Clinical Radiology
Volume 65, Issue 6 , Pages 488-492 , June 2010

Pitfalls in the discrimination of cerebral abscess from tumour using diffusion-weighted MRI

  • A. Mortimer

      Affiliations

    • Severn School of Radiology, Bristol, UK
    • Department of Neuroradiology, Frenchay Hospital, Bristol, UK
    • Corresponding Author InformationGuarantor and correspondent: A. Mortimer, Department of Neuroradiology, Frenchay Hospital, Bristol, BS16 1QA, UK. Tel.: +44 7985143233; fax: +44 0117 342 4628.
    • ,
  • S. O'Leary

      Affiliations

    • Department of Neuroradiology, Frenchay Hospital, Bristol, UK
    • ,
  • M. Bradley

      Affiliations

    • Department of Neuroradiology, Frenchay Hospital, Bristol, UK
    • ,
  • S.A. Renowden

      Affiliations

    • Department of Neuroradiology, Frenchay Hospital, Bristol, UK

Received 14 October 2009 ,Revised 5 December 2009 ,Accepted 7 December 2009.

References 

  1. Kim YJ, Chang K-H, Song IC, et al. Brain abscess and necrotic or cystic brain tumor: discrimination with signal intensity on diffusion-weighted MR imaging. AJR Am J Roentgenol. 1998;171:1487–1490
  2. Desprechins B, Stadnik T, Koerts G, et al. Use of diffusion-weighted MR imaging in the differential diagnosis between intracerebral necrotic tumors and cerebral abscesses. AJNR Am J Neuroradiol. 1999;20:1252–1257
  3. Noguchi K, Watanabe N, Nagayoshi T, et al. Role of diffusion-weighted echo-planar MRI in distinguishing between brain abscess and tumour: a preliminary report. Neuroradiology. 1999;41:171–174
  4. Ebisu T, Tanaka C, Umeda M, et al. Discrimination of brain abscess from necrotic or cystic tumors by diffusion-weighted echo-planar imaging. Magn Reson Imaging. 1996;14:1113–1116
  5. Hayashida Y, Hirai T, Morishita S, et al. Diffusion-weighted imaging of metastatic brain tumors: comparison with histologic type and tumor cellularity. AJNR Am J Neuroradiol. 2006;27:1419–1425
  6. Rusakov D, Kullman D. Geometric and viscous components of the tortuosity of the extracellular space in the brain. Proc Natl Acad Sci USA. 1998;95:8975–8980
  7. Bantra A, Tripathi RP. Atypical diffusion-weighted magnetic resonance findings in glioblastoma multiforme. Austral Radiol. 2004;48:388–391
  8. Tung GA, Evangelista P, Rogg JM, et al. Diffusion-weighted MR imaging of rim-enhancing brain masses: is markedly decreased water diffusion specific for brain abscess?. AJR Am J Roentgenol. 2001;177:709–712
  9. Hartmann M, Jansen O, Heiland S, et al. Restricted diffusion within ring enhancement is not pathognomonic for brain abscess. AJNR Am J Neuroradiol. 2001;22:1738–1742
  10. Mori H, Abe O, Aok S, et al. Hemorrhagic brain metastases with high signal intensity on diffusion-weighted MR images: a case report. Acta Radiol. 2002;43:563–566
  11. Mishra AM, Gupta RK, Jaggi RS, et al. Role of diffusion-weighted imaging and in vivo proton magnetic resonance spectroscopy in the differential diagnosis of ring enhancing intracranial cystic mass lesions. J Comput Assist Tomogr. 2004;28:540–547
  12. Lai PH, Hsu SS, Ding SW, et al. Proton magnetic resonance spectroscopy and diffusion-weighted imaging in intracranial cystic mass lesions. Surg Neurol. 2007;68(Suppl. 1):25–36
  13. Lai PH, Ho JT, Chen WL, et al. Brain abscess and necrotic brain tumor: discrimination with proton MR spectroscopy and diffusion-weighted imaging. AJNR Am J Neuroradiol. 2002;23:1369–1377
  14. Kim SH, Chang KH, Song IC, et al. Brain abscess and brain tumor: discrimination with in vivo H-1 MR spectroscopy. Radiology. 1997;204:239–245
  15. Grand S, Passaro G, Ziegler A, et al. Necrotic tumor versus brain abscess: importance of amino acids detected at 1H MR spectroscopy—initial results. Radiology. 1999;213:785–793
  16. Lai PH, Li KT, Hsu SS, et al. Pyogenic brain abscess: findings from in vivo 1.5-t and 11.7-t in vitro proton MR spectroscopy. AJNR Am J Neuroradiol. 2005;26:279–288

PII: S0009-9260(10)00071-1

doi: 10.1016/j.crad.2009.12.012

Clinical Radiology
Volume 65, Issue 6 , Pages 488-492 , June 2010

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