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PT - JOURNAL ARTICLE
AU - Young, G.S.
AU - Setayesh, K.
TI - Spin-Echo Echo-Planar Perfusion MR Imaging in the Differential Diagnosis of Solitary Enhancing Brain Lesions: Distinguishing Solitary Metastases from Primary Glioma
AID - 10.3174/ajnr.A1239
DP - 2009 Mar 01
TA - American Journal of Neuroradiology
PG - 575--577
VI - 30
IP - 3
4099 - http://www.ajnr.org/content/30/3/575.short
4100 - http://www.ajnr.org/content/30/3/575.full
SO - Am. J. Neuroradiol.2009 Mar 01; 30
AB - SUMMARY: Unlike the more widely reported gradient-echo echo-planar perfusion-weighted imaging (EPI-PWI) technique, spin-echo (SE) EPI relative cerebral blood volume maps select for blood volume in microvessels <8 μm in diameter. This first report of SE-EPI PWI for distinguishing brain metastasis from high-grade glioma demonstrated 88% sensitivity and 72% specificity in 83 patients. We discuss differences in microvessel architecture between high-grade glioma and brain metastasis that may explain the surprising success of SE-EPI in this application and may deserve further investigation.