Can Dynamic Contrast-Enhanced Magnetic Resonance Imaging Combined with Texture Analysis Differentiate Malignant Glioneuronal Tumors from Other Glioblastoma英文文献资料.docVIP

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Can Dynamic Contrast-Enhanced Magnetic Resonance Imaging Combined with Texture Analysis Differentiate Malignant Glioneuronal Tumors from Other Glioblastoma英文文献资料.doc

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Can Dynamic Contrast-Enhanced Magnetic Resonance Imaging Combined with Texture Analysis Differentiate Malignant Glioneuronal Tumors from Other Glioblastoma英文文献资料

HindawiPublishingCorporation NeurologyResearchInternational Volume2012,ArticleID195176,7pages doi:10.1155/2012/195176 ResearchArticle CanDynamicContrast-EnhancedMagneticResonance ImagingCombinedwithTextureAnalysisDifferentiateMalignant GlioneuronalTumorsfromOtherGlioblastoma? Pierre-AntoineEliat, 1 B′eatriceCarsin, DamienOlivi′e,2,3StephanSa¨?kali,4 3 Herv′eSaint-Jalmes,1,2,5andJacquesD.deCertaines 1,5 1 2 3 4 5 PRISM,IFR140,Biogenouest,Universit′edeRennes1,CampusdeVillejean,35043Rennes,France LTSI,INSERMU642,Universit′edeRennes1,35000Rennes,France DepartmentofRadiology,CHURennes,35000Rennes,France DepartmentofNeuropathology,CHURennes,35000Rennes,France CancerInstituteEug`eneMarquis,35000Rennes,France CorrespondenceshouldbeaddressedtoPierre-AntoineEliat,pierre-antoine.eliat@univ-rennes1.fr Received2July2011;Accepted29August2011 AcademicEditor:JonasSheehan Copyright?2012Pierre-AntoineEliatetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Aninterestingapproachhasbeenproposedtodi?erentiatemalignantglioneuronaltumors(MGNTs)asasubclassoftheWHO grade III and IV malignant gliomas. MGNT histologically resemble any WHO grade III or IV glioma but have a di?erent biologicalbehavior,presentingasurvivaltwicelongerasWHOglioblastomasandaloweroccurrenceofmetastases.However, neuro?lamentproteinimmunostainingwasrequiredforidenti?cationofMGNT.Usingtwocomplementarymethods,dynamic contrast-enhancedmagneticresonanceimaging(DCE-MRI)andtextureanalysis(MRI-TA)fromthesameacquisitionprocess,the challengeistoinvivoidentifyMGNTanddemonstratethatMRIpostprocessingcouldcontributetoabettertypingandgrading ofglioblastoma.Resultsareobtainedonapreliminarygroupof19patientsaposterioriselectedforablindinvestigationofDCE T1-weightedandTAat1.5T.Theoptimalclassi?cation(0/11misclassi?edMGNT)isobtainedbycombiningthetwomethods, DCE-MRIandMRI-TA. 1.In