomas (PCNSLs) using ¹H-magnetic resonance spectroscopy (MRS), especially glutamate (Glu)/creatine (Cr) and Glu/Glu+glutamine (Gln) ratios.

Materials and methods

A total of 46 patients (31 cases diagnosed with glioblastoma, 15 with PCNSL) were examined by in vivo single-voxel proton ¹H-MRS with a 3-T MR imaging system. Differences in absolute concentration of Cr, choline/Cr, lipid (1.3 ppm)/Cr, Glu+Gln/Cr, Glu/Cr, and Glu/Glu+Gln ratios among groups were evaluated with Mann–Whitney U tests.

Results

PCNSLs [3.408 ± 1.194 (standard deviation)] showed significantly higher Glu/Cr ratios as compared to glioblastomas (2.220 ± 0.942; P = 0.003) [Glu/Cr cutoff ratio of 2.509 showed a sensitivity of 88 % (7/8) and a specificity of 92 % (22/24)], while glioblastomas (0.539 ± 0.098) showed significantly lower Glu/Glu+Gln ratios as compared to PCNSLs (0.728 ± 0.147; P < 0.001) [Glu/Glu+Gln cutoff ratio of 0.558 showed a sensitivity of 69 % (18/26) and a specificity of 100 % (13/13)]. And PCNSLs (1.101 ± 0.387) showed significantly higher Cho/Cr ratios as compared to glioblastomas (0.850 ± 0.465; P = 0.026).

Conclusion

Glu/Cr, Glu/Glu+Gln, and Cho/Cr ratios may be useful in distinguishing between glioblastomas and PCNSLs.

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Title: Differences between glioblastomas and primary central nervous system lymphomas in 1H-magnetic resonance spectroscopy
Authors: Hiroyuki Aburano
Fumiaki Ueda
Yuichi Yoshie
Osamu Matsui
Mitsutoshi Nakada
Yutaka Hayashi
Toshifumi Gabata
Publication date: 01-07-2015
Publisher: Springer Japan
Published in: Japanese Journal of Radiology / Issue 7/2015
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI: https://doi.org/10.1007/s11604-015-0430-5

At a glance: The STEP trials

Springer Medicine

Differences between glioblastomas and primary central nervous system lymphomas in ¹H-magnetic resonance spectroscopy

Abstract

Purpose

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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