Imaging of Meningiomas

ABSTRACT

Understanding of the structural and functional architecture of meningiomas has evolved in concert with ever-changing imaging techniques. Currently available modalities for characterization of meningiomas include (1) plain roentgenograms, (2) computed tomography (CT), (3) magnetic resonance imaging (MRI), (4) magnetic resonance spectroscopy (MRS), (5) cerebral angiography, and (6) radionuclide assays. Individually, these studies provide a wealth of structural and anatomic data, clues regarding likely tumor subtype and differentiation from other possible pathologies. They also provide a means for preoperative intervention to facilitate surgical resection (and intraoperative navigational capability) and an index for the prediction of intraoperative cleavage characteristics. Together, these techniques allow an integrated, multimodality approach to care of the patient with a meningioma.

KEYWORDS

Meningioma - computed tomography - magnetic resonance imaging - magnetic resonance spectroscopy - angiography - somatostatin receptor spectroscopy

REFERENCES

• 1 Buetow M P, Burton P C, Smirniotopoulos J G. Typical, atypical, and misleading features in meningioma.  Radiographics . 1991;  11 1087-1100
• 2 Parent A D. Multiple meningiomas. In: Al-Mefty O, ed. Meningiomas New York: Raven Press 1991: 161-168
• 3 Roda J, Bencosme J, Perez-Highueias A, Fraile M. Simultaneous multiple intracranial and spinal meningiomas.  Neurochirurgia (Stuttg) . 1992;  35 92-94
• 4 Kallio M, Sankila R, Hakulinen T, Jaaskelainen J. Factors affecting operative and excess long-term mortality in 935 patients with intracranial meningiomas.  Neurosurgery . 1992;  31 2-12
• 5 Osborn A. Diagnostic Neuroradiology.  St. Louis: Mosby- Year Book 1994: 584-601
• 6 Ozonoff M B, Burrows E H. Intracranial calcification. In: Newton TH, Potts DG, eds. Radiology of the Skull and Brain St. Louis: CV Mosby 1971: 823-873
• 7 Ethier R. Thickness and texture. In: Newton TH, Potts DG, eds. Radiology of the Skull and Brain St. Louis: CV Mosby 1971: 154-215
• 8 Osborn A. Diagnostic Neuroradiology.  St. Louis: Mosby-Year Book 1994: 584-601
• 9 Sindou M, Alaywan M. Role of pia mater vascularization of the tumour in the surgical outcome of intracranial meningiomas.  Acta Neurochir (Wien) . 1994;  130 90-93
• 10 Wiggli U, Oberson R. Pneumosinus dilatans and hyperostosis: early signs of meningiomas of the anterior chiasmatic angle.  Neuroradiology . 1975;  8 217-221
• 11 Bydder G M, Kingsley D PE, Brown J, Niendorf H P, Young I R. MR imaging of meningiomas including studies with and without gadolinium-DTPA.  J Comput Assist Tomogr . 1985;  9 690-697
• 12 Haughton V, Rimm A, Czervionke L. et al . Sensitivity of Gd-DTPA-enhanced MR imaging of benign extraaxial tumors.  Radiology . 1988;  166 829-833
• 13 Watabe T, Azuma T. T1 and T2 measurements of meningiomas and neuromas before and after Gd-DTPA.  AJNR Am J Neuroradiol . 1989;  10 463-470
• 14 Elster A, Challa V, Gilbert T, Richardson D, Contento J. Meningiomas: MR and histopathologic features.  Radiology . 1989;  170 857-862
• 15 Zimmerman R D, Fleming C A, Saint-Louis L A. et al . Magnetic resonance imaging of meningiomas.  AJNR Am J Neuroradiol . 1985;  6 149-157
• 16 Zimmerman R D. MRI of intracranial meningiomas. In: Al-Mefty O, ed. Meningiomas New York: Raven Press 1991: 209-223
• 17 Spagnoli M V, Goldberg H I, Grossman R I. et al . Intracranial meningiomas: high-field MR imaging.  Radiology . 1986;  161 369-375
• 18 Nakano T, Asano K, Miura H, Itoh S, Suzuki S. Meningiomas with brain edema: radiological characteristics on MRI and review of the literature.  Clin Imaging . 2002;  26 243-249
• 19 Oguz K K, Cila A. Rim enhancement of meningiomas on fast FLAIR imaging.  Neuroradiology . 2003;  45 78-81
