Scopus Eşleşmesi Bulundu
1
Atıf
30
Cilt
422-427
Sayfa
🔓
Açık Erişim
Scopus Yazarları: Burak Gezer, Hakan Karabagli, Ali Mutlukan, Pınar Karabağlı, Ender Koktekir, Mert Sahinoglu
Özet
AIM: To investigate the immunogenetic properties of glial tumors according to the World Health Organization 2016 glial tumor classification and develop an accurate diagnosis and treatment strategy by comparing preoperative advanced magnetic resonance (aMRI) technique findings of these results. MATERIAL and METHODS: This study was conducted at the Department of Neurosurgery at the Medical Faculty Hospital of Selcuk University between January 1, 2010 and January 4, 2017 and included 50 patients. MR spectroscopy (MRS), MR perfusion (PWI), and MR diffusion (DWI) were performed in 50 patients preoperatively. Patient data were obtained from the hospital's information system. Pathological diagnosis of all patients was taken from the department of pathology at the same medical faculty. RESULTS: Among the patients included in the study, 11 were grade II (22%), 7 were grade III (14%), and 32 were grade IV (64%). All patients were IDH1 stained: 22 were IDH mutant (44%) and 28 were IDH wild-type (56%). A statistically significant difference in the survival time was observed between IDH mutant and wild-type. IDH-mutant tumors were commonly located in the frontal lobe and IDH wild-type tumors in the parietal and temporal lobes. A significant difference in PWI relative cerebral blood volume (rCBV) and DWI apparent diffusion coefficients (ADC) was noted among grade II, III, and IV tumor groups. The PWI rCBV cut-off value for grade IV tumors was 2.05 (90% sensitivity, 78% specificity). No difference in the Cho/Cr ratio among grade II, III, and IV tumor groups was noted. A significant difference was noted between the IDH mutant and wild type in terms of PWI rCBV. The PWI rCBV cut-off value of IDH mutant-wild type was 2.15. No difference in the Cho/Cr, Cho/NAA, and DWI apparent diffusion coefficients (p>0.05) was noted between the IDH mutant and wild type. CONCLUSION: PWI rCBV is the most important prognostic value of aMRI used in tumor grading. PWI rCBV values could be significant in distinguishing IDH wild and mutant.
Anahtar Kelimeler (Scopus)
Isocitratedehydrogenase mutation
Magnetic resonance diffusion
Magnetic resonance perfusion
Magnetic resonance spectroscopy
Anahtar Kelimeler
Isocitratedehydrogenase mutation
Magnetic resonance diffusion
Magnetic resonance perfusion
Magnetic resonance spectroscopy
Makale Bilgileri
Dergi
Turkish Neurosurgery
ISSN
1019-5149
Yıl
2020
/ 1. ay
Cilt / Sayı
30
/ 3
Sayfalar
422 – 427
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI-Expanded
JCR Quartile
Q4
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
6 kişi
Erişim Türü
Basılı+Elektronik
Erişim Linki
Makaleye Git
Alan
Sağlık Bilimleri Temel Alanı
TIP
YÖKSİS Yazar Kaydı
Yazar Adı
GEZER BURAK, MUTLUKAN ALİ, ŞAHİNOĞLU MERT, KARABAĞLI PINAR, KÖKTEKİR ENDER, KARABAĞLI HAKAN
YÖKSİS ID
5314835
Hızlı Erişim
Metrikler
Scopus Atıf
1
JCR Quartile
Q4
Yazar Sayısı
6