AJR AJR Integrative Imaging Dec 2008 articles
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American Journal of Roentgenology, Vol 171, 1487-1490, Copyright © 1998 by American Roentgen Ray Society

ARTICLES

Brain abscess and necrotic or cystic brain tumor: discrimination with signal intensity on diffusion-weighted MR imaging

YJ Kim, KH Chang, IC Song, HD Kim, SO Seong, YH Kim and MH Han
Department of Radiology, Seoul National University College of Medicine and Institute of Radiation Medicine, South Korea.

OBJECTIVE: The purpose of this study was to determine the differences in signal intensity between brain abscesses and necrotic or cystic tumors on diffusion-weighted MR imaging. CONCLUSION: Five consecutive patients with proven brain abscesses and four patients with proven cystic or necrotic brain tumors were prospectively evaluated with diffusion-weighted imaging. On diffusion-weighted imaging, brain abscesses showed markedly hyperintense signal in all five patients, whereas necrotic or cystic brain tumors revealed hypointense signal in all four patients. Diffusion-weighted imaging may allow the differentiation of brain abscess from necrotic or cystic brain tumor.
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