1,550 results match your criteria: "Imaging in Brain Ependymoma"

MRI findings in six dogs with ependymoma of the brain and spinal cord.

Vet Radiol Ultrasound

January 2025

Department of Clinical Sciences and Advanced Medicine, University of Pennsylvania School of Veterinary Medicine, Section of Radiology, Philadelphia, Pennsylvania, USA.

There are few published descriptions of the MRI appearance of canine intracranial or spinal cord ependymoma. In this multicenter, retrospective, secondary analysis, case series study, three veterinary radiologists independently reviewed and recorded imaging characteristics of MRI studies in six dogs with histopathologically confirmed ependymoma (three intracranial and three spinal cord cases). A consensus was reached when there was disagreement on specific features.

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A primary intracranial neuroepithelial neoplasm with novel TCF3::BEND2 fusion: a case report.

Acta Neuropathol Commun

November 2024

Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.

Astroblastoma, MN1-altered, is a rare circumscribed glial neoplasm that is composed of round, cuboidal, orcolumnar cells with astroblastic perivascular pseudorosettes, often associated with MN1::BEND2 and MN1::CXXC5 fusions. Atroblastoma-like gliomas harbouring EWSR1::BEND2 have been reported that they defined an epigenetically distinct subtype of astroblastoma. We report a case of a 19-year-old female with an intracranial neuroepithelial tumor featuring a novel TCF3::BEND2 fusion.

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Objectives: This study aimed to assess the diagnostic management and follow-up imaging for glioma patients across Belgian hospitals by calculating process indicators.

Methods: Patients with newly diagnosed glioma in Belgium (2016-2019) were selected from the Belgian Cancer Registry. The National Social Security Number served as unique patient identifier, linking the Registry to vital status and reimbursement data.

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Article Synopsis
  • * This systematic review followed PRISMA guidelines to analyze 21 studies out of 249 citations screened, highlighting radiomics' potential to differentiate medulloblastomas from other tumors and identify their subtypes.
  • * The findings suggest that while radiomics shows promise for predicting survival rates in medulloblastoma patients, further research is needed to fully assess its clinical value.
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The Response Assessment in Pediatric Neuro-Oncology (RAPNO) Working Group is an international, collaborative network of experts dedicated to pediatric central nervous system (CNS) tumors that was created in 2011. Since then, six RAPNO articles with imaging guidelines for response assessment in diverse pediatric tumor subgroups have been published, namely: 1) medulloblastomas and leptomeningeal seeding tumors (2018), 2) pediatric high-grade gliomas (2020), 3) pediatric low-grade gliomas (2020), 4) diffuse intrinsic pontine gliomas (2020), 5) pediatric intracranial ependymomas (2022) and 6) pediatric craniopharyngiomas (2023). The purpose of this article is to review all current available RAPNO criteria using a systematized and comparative approach centered on the role of neuroradiologists and supported by neuroimaging examples.

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Case report on an extremely rare type of ependymoma arising from the thigh.

Int J Surg Case Rep

October 2024

Department of Orthopaedic Surgery, Hiroshima University, Graduate School of Biomedical and Health Sciences, Hiroshima, Japan. Electronic address:

Article Synopsis
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Supratentorial and Infratentorial Ependymoma.

Adv Tech Stand Neurosurg

September 2024

Neurosurgery and Pediatrics, George Washington University School of Medicine, Washington, DC, USA.

Article Synopsis
  • * MRI is essential for diagnosing and planning treatment, with complete surgical removal being critical for long-term success.
  • * New genetic classifications of ependymomas may help tailor treatments, with some subtypes showing poorer outcomes, especially in younger children, emphasizing the need for targeted therapies.
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Anaplastic cortical ependymoma in 10 months girl: A case report.

Int J Surg Case Rep

October 2024

Department of Neurosurgery, Aleppo University Hospital, University of Aleppo, Aleppo, Syrian Arab Republic.

Introduction And Importance: Ependymomas arise from the ependymal cells that line the brain ventricles, and central canal. In children most of them are benign. However, cortical anaplastic ependymomas are very rare in pediatrics.

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Background: An ependymoma is a glial tumor that usually occurs in or near the ventricle, close to the ependyma. It rarely occurs exclusively in the brain parenchyma without being associated with the ventricle.

Case Summary: Here, we report a rare case of a cerebellar ependymoma completely located in the brain parenchyma.

