Intracranial meningiomas: correlation between MR imaging and histology in fifty patients

J Comput Assist Tomogr. Jan-Feb 1991;15(1):45-51.


The magnetic resonance (MR) findings in 50 surgically verified intracranial meningiomas were reviewed. An attempt was made to correlate their signal intensity on spin echo (SE) T1-weighted, proton density [N(H)], and T2-weighted images with the different histologic subtypes. The T1-weighted images were nonspecific in differentiating the subtypes of meningiomas. On proton density and T2-weighted images, more information was available, but there remained large group (46%) of meningiomas that were not classifiable. The average signal intensity scores on T1-weighted, proton density, and T2-weighted images in the different histologic subtypes were correlated with each other using the Student t test. Only one significant correlation (psammomatous-anaplastic) and three almost significant correlations (syncytial-transitional or psammomatous and transitional-psammomatous) were found. Different histologic subtypes may have a different MR appearance, but this does not suffice to reach a histologic diagnosis by MR imaging.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Brain Neoplasms / pathology*
  • Female
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Meningeal Neoplasms / pathology*
  • Meningioma / pathology*
  • Middle Aged