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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 1 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 1

From: The diagnostic value of MR spectroscopy versus DWI-MRI in therapeutic planning of suspicious multi-centric cerebral lesions

Fig. 1

“A 54-year-old male patient” MRI exam revealed multiple poorly defined intra-axial SOL shown in images at Rt. frontal and Lt. parietal regions, iso-hypointense at T1 (a) and hyperintense T2/FLAIR (b, c) that surrounded with moderate edema. DWI and ADC map (d, e) showed diffusion restriction with low ADC value. Post Gad (f) showed faint contrast enhancement. MRS (g) revealed marked reduction of NAA and Cr peaks with elevated Cho and reversed NAC/Cr and Chol/Cr ratios in lesional and pre-lesional areas. MRI diagnosis: multicentric primary high-grade glioma. Pathology: GBM

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