Case report. Diffusion magnetic resonance imaging of solid vestibular schwannomas.

摘要

Six patients with solid vestibular schwannomas were studied by diffusion magnetic resonance imaging to assess if this modality adds new information for these tumors, because there is no previous report in the relevant literature. The sizes of the tumors ranged from 2.2 to 4.7 cm with respect to their largest diameters. They were isointense to the normal brain parenchyma on b = 1,000 s/mm2 images. The apparent diffusion coefficient (ADC) values in the tumors were high (range: 1.14-1.72 x 10-3 mm2/s, mean = 1.42 +/- 0.17 x 10-3 mm2/s) compared with normal brain parenchyma ADC values (mean = 0.80 +/- 0.11 x 10-3 mm2/s). High ADC values of solid vestibular schwannomas were in conformity with increased diffusion rates, indicating the presence of increased amounts of extracellular water (a relatively loose tissue) in the tumor matrix.