eISSN: 1509-572x
ISSN: 1641-4640
Folia Neuropathologica
Current issue Archive Manuscripts accepted About the journal Special Issues Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
3/2014
vol. 52
 
Share:
Share:
abstract:

Original article
Abnormalities in the normal appearing white matter of the cerebral hemisphere contralateral to a malignant brain tumor detected by diffusion tensor imaging

Kai Kallenberg
,
Torben Goldmann
,
Jan Menke
,
Herwig Strik
,
Hans C. Bock
,
Alexander Mohr
,
Jan H. Buhk
,
Jens Frahm
,
Peter Dechent
,
Michael Knauth

Folia Neuropathol 2014; 52 (3): 226-233
Online publish date: 2014/09/26
View full text Get citation
 
PlumX metrics:
Introduction: Malignant brain tumors tend to migration and invasion of surrounding brain tissue. Histopathological studies reported malignant cells in macroscopically unsuspicious parenchyma (normal appearing white matter – NAWM) remote from the tumor localization. In early stages, diffuse interneural infiltration with changes of the apparent diffusion coefficient (ADC) and fractional anisotropy (FA) is hypothesized.

Material and methods: Patients’ ADC and FA values from NAWM of the hemisphere contralateral to a malignant glioma were compared to age- and sex-matched normal controls.

Results: Apparent diffusion coefficient levels of the entire contralateral hemisphere revealed a significant increase and a decrease of FA levels. An even more pronounced ADC increase was found in a region mirroring the glioma location.

Conclusions: In patients with previously untreated anaplastic astrocytoma or glioblastoma, an increase of the ADC and a reduction of FA were found in the brain parenchyma of the hemisphere contralateral to the tumor localization. In the absence of visible MRI abnormalities, this may be an early indicator of microstructural changes of the NAWM attributed to malignant brain tumor.
keywords:

glioma, normal appearing white matter, diffusion tensor imaging

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.