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ECR 2019 / C-1999
Role of Multiparametric MRI in Brainstem Lesions
Congress: ECR 2019
Poster No.: C-1999
Type: Scientific Exhibit
Keywords: Neuroradiology brain, MR-Diffusion/Perfusion, MR-Spectroscopy, Diagnostic procedure, Cancer, Inflammation
Authors: M. Harley, M. D. Patel, M. Bowen, W. Muhammad, S. Jacob, M. Douglas, I. Ughratdar, J. Herbert, V. Sawlani; Birmingham/UK
DOI:10.26044/ecr2019/C-1999

Conclusion

Distinction between inflammatory and neoplastic aetiology is not always possible using conventional MRI. Multiparametric MRI was more helpful than individual MRI features and reduced diagnostic uncertainty, potentially avoiding the need for invasive biopsy. The key features distinguishing inflammatory lesions from low-grade neoplasm were the raised glutamine and glutamate peaks, normal MI/Cr and peripheral low diffusion. Where tissue diagnosis is essential, multiparametric MRI can help identify optimal biopsy targets. Clinical/laboratory findings along with careful interpretation of multiparametric MRI can aid in establishing an accurate diagnosis.

 

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