Magnetic resonance imaging (MRI) is the modality of choice in the eval
uation of patients with actual or suspected intracranial neoplasms. MR
I has many advantages over alternative modalities. It provides increas
ed sensitivity, permits multiplanar image display, is noninvasive, and
has no associated ionizing radiation. MR contrast adds significantly
to the evaluation of patients with suspected intracranial neoplasms. I
t further increases sensitivity to lesion detection, it more clearly d
efines tumor extent, and it facilitates the differentiation of tumor f
rom normal adjacent structures. In virtually every instance, MR contra
st enhances lesion conspicuity. In some cases, these neoplasms would b
e seen only with difficulty or not at all without the benefit of contr
ast enhancement. Thus, in the appropriate patient population, MR contr
ast enables more time-efficient and cost-effective diagnoses.