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Brain Tumor - IntraExtra Axial

This document discusses brain tumors, including their classification and characteristics. It describes intra-axial tumors, which occur within the brain parenchyma, and extra-axial tumors, which occur outside the brain parenchyma such as in the meninges, skull, or ventricles. Common features used to characterize tumors on imaging include their borders, tissue composition, surrounding structures affected, and enhancement patterns. The most common tumor types are also listed, with meningiomas making up 80% of extra-axial tumors and gliomas and metastases comprising most intra-axial tumors. Specific details are provided about meningiomas and schwannomas, including their incidence rates, imaging appearances and characteristics.

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84 views6 pages

Brain Tumor - IntraExtra Axial

This document discusses brain tumors, including their classification and characteristics. It describes intra-axial tumors, which occur within the brain parenchyma, and extra-axial tumors, which occur outside the brain parenchyma such as in the meninges, skull, or ventricles. Common features used to characterize tumors on imaging include their borders, tissue composition, surrounding structures affected, and enhancement patterns. The most common tumor types are also listed, with meningiomas making up 80% of extra-axial tumors and gliomas and metastases comprising most intra-axial tumors. Specific details are provided about meningiomas and schwannomas, including their incidence rates, imaging appearances and characteristics.

Uploaded by

regarskid
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Brain Tumor

Intra Axial: tumor berada di intra parenkim

Extra Axial: tumor berada di luar parenkim (misal: tengkorak, CSF, cistern & ventrikel)

Intra Axial Extra Axial

Definitive sign Suggestive sign


CSF cleft between Peripheral, broad
brain & lesion base along calvarium
Vessels interposed Overlying bone
between brain & change
lesion
Cortex between brain Enhancement of
& lesion adjacent meninges
Dura (meninges) Displzcement of brain
between brain & from skull
lesion
Chapter 11 Adult Brain Tumor, MRI of Brain and Spine 4 th Edition, Atlas

Brain Tumor Systematic Approach, Radiology Assistant

Specific location:

Intra Axial Extra Axial


Lobes CPA
Cortical base Sellar/parasellar
Periventricular Intraventricular (specific ventricle)
Midline crossing Pineal region
Skull base tumor

Characterization

Border Tumor Tissue Surrounding Structures


Well/ill define Calcification Extension
Localized or infiltrative Hemorrhage Bone & dural change
Cystic Mass effect
Necrosis Degree of perilesional brain
edema
Cellularity
Enhancement pattern

Common Brain Tumor

Intra Axial Extra Axial


Primary brain tumor Meningioma (80%)
Glioma Schwannoma
Secondary or brain metastasis (75%) Epidermoid cyst

Meningioma

Most common nonglial primary brain tumor

15-20 % of primary brain tumor

Peak incidence 40-60 tahun

Female:male = 2:1 – 4:1

Most common at parasagittal and convexity

CT MRI
70-75% hyperdense Typically isointense signal to gray matter
20-25% calcified >95% enhanced strongly, commonly
heterogenous
90% enhaced strongly CSF/vascular cleft
10-15% cystic area 60% dural tail
60% peritumoral edema
Hemorrhage rare
Bone change: hyperostosis, erosion, pneumosis
dilatans
Chapter 14 Meningioma and Other Nonglial Neoplasm, Diagnostic Neuroradiology, Anne Osborn
Schwannoma

6-8% of primary brain tumor

Most common CPA mass (75-80%)

Peak incidence 50-60 years

Associated with NF-2

Cystic, hemorrhage

Less calcification

Peritumoral arachnoid cyst

At CPA cistern: intracanalicular component > widening of porus acusticus > Trumpet sign

Extracanalicular extension into CPA > “ice cream cone” appearance

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