Diffusion Tensor Imaging Shows Corpus Callosum Differences between High‐Grade Gliomas and Metastases

摘要

ABSTRACT BACKGROUND AND PURPOSE The corpus callosum (CC) has an important role in regulating interhemispheric transfer and is thought to be instrumental in contralateral brain reorganization in patients with brain tumors, as suggested by a previous study reporting callosal differences between language dominance groups through diffusion tensor imaging (DTI) characteristics. The purpose of this study was to explore the structural differences in the CC between high‐grade gliomas (HGGs) and metastatic tumors (METs) using the DTI characteristics of fractional anisotropy (FA), mean diffusivity (MD), and axial diffusivity (AD). METHODS HGG ( n = 30) and MET ( n = 20) subjects with Magnetic Resonance Imaging (MRI) scans including DTI were retrospectively studied. The tumor and CC were segmented using the 3‐dimensional T1‐weighted scans to determine their volumes. The region of interest (ROI; mean volume of the ROI = 3,090 ± 464 mm 3 ) of the body of the CC was overlaid onto the DTI parametric maps to obtain the averaged FA, MD, and AD values. RESULTS There were significant differences in the distributions of FA and MD values between the two patient groups (mean FA for HGG/MET = .691/.646, P .05; mean MD for HGG/MET = . 894 × 1 0 ? 3 mm 2 / second / . 992 × 1 0 ? 3 mm 2 /second, P .01), while there was no correlation between the DTI parameters and the anatomical volumes. CONCLUSION These results suggest that there is more contralateral brain reorganization in HGG patients than MET patients and that neither the tumor nor callosal volume impact the degree of contralateral brain reorganization.