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id="post-292" class="post-292 post type-post status-publish format-standard hentry category-v4n2"> <header class="entry-header clearfix"> <h1 class="entry-title">Differentiation of Brain Abscesses from Necrotic Highgrade Gliomas Using Advanced MR Imaging Techniques: A Mini Review</h1> </header> <p class="entry-meta"> </p> <div class="entry-content clearfix"> <div class="italics"><i>Muhammad Omar Afridi, Shadi Asadollahi, Kavindra Nath and Sanjeev Chawla</i></div> <div class="italics"></div> <div class="italics"></div> <div></div> <div></div> <div> <p><strong>Abstract</strong><br/> The accurate discrimination between brain abscesses and cystic high-grade gliomas (HGGs) is of great importance for planning adequate treatment and for estimating outcome and future prognosis. MR imaging plays an essential role in the discrimination of these two entities. However, differential diagnosis often becomes difficult as conventional neuroimaging features of brain abscess are nonspecific and may simulate those of cystic rim-enhancing mass lesions of varying etiologies including HGGs. It is well documented that cellular and vascular microenvironment of cystic cavity and enhancing rim of abscess is considerably different from that of necrotic HGG. By exploiting these unique characteristics, several studies have shown the potential of physiologic MR imaging techniques in facilitating better characterization of both of these intracranial cystic lesions. The purpose of this mini review is to summarize the basic principles and clinical role of commonly used advanced MR imaging techniques such as diffusion, perfusion MR imaging and MR spectroscopy in differentiation of brain abscesses from necrotic HGGs. Briefly, we will also discuss the potential role of emerging imaging techniques such as chemical exchange saturation transfer (CEST) in characterizing brain abscesses. We will also describe the existing challenges and limitations of using these techniques in routine clinical settings and will finally discuss possible solutions to avoiding pitfalls in data acquisition, and analysis for future studies.</p> <div></div> <p><strong>Published on:</strong> November 25, 2019<br/> <strong>doi:</strong>聽10.17756/jnpn.2019-030<br/> <strong>Citation:聽</strong> Afridi MO, Asadollahi S, Nath K, Chawla S. 2019. Differentiation of Brain Abscesses from Necrotic High-grade Gliomas Using Advanced MR Imaging Techniques: A Mini Review. <i>J Neuroimaging Psychiatry Neurol</i> 4(2): 17-22.</p> <div> <div class="pdfdownloadlink"><img class="alignleft size-full wp-image-507" style="margin: 4px -5px 4px 5px;" src="http://jnanoworld.com/wp-content/uploads/2017/04/pdf-icon-24-e1509106685135-1.png" alt="" width="16" height="16"/><div class="sdm_download_link"><a href="https://addiction-psychiatry.org/?smd_process_download=1&download_id=294" class="sdm_download green" title="jnpn-030-muhammad-Omar-afridi.pdf" target="_self">PDF (Download Full text)</a></div></div> <div> <p><div class="sdm_download_count"><span class="sdm_count_number"><strong>349</strong></span><br/><span class="sdm_count_string"> Downloads</span></div><span class="postviews_eachpost"><div class="post-views post-292 entry-meta"> <span class="post-views-label">Views </span> <span class="post-views-count">0</span> </div></span></p> </div> 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