Perfusion magnetic resonance imaging provides additional information as compared to anatomical imaging for decision-making in vestibular schwannoma  M.C.

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Perfusion magnetic resonance imaging provides additional information as compared to anatomical imaging for decision-making in vestibular schwannoma  M.C. Kleijwegt, A.G.L. van der Mey, F.T. Wiggers-deBruine, M.J.A Malessy, M.J.P. van Osch  European Journal of Radiology Open  Volume 3, Pages 127-133 (January 2016) DOI: 10.1016/j.ejro.2016.05.005 Copyright © 2016 The Authors Terms and Conditions

Fig. 1 MR image of left sided vestibular schwannoma. Yellow dotted line is border between intra- and extrameatal portion of the tumour. Size quantified as the largest diameter measurable in the extrameatal portion (red line). European Journal of Radiology Open 2016 3, 127-133DOI: (10.1016/j.ejro.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Fig. 2 Imaging examples of 4 patients, from left to right: T1 post contrast, DSC-CBF, DSC-CBV and ASL-CBF. From top to bottom: patient 1, 2, 5, and 9. Red circle indicates the region-of-interest in the vestibular schwannoma (VS); yellow circle is the contralateral reference area. Arrows indicates the VS. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) a–d shows the result of patient 1, on the posterior border there is hyperintensity visible (asterisk b-c), which is indicative for a vessel. All perfusion images are hypointense. e–h shows the results of patient 2. All perfusion images where hyperintense. i–l patient 5. Both the DSC perfusion images are hyperintense. ASL-CBF is isointense. m–p patient 9. DSC-CBF is isointense, DSC-CBV and ASL-CBF where hyperintense. European Journal of Radiology Open 2016 3, 127-133DOI: (10.1016/j.ejro.2016.05.005) Copyright © 2016 The Authors Terms and Conditions