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  • S. Karger AG  (2)
  • 1
    In: Stereotactic and Functional Neurosurgery, S. Karger AG, Vol. 86, No. 5 ( 2008), p. 300-307
    Kurzfassung: 〈 i 〉 Objective: 〈 /i 〉 To investigate chemical-shift imaging (CSI) to guide stereotactic biopsy of the choline ‘hot spot’ in cerebral lesions suggestive of low-grade glioma. 〈 i 〉 Methods: 〈 /i 〉 Nine patients with hyperintense lesions on T 〈 sub 〉 2 〈 /sub 〉 -weighted images of standard magnetic resonance imaging without contrast enhancement underwent advanced magnetic resonance studies. These studies included 3-dimensional T 〈 sub 〉 1 〈 /sub 〉 -weighted sequences with contrast enhancement and 2-dimensional 〈 sup 〉 1 〈 /sup 〉 H-CSI spectroscopy at 3 T. Signal intensity maps with relative signal intensities for choline were generated. The region with the highest choline signal intensity (the hot spot) was chosen as the target for stereotactic biopsy. The histopathological results were correlated with the increase in choline. 〈 i 〉 Results: 〈 /i 〉 All spectroscopic data were of sufficient quality. In 5 instances the neuropathological diagnosis was grade II glioma, according to the WHO classification, and in 4 instances it was grade III glioma. According to the CSI criteria, all grade III gliomas and 4 of the 5 grade II gliomas were classified correctly. One grade II glioma was overestimated by CSI as a high-grade glioma. 〈 i 〉 Conclusion: 〈 /i 〉 〈 sup 〉 1 〈 /sup 〉 H-CSI-guided stereotactic biopsy may offer advantages as compared to conventional stereotactic biopsy. The biopsy of the choline hot spot in suggestive low-grade gliomas may help to identify focal points of higher tumor malignancy independent of contrast enhancement.
    Materialart: Online-Ressource
    ISSN: 1011-6125 , 1423-0372
    Sprache: Englisch
    Verlag: S. Karger AG
    Publikationsdatum: 2008
    ZDB Id: 1483576-9
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Online-Ressource
    Online-Ressource
    S. Karger AG ; 1998
    In:  Invasion and Metastasis Vol. 18, No. 5-6 ( 1998), p. 271-284
    In: Invasion and Metastasis, S. Karger AG, Vol. 18, No. 5-6 ( 1998), p. 271-284
    Kurzfassung: In tumor tissue specimens of 27 primary and 17 secondary glioblastomas and the precursor lesions, the immunohistochemical expression patterns of the membrane protein CD44s, the basal lamina proteins laminin, collagen IV, and fibronectin, the lectin galectin-3 recognizing tenascin and N-CAM as well as of the matrix-degrading enzymes matrix metalloproteinase MMP-2 and MMP-9, and cathepsin D were studied. Besides expression of basal lamina proteins in vessels, all glioblastomas and the precursor lesions showed strong immunoreactivity of CD44s, tenascin, galectin-3, and N-CAM which were restricted to solid tumor masses. Present in solid tumor areas, MMP-2, MMP-9 and cathepsin D were also strongly expressed by single tumors cells invading adjacent brain tissue at the infiltrative margin. Neither the expression pattern in primary and secondary glioblastomas nor in the precursor tumors revealed significant differences. There was also no intraindividual constant expression pattern during glioma progression or correlation with malignancy. Restricted expression of CD44s, galectin-3, tenascin and N-CAM in solid tumor masses seems to contribute to homotypic tumor cell adhesion while single tumor cells abolish this expression profile and acquire invasive activities by expression of cathepsin D, MMP-2 and MMP-9.
    Materialart: Online-Ressource
    ISSN: 0251-1789 , 1423-0119
    Sprache: Englisch
    Verlag: S. Karger AG
    Publikationsdatum: 1998
    ZDB Id: 1482868-6
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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