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11.07.2023 | Original Article

Relationship Between Quantitative Tumor Consistency and Pathological Factors in Intracranial Meningioma

verfasst von: Takaaki Nagao, Masaaki Nemoto, Nobuo Sugo, Naoyuki Harada, Hiroyuki Masuda, Takeki Nagao, Kazutoshi Shibuya, Kosuke Kondo

Erschienen in: Acta Neurochirurgica | Ausgabe 10/2023

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Abstract

Background

The consistency of intracranial meningiomas is an important clinical factor because it affects the success of surgical resection. This study aimed at identifying and quantitatively measuring pathological factors that contribute to the consistency of meningiomas. Furthermore, we investigated the relationship between these factors and preoperative neuroradiological imaging.

Methods

We analyzed 42 intracranial meningioma specimens, which had been removed at our institution between October 2012 and March 2018. Consistency was measured quantitatively after resection using an industrial stiffness meter. For pathological evaluation, we quantitatively measured the collagen-fiber content through binarization of images of Azan-Mallory-stained section. We assessed calcification and necrosis semi-quantitatively using images acquired of Hematoxylin and Eosin stained samples. The relationship between collagen-fiber content rate and imaging findings was examined.

Results

The content of collagen fibers significantly positively correlated with meningioma consistency (p < 0.0001). Collagen-fiber content was significantly higher in low- and iso-intensity regions compared with high-intensity regions on the magnetic resonance T2-weighted images (p = 0.0148 and p = 0.0394, respectively). Calcification and necrosis showed no correlation with tumor consistency.

Conclusions

The quantitative hardness of intracranial meningiomas positively correlated with collagen-fiber content; thus, the amount of collagen fibers may be a factor that determines the hardness of intracranial meningiomas. Our results demonstrate that T2-weighted images reflect the collagen-fiber content and are useful for estimating tumor consistency preoperatively and non-invasively.

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Titel: Relationship Between Quantitative Tumor Consistency and Pathological Factors in Intracranial Meningioma
verfasst von: Takaaki Nagao
Masaaki Nemoto
Nobuo Sugo
Naoyuki Harada
Hiroyuki Masuda
Takeki Nagao
Kazutoshi Shibuya
Kosuke Kondo
Publikationsdatum: 11.07.2023
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 10/2023
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05712-5

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