• 20 Tamiya T, Ono Y, Matsmoto K, Ohmoto T. Peritumoral brain edema in intracranial meningiomas: effects of radiological and histological factors.  Neurosurgery . 2001;  49 1046-1051
• 21 Elster A, Challa V, Gilbert T, Richardson D, Contento J. Meningiomas: MR and histopathologic features.  Radiology . 1989;  170 857-862
• 22 Kaplan R, Coons S, Drayer B, Bird R, Johnson P. MR characteristics of meningioma subtypes at 1.5 tesla.  J Comput Assist Tomogr . 1992;  16 366-371
• 23 Yamaguchi N, Kawase T, Sagoh M, Ohira T, Shiga H, Toya S. Prediction of consistency of meningiomas with preoperative magnetic resonance imaging.  Surg Neurol . 1997;  48 579-583
• 24 Maiuri F, Iaconetta G, deDivitiis O, Cirillo S, Di Salle F, De Caro L M. Intracranial meningiomas: correlations between MR imaging and histology.  Eur J Radiol . 1999;  31 69-75
• 25 İldan F, Tuna F, Göçer A I. et al . Correlation of the relationships of brain-tumor interfaces, magnetic resonance imaging, and angiographic findings to predict cleavage of meningiomas.  J Neurosurg . 1999;  91 384-390
• 26 Kim W Y, Kim S, Cheon J E, Yeon M. Meningioangiomatosis: MR imaging and pathological correlation in two cases.  Pediatr Radiol . 2002;  32 96-98
• 27 Majos C, Alonso J, Aguilera C. et al . Utility of proton MR spectroscopy in the diagnosis of radiologically atypical intracranial meningiomas.  Neuroradiology . 2003;  45 129-136
• 28 Howe F A, Barton S J, Cudlip S A. et al . Metabolic profiles of human brain tumors using quantitative in vivo ¹H magnetic resonance spectroscopy.  Magn Reson Med . 2003;  49 223-232
• 29 Bulakbasi N, Kocaoglu M, Ors F, Tayfun C, Üçöz T. Combination of single-voxel proton MR spectroscopy and apparent diffusion coefficient in the evaluation of common brain tumors.  AJNR . 2003;  24 225-233
• 30 Filippi C G, Edgar M A, Ulug A M, Prowda J C, Heier L A, Zimmerman R D. Appearance of meningiomas on diffusion-weighted images: correlating diffusion constants with histopathologic findings.  AJNR . 2001;  22 65-72
• 31 Bendszus M, Warmuth-Metz M, Klein R. et al . Sequential MRI and MR spectroscopy in embolized meningiomas: correlation with surgical and histopathological findings.  Neuroradiology . 2002;  44 77-82
• 32 Osborn A. The external carotid artery. In: Osborn A. Introduction to Cerebral Angiography Hagerstown, MD: Harper & Row 1980: 49-86
• 33 Osborn A. Diagnostic Neuroradiology.  St. Louis: Mosby-Year Book 1994: 584-601
• 34 İldan F, Tuna F, Göçer A I. et al . Correlation of the relationships of brain-tumor interfaces, magnetic resonance imaging, and angiographic findings to predict cleavage of meningiomas.  J Neurosurg . 1999;  91 384-390
• 35 Sindou M, Alaywan M. Most intracranial meningiomas are not cleavable tumors: anatomic-surgical evidence and angiographic predictability.  Neurosurgery . 1998;  42 476-480
• 36 Brazeau P, Vale W, Burgus R. et al . Hypothalamic polypeptide that inhibits the secretion of immunoreactive pituitary growth hormone.  Science . 1973;  179 77-79
• 37 Reubi J C, Maurer R, Klijn J GM. et al . High incidence of somatostatin receptors in human meningiomas: biochemical characterization.  J Clin Endocrinol Metab . 1986;  63 433-438
• 38 Maini C, Tofani A, Sciuto R, Carapella C, Cioffi R, Crecco M. Scintigraphy visualization of somatostatin receptors in human meningiomas using 111-indium-DPTA-D-Phe-1-octreotide.  Nucl Med Commun . 1993;  14 505-508
• 39 Klutmann S, Bohuslaviski K H, Tietje N. et al . Clinical value of 24-hour delayed imaging in somatostatin receptor scintigraphy for meningioma.  J Nucl Med . 1999;  40 1246-1251
• 40 Henze M, Schuhmacher J, Hipp P. et al . PET imaging of somatostatin receptors using [⁶⁸GA]DOTA-D-Phe¹-Tyr³-Octreotide: first results in patients with meningiomas.  J Nucl Med . 2000;  42 1053-1056