Chinese Medical Sciences Journal ›› 2018, Vol. 33 ›› Issue (3): 188-193.doi: 10.24920/31804

• Case Report • Previous Articles     Next Articles

Multi-parametric MRI Diagnoses Cerebellar Hemangioblastoma: A Case Report

Chen Zhiye1, 2, 3, Liu Mengqi1, 2, Yu Shengyuan3, Ma Lin2, *()   

  1. 1 Department of Radiology, Hainan Branch of Chinese PLA General Hospital, Sanya, Hainan 572013, China
    2 Department of Radiology, Chinese PLA General Hospital, Beijing 100853, China
    3 Department of Neurology, Chinese PLA General Hospital, Beijing 100853, China
  • Online:2018-09-30 Published:2018-07-16
  • Contact: Ma Lin E-mail:cjr.malin@vip.163.com
The authors performed contrast-enhanced T2 fluid-attenuated inversion recovery and dynamic contrast enhanced MRI to illustrate the imaging characteristics of one case of hemangioblastoma. Ktrans mapping showing the cyst wall and part of the solid mural nodule presented high signal.

Abstract:

We performed contrast-enhanced T2 fluid-attenuated inversion recovery (T2-FLAIR) and dynamic contrast enhanced MRI to illustrate the imaging characteristics of one case of hemangioblastoma. T2-FLAIR showed a large cyst located in the right cerebellum with mural nodule. The intensely enhancing cyst wall was observed on enhanced T2-FLAIR images acquired from 5.6 to 23 minutes after contrast administration, and quantitative dynamic contrast enhanced-MRI demonstrated that both the cyst wall and mural nodule presented high Ktrans, Kep and Ve values compared with the contralateral normal cerebellar tissues. The cyst showed gradual enhancement and reached the highest signal intensity at 67 minutes after contrast administration on enhanced T2-FLAIR images. In conclusion, early enhancement of cyst wall on T2-FLAIR might be the characteristic imaging findings for cystic hemangioblastoma, which may assist in the diagnosis of hemangioblastoma preoperatively.

Key words: dynamic contrast enhanced MRI, fluid-attenuated inversion recovery, hemangioblastoma, diagnosis

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