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Article Synopsis
  • * It presents a case of a 13-year-old girl with symptoms like headache and nausea, where imaging showed a solid lesion causing obstructive hydrocephalus.
  • * The report emphasizes the importance of advanced imaging techniques for early detection and the need for prompt treatment to improve outcomes for young patients with these types of tumors.
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Neuroepithelial tumors with fusion of PLAGL1 or amplification of PLAGL1/PLAGL2 have recently been described often with ependymoma-like or embryonal histology respectively. To further evaluate emerging entities with PLAG-family genetic alterations, the histologic, molecular, clinical, and imaging features are described for 8 clinical cases encountered at St. Jude (EWSR1-PLAGL1 fusion n = 6; PLAGL1 amplification n = 1; PLAGL2 amplification n = 1).

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Article Synopsis
  • - A 57-year-old man was diagnosed with a tumor located in the cauda equina, which had metastasized to both the spinal cord and intracranial areas, causing severe lower back pain and balance issues.
  • - Imaging revealed a large mass affecting the lumbosacral region, along with intradural and intracranial metastases, prompting further investigation of its pathology.
  • - Although the tumor's features initially suggested a choroid plexus tumor, additional tests, including methylation profiling, confirmed the diagnosis as a choroid plexus papilloma, highlighting its unusual location and metastatic behavior.
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Background: Ependymomas, rare glial brain tumors, account for <5% of all brain tumors. Interestingly, over 60% of ependymomas occur in the spinal cord of adults, including those originating from the filum terminale, while the rest are found within the brain. The World Health Organization (WHO) categorizes ependymomas into three grades: subependymomas and myxopapillary ependymomas ([MEPNs]; WHO grade I), classic ependymomas (WHO grade II), and anaplastic ependymomas (WHO grade III).

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Purpose: Supratentorial (ST) ependymoma subgroups are defined by two different fusions with different prognoses. Astroblastomas, MN1-altered, have ependymal-like histopathologic features and represent a differential diagnosis in children. We hypothesized that ZFTA-fused ependymoma and YAP1-fused ependymoma on the one hand, and astroblastoma, MN1-altered, on the other hand, show different MRI characteristics.

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Predicting response to chemotherapy in brain tumor patients based on MRI features.

Clin Neurol Neurosurg

September 2024

Department of Neurosurgery, Section of Surgery, Aga Khan University Hospital, Karachi, Pakistan. Electronic address:

Article Synopsis
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The 2021 World Health Organization Classification of Tumors of the Central Nervous System (CNS5), introduced significant changes, impacting tumors ranging from glial to ependymal neoplasms. Ependymal tumors were previously classified and graded based on histopathology, which had limited clinical and prognostic utility. The updated CNS5 classification now divides ependymomas into 10 subgroups based on anatomic location (supratentorial, posterior fossa, and spinal compartment) and genomic markers.

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Background: Lhermitte's sign is a nonspecific historical and exam finding that carries with it a differential diagnosis of cervical myelopathy, multiple sclerosis, intradural tumors, or other central nervous system pathology. Regardless of the suspected diagnosis, further diagnostic investigation is indicated to determine etiology of symptoms.

Case Presentation: In this case, a 67-year-old male Veteran presents to a Veterans Affairs (VA) outpatient chiropractic clinic with an insidious 6-month onset of neck pain with historical description of a positive Lhermitte's sign, a single episode of bladder incontinence, and mild changes in upper extremity manual dexterity.

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Background And Purpose: The aim of this study was to determine the diagnostic value of fractional plasma volume derived from dynamic contrast-enhanced perfusion MR imaging versus ADC, obtained from DWI in differentiating between grade 2 (low-grade) and grade 3 (high-grade) intracranial ependymomas.

Materials And Methods: A hospital database was created for the period from January 2013 through June 2022, including patients with histologically-proved ependymoma diagnosis with available dynamic contrast-enhanced MR imaging. Both dynamic contrast-enhanced perfusion and DWI were performed on each patient using 1.

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Article Synopsis
  • CNS tumors are hard to diagnose quickly due to varied symptoms and inconsistent neurologic exam results.
  • The study analyzed 121 pediatric patients who presented to the emergency department with newly diagnosed CNS tumors, focusing on their clinical features and the time taken for diagnosis.
  • Findings showed a delayed diagnosis in 14% of cases, often presenting with normal or non-focal neurologic exams, emphasizing the complexity of identifying these tumors.
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Technical aspects of fourth ventricle ependymomas in adults: how I do it.

Acta Neurochir (Wien)

May 2024

Department of Neurosurgery and Neurooncology, 1St Faculty of Medicine, Charles University and Military University Hospital, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic.

Background: Ependymomas in the fourth ventricle in adults are rare entity. Surgical treatment of adult ependymomas is the only treatment modality since no other effective alternative is available. Radical resection often means cure but it is hindered by the nature and location of the lesion.

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