Diagnostic accuracy of magnetic resonance imaging in detection of intra-axial gliomas

  • Sohbia Munir Dow University of Health Sciences
  • Sohail Ahmed Khan
  • Hina Hanif
  • Maria Khan
Keywords: Glioma, magnetic resonance imaging, diagnostic accuracy, sensitivity, specificity

Abstract

Objective: To evaluate the diagnostic accuracy of magnetic resonance imaging (MRI) in detection of intra-axial gliomas in suspected cases keeping histopathology as gold standard.

Methods: This cross-sectional study was conducted at Dow Institute of Radiology, DUHS from October 2017 - April 2018. Patients of either gender aged 30-70 years presenting with headache were included. Patients already diagnosed and referred for follow up were excluded. MRI was performed on 1.5T scanner by a trained MRI technician. T1, T2, FLAIR, diffusion weighted and T1 post contrast images were acquired and reviewed by two radiologists having more than five years post fellowship experience. Sensitivity, specificity, PPV, NPV and diagnostic accuracy of MRI for intraaxial gliomas was calculated taking histopathology findings as gold standard.

Results: Mean age of the patient`s was 51.71 ±10.85 years. Positive intraaxial gliomas on MRI were observed in 123 (79.90%) patients while on histopathology, positive intraaxial gliomas were observed in 131 (85.10%) patients. Diagnostic accuracy of MRI in detection of intra-axial gliomas taking histopathology findings as gold standard showed sensitivity, specificity, positive predicted value (PPV), negative predicted value (NPV) and overall diagnostic accuracy as 89.31%, 73.91%, 95.12%, 54.84% and 87.01%.

Conclusions: MRI has high sensitivity, moderate specificity and high diagnostic accuracy in detection of intraaxial gliomas.

doi: https://doi.org/10.12669/pjms.37.1.2489

How to cite this:
Munir S, Khan SA, Hanif H, Khan M. Diagnostic accuracy of magnetic resonance imaging in detection of intra-axial gliomas. Pak J Med Sci. 2021;37(1):---------. doi: https://doi.org/10.12669/pjms.37.1.2489

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2020-11-21
How to Cite
Munir, S., Khan, S., Hanif, H., & Khan, M. (2020). Diagnostic accuracy of magnetic resonance imaging in detection of intra-axial gliomas. Pakistan Journal of Medical Sciences, 37(1). https://doi.org/10.12669/pjms.37.1.2489
Section
Original Articles