Review Article

Role of Dynamic Susceptibility Contrast Perfusion MRI in Glioma Progression Evaluation

Table 1

Clinical characteristics of 65 glioma patients.

CharacteristicsPseudoprogression (n = 14)True progression (n = 51)t/X2 value

Mean age ± SD(years)43.640 ± 14.37247.290 ± 14.375−0.8420.403

Gender0.0220.881
Male828
Female623

1p19q codeletion(+) (n = 23)1(33.33%)4(21.05%)0.814
Promoter of MGMT methylation (n = 12)1(33.33%)5(55.56%)0.574
IDH mutation (n = 13)1(50.00%)3(27.27%)0.178

WHO grading0.451
II13
III924
IV424

KPS score−1.4270.154
Median90.00090.000
95%CI90.000–90.00086.890–89.580

T2-FLAIR mismatch0.676
Yes19
No1342

Enhancement of residual cavity wall0.001
Thin-linear1112
Thick-linear110
Nodular229

Total dose (GyRBE)−0.5030.615
Median6059.92
95%CI55.761–60.50257.669–59.462

SVZ involvement0.204
Yes736
No715
ADC mean (mm2/s) (n = 54)903.142 ± 491.652523.000 (484.950–668.610)−1.8420.067

MGMT, O6-methyl-guanine methyl transferase; KPS, Karnofsky Performance Score; SVZ, subventricular zone; ADC mean, apparent diffusion coefficient mean; T2-FLAIR mismatch, the presence of a complete/near-complete hyperintense signal on T2-weighted (T2W) MRI sequences, in combination with a relative hypointense signal on fluid attenuation inversion recovery (FLAIR) MR sequences except for a hyperintense peripheral rim; Bold value indicates statistically significant association, - indicates Fisher’s exact test.