Ms. Tenner et al., CALCIFICATION CALL SHORTEN T2, BUT NOT T1, AT MAGNETIC-RESONANCE-IMAGING FIELDS - RESULTS OF A RELAXOMETRY STUDY OF CALCIFIED HUMAN MENINGIOMAS, Investigative radiology, 30(6), 1995, pp. 345-353
RATIONALE AND OBJECTIVES. Water content and water-proton relaxation ra
tes are reported for fresh, histologically characterized, surgical spe
cimens of calcified human intracranial meningiomas and compared with r
esults for noncalcified meningiomas from an earlier study and with cal
cium hydroxyapatite (CaHA) suspensions to elucidate the influence of c
alcification on magnetic resonance imaging (MRI) signal intensity of c
alcified meningiomas. METHODS. The magnetic field dependence of 1/T1 o
f water protons (nuclear magnetic relaxation dispersion profile) and d
ry weights are reported for 38 calcified nonhemorrhagic and 3 hemorrha
gic specimens of known histologic subtype, a subset of the 67 specimen
s measured earlier, Calcification was considered mild or heavy when th
e dry weight was within or above the range for noncalcified meningioma
s, Preliminary 1/T1 profiles for pure CaHA and a single high-field 1/T
2 value also are reported. RESULTS. The ranges of dry weights and of l
ow-field 1/T1 values were twice as large for calcified as for noncalci
fied meningiomas, No correlation was found between low-field 1/T1 and
either histologic subtype or dry weight, Mild calcification produced t
he highest low-field 1/T1 values; the most heavily calcified tumor had
slightly increased low-field 1/TI, Calcium hydroxyapatite increases l
ow-field 1/TI significantly but not high-field 1/T1; high-field 1/T2 i
s large, For calcified hemorrhagic meningiomas, increases in both low-
field and high-field 1/T1 were seen. CONCLUSION. For mild calcificatio
n, MRI signal voids result from an increased high-field 1/T2; for heav
ier calcification, reduced proton density (from excluded water) become
s of increasing importance, Cellular CaHA appears to brighten the sign
al in T1-weighted MRI in the presence of hemorrhage.