A total of 17 patients with histologically proven diagnoses of low-gra
de astrocytoma (n = 4), high-grade astrocytoma (n = 8), lymphoma (n =
3), and meningioma (n = 2) were examined by using EPISTAR MR imaging.
Meningiomas had the highest EPISTAR tumor/white matter contrast and lo
w-grade astrocytomas and lymphomas the lowest. High-grade astrocytomas
demonstrated elevated EPISTAR signal with marked regional heterogenei
ty. There was agreement between tumor vascularity by SPECT and EPISTAR
in the five cases where both were done. Our results show that tumor v
ascularity can be assesed qualitatively by using EPISTAR without the n
eed for contrast medium injection.