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RT Journal Article
SR Electronic
T1 Arterial Spin-Labeling in the Assessment of Pediatric Nontraumatic Orbital Lesions
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1219
OP 1223
DO 10.3174/ajnr.A7977
VO 44
IS 10
A1 Neumane, S.
A1 Lesage, A.
A1 Dangouloff-Ros, V.
A1 Levy, R.
A1 Roux, C.-J.
A1 Robert, M.P.
A1 Bremond-Gignac, D.
A1 Boddaert, N.
YR 2023
UL http://www.ajnr.org/content/44/10/1219.abstract
AB SUMMARY: Benign and malignant pediatric orbital lesions can sometimes have overlapping features on conventional MR imaging sequences. MR imaging of 27 children was retrospectively reviewed to describe the signal of some common pediatric extraocular orbital lesions on arterial spin-labeling and to evaluate whether this sequence helps to discriminate malignant from benign masses, with or without ADC value measurements. Qualitative and quantitative assessments of arterial spin-labeling CBF and ADC were performed. All lesions were classified into 3 arterial spin-labeling perfusion patterns: homogeneous hypoperfusion (pattern 1, n = 15; benign lesions), heterogeneous hyperperfusion (pattern 2, n = 9; cellulitis, histiocytosis, malignant tumors), and homogeneous intense hyperperfusion (pattern 3, n = 3; infantile hemangiomas). Arterial spin-labeling can be a valuable tool to improve the diagnostic confidence of some orbital lesions, including infantile hemangioma. An algorithm is proposed.ASLarterial spin-labelingavaveragedIHinfantile hemangiomaLBFlesion blood flowOLorbital lesionONGoptic nerve gliomarLBFrelative lesion blood flowRMSrhabdomyosarcoma