Multiparametric MRI: practical approach and pictorial review of a useful tool in the evaluation of brain tumours and tumour-like lesions
Vijay Sawlani, Markand Patel, Nigel P. Davies, Robert Flintham, Roman Wesołowski, Ismail Ughratdar, Ute Pohl, Santhosh Nagaraju, Vladimir Petrik, A. W. Kay, Saiju Jacob, Paul Sanghera, Victoria Wykes, Colin Watts, Harish Poptani
Abstract
MRI has a vital role in the assessment of intracranial lesions. Conventional MRI has limited specificity and multiparametric MRI using diffusion-weighted imaging, perfusion-weighted imaging and magnetic resonance spectroscopy allows more accurate assessment of the tissue microenvironment. The purpose of this educational pictorial review is to demonstrate the role of multiparametric MRI for diagnosis, treatment planning and for assessing treatment response, as well as providing a practical approach for performing and interpreting multiparametric MRI in the clinical setting. A variety of cases are presented to demonstrate how multiparametric MRI can help differentiate neoplastic from non-neoplastic lesions compared to conventional MRI alone.