Evidence map›Paper›PMID 41087983›Full record

ArticleBMC neurology2025

Preoperative prediction of brain invasion in meningiomas: a comparison of diffusion kurtosis imaging and diffusion tensor imaging.

Tianjin Zhong, Xiaodan Chen, Ye Li, Yizhu Chen, Yichao Zhang, Hui Zheng, Danjie Lin, Sihui Liu, Peirong Jiang, Yang Song and 2 more

Abstract readComparative Study
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Tianjin Zhong *Department of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Xiaodan Chen *Department of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Ye LiDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Yizhu ChenDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Yichao ZhangDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Hui ZhengDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Danjie LinDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Sihui LiuDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Peirong JiangDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Yang SongMR Scientifc Marketing, Healthineers Ltd, Siemens, Shanghai, China.
Yunjing XueDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China.
Lin LinDepartment of Radiology, Fujian Medical University Union Hospital, No.29, Xinquan Road, Fuzhou, 350001, China. linlin@fjmu.edu.cn.

Funding

Joint Funds for the Innovation of Science and Technology, Fujian province 2023Y9433the Excellent Young Scholars Cultivation Project of Fujian Medical University Union Hospital 2022XH035the Natural Science Foundation of Fujian Province 2022J011052the Talent Initiation Fund Project of Fujian Medical University Union Hospital 2022XH014
6 · The paper itself

Abstract

objectiveIdentifying brain invasion particularly important for meningioma patients, but there is still a lack of valuable early biomarkers. The authors aimed to investigate the value of histogram analysis of diffusion kurtosis imaging (DKI) and diffusion tensor imaging (DTI) in predicting the brain invasion of meningioma.

methodsA total of 132 meningioma patients were prospectively included and underwent magnetic resonance diffusion imaging. The whole-tumour histogram parameters were extracted from diffusion maps including Mean kurtosis (MK), fractional anisotropy (FA), and mean diffusivity (MD). The Mann-Whitney U test was used to compare the parameters of brain invasive and non-invasive meningiomas. The receiver operating characteristic (ROC) curve and multiple logistic regression analyes were performed to identify the diagnostic performance. Spearman's partial correlation was used to evaluate correlations between histogram parameters and the Ki-67 index.

resultsDKI-MK (10th, 50th, 90th percentile, maximum, mean and kurtosis), DKI-FA (minimum, maximum), DKI-MD (minimum, maximum, kurtosis and skewness), DTI-FA (maximum), DTI-MD (10th percentile, kurtosis and skewness) showed statistically significant differences between brain invasive and non-invasive meningiomas (p < 0.05). For all histogram parameters, the highest individual predictor was DKI-MK 90th percentile with an AUC of 0.837 and an accuracy of 75.0%. The DKI combined model can further improve the diagnostic efficiency, with an AUC of 0.914 and an accuracy of 85.6%. Significant correlations were found between various diffusion histogram parameters and the Ki-67 index (rho = -0.244-0.504, p < 0.05).

conclusionsThe whole-tumour DKI and DTI histogram analysis is a promising approach for predicting brain invasion in meningiomas, and the multi-parameter combined model can further improve diagnostic efficiency.

Indexed as

Brain NeoplasmsDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingMeningeal NeoplasmsMeningiomaAdultAgedFemaleHumansMaleMiddle AgedNeoplasm InvasivenessProspective StudiesBrain invasionDiffusion kurtosis imagingDiffusion tensor imagingHistogram analysisMeningiomas

Identifiers

PMID41087983
PMCPMC12522589

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.