Benign and malignant musculoskeletal lesions

Dynamic contrast-enhanced MR imaging - parametric "first-pass" images depict tissue vascularization and perfusion

Koenraad L. Verstraete*, Yves De Deene, Hendrik Roels, Annemie Dierick, Dirk Uyttendaele, Marc Kunnen

*Corresponding author for this work

Research output: Contribution to journalArticle

253 Citations (Scopus)


PURPOSE: To assess the diagnostic value of parametric magnetic resonance images that display the first pass (FP) of gadopentetate dimeglumine. MATERIALS AND METHODS: Dynamic, contrast material-enhanced, fast low-angle shot MR imaging was performed of 100 musculoskeletal lesions in 36 female and 64 male patients (aged 9-81 years [mean, 34 years]). The highest slope value of the time-intensity curve was calculated pixel by pixel and displayed on the FP image, with a gray-scale value equal to the slope value. Tissue vascularization and perfusion were evaluated at pathologic and angiographic examinations in 33 lesions. RESULTS: A significant difference (P < .001) was found between the FP slope values of benign (mean, 36.2% per second) and malignant (mean, 67.4% per second) lesions. FP images depicted tissue vascularization and perfusion rather than benignity or malignancy, because there is an overlap in the slope values of highly vascular benign lesions and malignant lesions. CONCLUSION: FP images provide diagnostically useful information by depicting tissue vascularization and perfusion.

Original languageEnglish
Pages (from-to)835-843
Number of pages9
Issue number3
Publication statusPublished - Sep 1994
Externally publishedYes


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  • Ewing sarcoma, 40.3281
  • Gadolinium
  • Magnetic resonance (MR), perfusion study
  • Muscles, MR, 40.12143
  • Osteosarcoma, 40.322
  • Soft tissues, MR, 40.12143

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