BACKGROUND AND PURPOSE: Skull base chordoma has been widely studied in recent years, however, imaging characteristics of this tumor have not been well elaborated. The purpose of this study was to establish an MR imaging grading system for skull base chordoma. MATERIALS AND METHODS: In this study, 156 patients with skull base chordomas were retrospectively assessed. Tumor-to-pons signal intensity ratios were calculated from pretreatment MR images R-T1 (ratio of tumor to pons signal intensity in T1 FLAIR sequence), R-T2 (ratio of tumor to pons signal intensity in T2 sequence) and R-EN (ratio of tumor to pons signal intensity in enhanced T1 FLAIR sequence), and significant ratios for overall survival and progression-free survival were selected to establish a grading system. Clinical variables among different MR imaging grades were then analyzed to evaluate the usefulness of the grading system. RESULTS: R-T2 (P < .001) and R-EN (P = .04) were identified as significant variables affecting progression-free survival. After analysis, the classification criteria were set as follows: MR grade I, R-T2 > 2.49 and R-EN 0.77; MR grade II, R-T2 > 2.49 and R-EN > 0.77, or R-T2 2.49 and R-EN 0.77; and MR grade III, R-T2 2.49 and R-EN > 0.77. MR grade III tumors had a more abundant tumor blood supply than MR grade I tumors (P < .001), and the intraoperative blood loss of MR grade III tumors was higher than that of MR grade I tumors (P = .002). Additionally, skull base chordoma progression risk increased by 2.071 times for every single MR grade increase (P < .001). CONCLUSIONS: A higher R-T2 value was a negative indicator of tumor progression, whereas a higher R-EN value was a positive risk factor of tumor progression. MR grade III tumors showed a more abundant blood supply than MR grade I tumors, and the risk of skull base chordoma progression increased with every single MR grade increase.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81472370, 81541146]; Natural Science Foundation of Beijing Municipality, China [7142052, 7163212]; National High Technology Research and Development Program 863National High Technology Research and Development Program of China [2014AA020610]
语种:
外文
被引次数:
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PubmedID:
中科院(CAS)分区:
出版当年[2016]版:
大类|2 区医学
小类|2 区核医学3 区临床神经病学3 区神经成像
最新[2023]版:
大类|3 区医学
小类|3 区临床神经病学3 区神经成像3 区核医学
JCR分区:
出版当年[2015]版:
Q1RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ2CLINICAL NEUROLOGYQ2NEUROIMAGING
最新[2023]版:
Q1RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ2CLINICAL NEUROLOGYQ2NEUROIMAGING
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Tiantan Xili 6, Beijing 100050, Peoples R China;[2]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;[3]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China;[4]Beijing Key Lab Brian Tumor, Beijing, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Tiantan Xili 6, Beijing 100050, Peoples R China;[2]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;[3]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China;[4]Beijing Key Lab Brian Tumor, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
Tian K.,Wang L.,Ma J.,et al.MR Imaging Grading System for Skull Base Chordoma[J].AMERICAN JOURNAL OF NEURORADIOLOGY.2017,38(6):1206-1211.doi:10.3174/ajnr.A5152.
APA:
Tian, K.,Wang, L.,Ma, J.,Wang, K.,Li, D....&Zhang, J..(2017).MR Imaging Grading System for Skull Base Chordoma.AMERICAN JOURNAL OF NEURORADIOLOGY,38,(6)
MLA:
Tian, K.,et al."MR Imaging Grading System for Skull Base Chordoma".AMERICAN JOURNAL OF NEURORADIOLOGY 38..6(2017):1206-1211