Multiple samples from 42 astrocytomas were investigated ex vivo by H-1
MR spectroscopy followed by histological assessment. MR visible lipid
s were detected in 27 of 32 grade 4 astrocytomas. These lipids were he
terogeneously distributed within the tumours. Their amount correlated
positively with the amount of histologically detected necrosis. Mobile
lipids were also observed in grade 4 astrocytoma samples without necr
osis, as well as on one of three grade 3, two of three grade 2 and two
of four grade 1 astrocytomas. The clinical significance of MR visible
lipids, their cellular location, and their possible biological bases
are discussed.