Ring enhancing lesions

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  • (BQ) Part 1 book "Neuroradiology - Key differential diagnoses and clinical questions" presents the following contents: Computed tomography hyperdense lesions, T1 hyperintense lesions, multiple susceptibility artifact lesions, ring enhancing lesions, leptomeningeal enhancement, dural enhancement,...

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  • Magnetic resonance spectroscopy (MRS), unlike conventional magnetic resonance imaging (MRI), provides information on the brain’s chemical environment (rather than neuroanatomical structure) and the data are most commonly presented as line spectra. This capacity for determining brain metabolite concentrations provides the basis for clinical investigation of, and differentiation between, neurological and neurosurgical conditions.

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  • Combined methods have led to further refinements with, for example, high visuospatial resolution afforded by MRI combined with metabolic information from the lesion site (measured with 18F-fluorodeoxyglucose positron emission tomography; FDG-PET) to indicate location and malignancy of gliomas, which in turn informs radiosurgical targeting. Kapsalaki et al. (Chapter 7) consider MRS spectroscopic profiles for differentiation among ring enhancing lesions including high grade gliomas, abscesses and post-radiation necrosis.

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