Scoring radiologic characteristics to predict proliferative potential in meningiomas

Brain Tumor Pathol. 2006 Apr;23(1):49-54. doi: 10.1007/s10014-006-0199-4.

Abstract

We investigated the feasibility of using radiologic characteristics to predict the proliferative potential in meningiomas. Our statistical analysis revealed that the presence of peritumoral edema, an ambiguous brain-tumor border, and irregular tumor shape were significantly correlated with a higher MIB-1 staining index (SI) value. We developed the following scoring system for specific features in each tumor: peritumoral edema (tumor with edema = 1, tumor without edema = 0); brain-tumor border (tumor with any ambiguous border = 1, tumor circumscribed by a distinct rim = 0); and tumor shape (tumor with irregular shape = 1, tumor with smooth shape = 0). Using Spearman's correlation coefficient analysis, we found a significant correlation (P < 0.005) between total score calculated for each patient and SI value. Our findings suggest that the proliferative potential of meningiomas can be predicted using a less invasive preoperative examination focusing on the presence of peritumoral edema, ambiguous brain-tumor border, and irregular tumor shape.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor
  • Brain Edema / pathology
  • Cell Proliferation
  • Cell Shape / physiology
  • Coloring Agents
  • DNA-Binding Proteins / metabolism
  • Female
  • Gadolinium
  • Humans
  • Immunohistochemistry
  • Magnetic Resonance Imaging
  • Male
  • Meningioma / pathology*
  • Meningioma / radiotherapy*
  • Middle Aged
  • Predictive Value of Tests
  • Prognosis
  • Tomography, X-Ray Computed
  • Transcription Factors / metabolism
  • Young Adult

Substances

  • Biomarkers, Tumor
  • Coloring Agents
  • DNA-Binding Proteins
  • Transcription Factors
  • HIVEP2 protein, human
  • Gadolinium