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Abstract #2276

Discrepancy between arterial spin labeling images and contrast-enhanced images of brain tumors

Takashi Abe 1 , Saho Irahara 2 , Yoichi Otomi 2 , Yuuki Obama 2 , Moriaki Yamanaka 2 , Seiji Iwamoto 2 , Sonoka Hisaoka 2 , Mungunkhuyag Majigsuren 2 , Delgerdalai Khashbat 2 , Mungunbagana Ganbold 2 , and Masafumi Harada 2

1 Institute of Health Biosciences The Tokushima University Graduate School, Tokushima, Tokushima, Japan, 2 Tokushima University Graduate School, Tokushima, Tokushima, Japan

In the imaging of intra-axial brain tumors, we sometimes found hyper-intensity areas on arterial spin labeling (ASL) outside of the enhanced tumor lesions. This study investigated the clinical significance of this finding in the differential diagnosis. Images from 38 consecutive patients who underwent ASL and CE-MRI with a 3T-MR scanner were examined (21; glioma, 8; metastasis, 9; lymphoma). About one third of cases showed this finding, but any cases with brain metastasis didnt. This finding indicating the presence of glioma or lymphoma, not brain metastasis, and indicates a new utility for ASL images in the diagnosis of brain tumors.

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