1H chemical shift imaging reveals loss of brain tumor choline signal after administration of Gd-contrast

  • Paul E. Sijens*
  • , Martin J. Van Den Bent
  • , Peter J.C.M. Nowak
  • , Pieter Van Dijk
  • , Matthijs Oudkerk
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

118 Citations (Scopus)
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Abstract

1H MR spectra obtained by chemical shift imaging (CSI) of contrast- enhancing brain tumors before and after the administration of Gd-contrast agent were quantitated and compared with the results in normal brain tissue included in the volume of interest. Twenty-seven combined magnetic resonance imaging and spectroscopy (MRI, MRS) examinations of brain tumor lesions included T1-weighted MRI and CSI (TR/TE 1500/135 ms double-spin echo) repeated 5-10 min after the administration of Gd-contrast agent (0.1-0.2 mM). In 1H MR spectra of contrast-enhancing tumor Gd-contrast induced a mean loss of 15% of the peak area of choline-containing compounds (Cho, P < 0.001) that was correlated with precontrast Cho linewidth (r = -0.72, P < 0.00001). This phenomenon limits the diagnostic use of brain tumor MRS examinations performed immediately after contrast-enhanced MRI.

Original languageEnglish
Pages (from-to)222-225
Number of pages4
JournalMagnetic Resonance in Medicine
Volume37
Issue number2
DOIs
Publication statusPublished - Feb-1997
Externally publishedYes

Keywords

  • brain tumors
  • Gd-contrast agent
  • magnetic resonance imaging
  • magnetic resonance spectroscopy

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