Abstract
PURPOSE: To assess the usefulness of Gd-DTPA MRI in the evaluation of the characteristics of intracranial
meningiomas and in the correlation with their histopathologic pattern.
MATERIALS AND METHODS: We retrospectively analyzed the Gd-DTPA MRI findings in 22 cases of
histologicalty-proven intracranial meningiomas. The images were assessed for signal intensity, internal texture,
peritumoral edema, and enhancement characteristics. Computed tomograms were obtained in 18 cases and
compared with MRI findings.
RESULTS: Tl-weighted images were not particularly useful for discriminating pathologic subtype, but signal
intensity on T2-weighted images were relatively well correlated with histopathologic findings. A heterogeneous
texture produced by tumor vascularity, calcification, cystic foci, hemorrhagic necrosis, or psammoma body was
relatively well shown on Gd-DTPA Tl-weighted image compared with that on T1- or T2-weighted image.
Gd-DTPA Tl-weighted images revealed a dural tail sign in 19 cases(83%). Angioblastic type was slightly hypointense
on Tl-weighted image and markedly hyperintense on T2-weighted image. Psammomatous type and
firboblastic type were isointense on both T1- and T2-weighted image. Fibroblastic type was more densely
enhanced than the other. The transitional, atypical, and papillary types showed tendency of heterogeneous enhancement.
CONCLUSION: Gd-DTPA MRI was a useful imaging modality in evaluation of the characteristics of
meningiomas and correlated well with the pathologic patterns.