Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2011, Vol. 33 ›› Issue (5): 504-510.doi: 10.3881/j.issn.1000-503X.2011.05.006

• Original Articles • Previous Articles     Next Articles

Application Value of 3T 1H-Magnetic Resonance Spectroscopy in Diagnosing Tumors of Bone and Soft Tissue

QI Zi-hua1, LI Chuan-fu1, MA Xiang-xing1, LI Zhen-feng2, ZHANG Kai1, YU De-xin1   

  1. 1Department of Radiology, Computed Tomography Section, 2Department of Orthopedics, Qilu Hospital of Shandong University, Jinan 250012, China
  • Received:2011-03-10 Revised:2011-10-28 Online:2011-10-28 Published:2011-10-28
  • Contact: QI Zi-hua

Abstract: Objective To study benign and malignant bone and soft tissue tumors with 1H-magnetic resonance spectroscopy (1H-MRS) at 3 Tesla MR scanner and assess the value of 1H-MRS in diagnosing bone and soft tissue tumors and distinguishing benign from malignant tumors. Methods Totally 49 patients with clinically and pathologically confirmed bone and soft tissue tumors were enrolled in this study. 1H-MRS was performed before treatment with point-resolved spectroscopy sequence. The imaging characteristics of 1H-MRS for bone and soft tissue tumors were observed and the possible differences between benign and malignant tumors was compared. Since spectra were directly found under single-voxel proton MRS brain examination, the peak height of choline containing compounds (Cho) opposite to the creatine (Cr) and the Cho peak were observed, and then the malignancies of the tumors were judged. Cho/Cr value was calculated and used to distinguishing benign tumors from malignancies. Results 1H-MRS spectra of bone and soft tissue tumors were different from those of the normal muscles, and such difference also existed between benign and malignant tumors. The Cho peak disappeared or was extremely low among benign tumors. The Cho/Cr values of malignant tumors and benign tumors were 3.13±0.9 and 1.34±1.02, respectively (P=0.02). Using 1.79 as the threshold value, the Cho/Cr value had sensitivity, specificity, and accuracy of 94%, 80%, and 90%, respectively, in diagnosing malignancies. Conclusions The increased Cho level, as measured by 1H-MRS, is related with the bone and soft tissue malignant tumor. Cho/Cr value is useful in distinguishing benign tumors from malignancies. 1H-MRS can be an important supplement to the conventional magnetic resonance imaging.

Key words: bone tumors, soft tissue tumors, magnetic resonance spectroscopy

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