Craniopharyngioma MRI: Difference between revisions

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===Adamantinomatous===
===Adamantinomatous===
The findings on the MRI are:
The findings on MRI are:
*'''Cysts'''
*'''Cysts'''
**Variable but 80% are mostly or partly T2 hyperintense
**Variable but 80% are mostly or partly T2 hyperintense
Line 21: Line 21:


'''MR spectroscopy''': Cyst contents may show a broad lipid spectrum, with an otherwise flat baseline.
'''MR spectroscopy''': Cyst contents may show a broad lipid spectrum, with an otherwise flat baseline.
===Papillary===
The findings on MRI are:
*'''Cysts'''
**When present they are variable in signal
**85% T1 hypointense
*Solid component
**T1: iso- to lightly hypointense to brain
**T1 C+: vivid enhancement
**T2: variable/mixed
'''MR spectroscopy''': cyst contents does not show a broad lipid spectrum as they are filled with water fluid


([http://www.radswiki.net Images courtesy of RadsWiki])
([http://www.radswiki.net Images courtesy of RadsWiki])

Revision as of 00:56, 23 August 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

MRI

Adamantinomatous

The findings on MRI are:

  • Cysts
    • Variable but 80% are mostly or partly T2 hyperintense
    • T1: iso- to hyperintense to brain (due to high protein content machinery oil cysts)
  • Solid component
    • T1 C+ (Gd): vivid enhancement
    • T2: variable or mixed
  • Calcification
  • Difficult to appreciate on conventional imaging
  • Susceptible sequences may better demonstrate calcification

MR angiography: It may demonstrate displacement of the A1 segment of the anterior cerebral artery (ACA).

MR spectroscopy: Cyst contents may show a broad lipid spectrum, with an otherwise flat baseline.

Papillary

The findings on MRI are:

  • Cysts
    • When present they are variable in signal
    • 85% T1 hypointense
  • Solid component
    • T1: iso- to lightly hypointense to brain
    • T1 C+: vivid enhancement
    • T2: variable/mixed

MR spectroscopy: cyst contents does not show a broad lipid spectrum as they are filled with water fluid

(Images courtesy of RadsWiki)

References


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