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Insights into Imaging
Published in: Insights into Imaging 1/2014

Open Access 01-02-2014 | Pictorial Review

Magnetic resonance imaging of meningiomas: a pictorial review

Authors: J. Watts, G. Box, A. Galvin, P. Brotchie, N. Trost, T. Sutherland

Published in: Insights into Imaging | Issue 1/2014

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Abstract

Meningiomas are the most common non-glial tumour of the central nervous system (CNS). There are a number of characteristic imaging features of meningiomas on magnetic resonance imaging (MRI) that allow an accurate diagnosis, however there are a number of atypical features that may be diagnostically challenging. Furthermore, a number of other neoplastic and non-neoplastic conditions may mimic meningiomas. This pictorial review discusses the typical and atypical MRI features of meningiomas and their mimics.

Teaching Points:

  • There are several characteristic features of meningiomas on MRI that allow an accurate diagnosis
  • Some meningiomas may display atypical imaging characteristics that may be diagnostically challenging
  • Routine MRI sequences do not reliably distinguish between benign and malignant meningiomas
  • Spectroscopy and diffusion tensor imaging may be useful in the diagnosis of malignant meningiomas
  • A number of conditions may mimic meningiomas; however, they may have additional differentiating features
Literature
1.
Toh CH et al (2008) Differentiation between classic and atypical meningiomas with use of diffusion tensor imaging. AJNR Am J Neuroradiol 29(9):1630–1635PubMedCrossRef
2.
3.
O’Leary S et al (2007) Atypical imaging appearances of intracranial meningiomas. Clin Radiol 62(1):10–17PubMedCrossRef
4.
Nagar VA et al (2008) Diffusion-weighted MR imaging: diagnosing atypical or malignant meningiomas and detecting tumor dedifferentiation. AJNR Am J Neuroradiol 29(6):1147–1152PubMedCrossRef
5.
Buetow MP, Buetow PC, Smirniotopoulos JG (1991) Typical, atypical, and misleading features in meningioma. Radiographics 11(6):1087–1106PubMedCrossRef
6.
Tokgoz N et al (2005) Primary intraosseous meningioma: CT and MRI appearance. AJNR Am J Neuroradiol 26(8):2053–2056PubMed
7.
Paek SH et al (2005) Microcystic meningiomas: radiological characteristics of 16 cases. Acta Neurochir (Wien) 147(9):965–972, discussion 972CrossRef
8.
Hakyemez B et al (2006) Meningiomas with conventional MRI findings resembling intraaxial tumors: can perfusion-weighted MRI be helpful in differentiation? Neuroradiology 48(10):695–702PubMedCrossRef
9.
Elder JB et al (2007) Primary intraosseous meningioma. Neurosurg Focus 23(4):1–9CrossRef
10.
Komotar RJ, Keswani SC, Wityk RJ (2003) Meningioma presenting as stroke: report of two cases and estimation of incidence. J Neurol Neurosurg Psychiatry 74(1):136–137PubMedPubMedCentralCrossRef
11.
Heye S et al (2006) Symptomatic stenosis of the cavernous portion of the internal carotid artery due to an irresectable medial sphenoid wing meningioma: treatment by endovascular stent placement. AJNR Am J Neuroradiol 27(7):1532–1534PubMed
12.
Yue Q et al (2008) New observations concerning the interpretation of magnetic resonance spectroscopy of meningioma. Eur Radiol 18(12):2901–2911PubMedCrossRef
13.
Chen TY et al (2004) Magnetic resonance imaging and diffusion-weighted images of cystic meningioma: correlating with histopathology. Clin Imaging 28(1):10–19PubMedCrossRef
14.
Bitzer M et al (1998) Angiogenesis and brain oedema in intracranial meningiomas: influence of vascular endothelial growth factor. Acta Neurochir (Wien) 140(4):333–340CrossRef
15.
Nakano T et al (2002) Meningiomas with brain edema: radiological characteristics on MRI and review of the literature. Clin Imaging 26(4):243–249PubMedCrossRef
16.
Bosnjak R et al (2005) Spontaneous intracranial meningioma bleeding: clinicopathological features and outcome. J Neurosurg 103(3):473–484PubMedCrossRef
17.
Filippi CG et al (2001) Appearance of meningiomas on diffusion-weighted images: correlating diffusion constants with histopathologic findings. AJNR Am J Neuroradiol 22(1):65–72PubMed
18.
19.
Metadata
Title
Magnetic resonance imaging of meningiomas: a pictorial review
Authors
J. Watts
G. Box
A. Galvin
P. Brotchie
N. Trost
T. Sutherland
Publication date
01-02-2014
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2014
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-013-0302-4

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