The origin of lactate in peritumoral edema as measured by proton-magnetic resonance spectroscopic imaging

Kian Go, AP Krikke, RL Kamman, Martinus Heesters

    Research output: Chapter in Book/Report/Conference proceedingChapterAcademic

    15 Citations (Scopus)

    Abstract

    Using in vivo proton-magnetic resonance spectroscopy (H-1-MRS), which allows the measurement of metabolites of adequate tissue concentration, the origin of lactate in peritumoral edema has been assessed by comparison with lactate levels in the central and marginal areas of the tumor in 18 patients with cerebral gliomas. In the majority of cases lactate content in the area of peritumoral edema was lower than that in the tumor margin or tumor center, which is consistent with the assumption that the tumor is the source of lactate, which then reaches the surrounding area of edema by diffusion. In 3 of the 18 cases the amount of lactate in the peritumoral edematous tissue was higher than in the tumor, indicating that the lactate is locally produced on account of ischemia due to regional elevation of tissue pressure in the edematous area.

    Original languageEnglish
    Title of host publicationBRAIN EDEMA X
    EditorsHE James, LF Marshall, HJ Reulen, A Baethmann, A Marmarou, U Ito, JT Hoff, T Kuroiwa, Z Czernicki
    Place of PublicationVIENNA
    PublisherSpringer
    Pages173-175
    Number of pages3
    ISBN (Print)3-211-82892-3
    Publication statusPublished - 1997
    Event10th International Symposium on Brain Edema - , Canada
    Duration: 20-Oct-199623-Oct-1996

    Publication series

    NameACTA NEUROCHIRURGICA SUPPLEMENTA
    PublisherSPRINGER-VERLAG WIEN
    Volume70
    ISSN (Print)0065-1419

    Other

    Other10th International Symposium on Brain Edema
    Country/TerritoryCanada
    Period20/10/199623/10/1996

    Keywords

    • proton-magnetic resonance spectroscopy
    • peritumoral edema
    • cerebral lactate
    • tissue perfusion

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