Comparison of MR spectroscopy and MR imaging with contrast agent in children with cerebral astrocytomas

Childs Nerv Syst. 1999 Aug;15(8):408-12. doi: 10.1007/s003810050426.

Abstract

We studied 33 patients with astrocytomas of different grades (68 examinations) by magnetic resonance imaging (MRI) and proton MR spectroscopy ((1)H-MRS). We found that in 80% of the spectra, the presence of signals in the area of 0.8-1.5 ppm, assigned to lipids/lactate in (1)H-MR spectra, correlated with signal enhancement after Gd-DTPA administration. We suggest that visibility of lipid/lactate signals could be due to blood-brain barrier damage, which is characterized by contrast agent enhancement.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Astrocytoma / diagnosis*
  • Astrocytoma / metabolism
  • Brain / metabolism
  • Brain / pathology
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / metabolism
  • Child
  • Child, Preschool
  • Contrast Media*
  • Gadolinium DTPA*
  • Humans
  • Infant
  • Lactic Acid / metabolism
  • Lipid Metabolism
  • Magnetic Resonance Imaging*
  • Magnetic Resonance Spectroscopy*

Substances

  • Contrast Media
  • Lactic Acid
  • Gadolinium DTPA