Diffusion tensor analysis of peritumoral edema using lambda chart analysis indicative of the heterogeneity of the microstructure within edema

Ken Ichi Morita, Hitoshi Matsuzawa, Yukihiko Fujii, Ryuichi Tanaka, Ingrid L. Kwee, Tsutomu Nakada

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Object. Histopathological studies indicate that cerebral edema associated with tumors (peritumoral edema) does not represent a single pathophysiological or clinical entity. In this study the authors investigated peritumoral edema by performing lambda chart analysis (LCA), a noninvasive technique that can be used to make visible and analyze apparent water diffusivity in tissues in vivo, and assessed the utility of LCA in differentiating high-grade gliomas from nonglial tumors. Methods. The water diffusivity characteristics of peritumoral edema associated with four tumor groups - 12 high-grade gliomas, five low-grade gliomas, 11 metastatic tumors, and 15 meningiomas - were assessed in 43 patients by performing magnetic resonance imaging with the aid of a 3-tesla magnetic resonance imaging system. In all tumor groups, peritumoral edema exhibited greater trace values and reduced anisotropy compared with normal white matter. Edema associated with high-grade gliomas had significantly higher trace values than edema associated with the other three tumor groups, although the anisotropic angles of those groups were comparable. Conclusions. Lambda chart analysis identified two distinct types of peritumoral edema: edema associated with high-grade gliomas and edema associated with low-grade gliomas or nonglial tumors. The apparent water diffusivity was significantly greater in high-grade gliomas, whereas the anisotropy in these lesions was comparable to that of edema in other tumors. These findings indicated that water movement in areas of edema, predominantly in the extracellular spaces, was less restricted in high-grade gliomas, a phenomenon that likely reflected the destruction of the extracellular matrix ultrastructure by malignant cell infiltration and consequently greater water diffusion. Although preliminary, this study indicates that LCA could be used as a clinical tool for differentiating high-grade gliomas and for evaluating the extent of cellular infiltration.

Original languageEnglish (US)
Pages (from-to)336-341
Number of pages6
JournalJournal of Neurosurgery
Volume102
Issue number2
DOIs
StatePublished - Feb 2005

Fingerprint

Edema
Glioma
Neoplasms
Water
Anisotropy
Magnetic Resonance Imaging
Water Movements
Brain Edema
Extracellular Space
Meningioma
Extracellular Matrix

Keywords

  • Diffusion tensor analysis
  • Extracellular matrix
  • Infiltration
  • Lambda chart analysis
  • Peritumoral edema
  • Vasogenic edema

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Diffusion tensor analysis of peritumoral edema using lambda chart analysis indicative of the heterogeneity of the microstructure within edema. / Morita, Ken Ichi; Matsuzawa, Hitoshi; Fujii, Yukihiko; Tanaka, Ryuichi; Kwee, Ingrid L.; Nakada, Tsutomu.

In: Journal of Neurosurgery, Vol. 102, No. 2, 02.2005, p. 336-341.

Research output: Contribution to journalArticle

Morita, Ken Ichi ; Matsuzawa, Hitoshi ; Fujii, Yukihiko ; Tanaka, Ryuichi ; Kwee, Ingrid L. ; Nakada, Tsutomu. / Diffusion tensor analysis of peritumoral edema using lambda chart analysis indicative of the heterogeneity of the microstructure within edema. In: Journal of Neurosurgery. 2005 ; Vol. 102, No. 2. pp. 336-341.
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abstract = "Object. Histopathological studies indicate that cerebral edema associated with tumors (peritumoral edema) does not represent a single pathophysiological or clinical entity. In this study the authors investigated peritumoral edema by performing lambda chart analysis (LCA), a noninvasive technique that can be used to make visible and analyze apparent water diffusivity in tissues in vivo, and assessed the utility of LCA in differentiating high-grade gliomas from nonglial tumors. Methods. The water diffusivity characteristics of peritumoral edema associated with four tumor groups - 12 high-grade gliomas, five low-grade gliomas, 11 metastatic tumors, and 15 meningiomas - were assessed in 43 patients by performing magnetic resonance imaging with the aid of a 3-tesla magnetic resonance imaging system. In all tumor groups, peritumoral edema exhibited greater trace values and reduced anisotropy compared with normal white matter. Edema associated with high-grade gliomas had significantly higher trace values than edema associated with the other three tumor groups, although the anisotropic angles of those groups were comparable. Conclusions. Lambda chart analysis identified two distinct types of peritumoral edema: edema associated with high-grade gliomas and edema associated with low-grade gliomas or nonglial tumors. The apparent water diffusivity was significantly greater in high-grade gliomas, whereas the anisotropy in these lesions was comparable to that of edema in other tumors. These findings indicated that water movement in areas of edema, predominantly in the extracellular spaces, was less restricted in high-grade gliomas, a phenomenon that likely reflected the destruction of the extracellular matrix ultrastructure by malignant cell infiltration and consequently greater water diffusion. Although preliminary, this study indicates that LCA could be used as a clinical tool for differentiating high-grade gliomas and for evaluating the extent of cellular infiltration.",
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