Contrast MRI Findings for Spinal Schwannoma as Predictors of Tumor Proliferation and Motor Status

Autor: Yoshimoto Ishikawa, Kenyu Ito, Naoki Ishiguro, Kei Ando, Shiro Imagama, Satoshi Tanaka, Kazuyoshi Kobayashi, Tetsuro Hida, Akiyuki Matsumoto, Masayoshi Morozumi, Mikito Tsushima
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: SPINE. 42(3):E150-E155
ISSN: 0362-2436
Popis: STUDY DESIGN Retrospective analysis. OBJECTIVE The goal of this study was to examine the relationship of the proliferation potency based on the MIB-1 index and motor status with features of T2-weighted images (T2WI) and contrast T1-weighted images (T1WI) of spinal schwannoma. SUMMARY OF BACKGROUND DATA Spinal schwannomas account for 55% of spinal tumors, but the relationship of cellular proliferation with MRI findings for spinal schwannoma is unknown. METHODS The subjects were 48 patients (22 males and 26 females) with spinal schwannoma who were classified into three subgroups: iso/homo, high/rim, and hetero/hetero, based on T2WI/contrast T1WI. A retrospective analysis of tumor size and MIB-1 index was performed in the context of these MRI findings. Intraoperative findings and pre- and postoperative motor performance were also examined. RESULTS The average tumor size was 32.4 mm (range 10-130 mm) and the average MIB-1 index was 3.8% (range 1-12). In the three subgroups, there were no significant differences in sex, age, duration of disease, tumor lesion, and dumbbell type. In the hetero/hetero group, the tumor size was significantly greater and the MIB-1 index was significantly higher (both P
Databáze: OpenAIRE