2022
DOI: 10.1016/j.clinimag.2022.08.002
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Intracranial “white” epidermoid tumours – An imaging approach and systematic review

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Cited by 5 publications
(4 citation statements)
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“…Thus, based on intraoperative findings and previous literature, we speculated that the high signal on T1WI is mainly related to the high protein content in the cyst, while the low signal on T2WI may be explained by the high viscosity of the cyst contents. According to the previous literature, intracranial epidermoid cysts demonstrate an markedly hyperintense signal compared to brain tissue and CSF on DWI because of the combination of T2 and diffusion effects, especially the T2 penetration effect rather than diffusion effects when ADC values were significantly higher than other brain area [13] , [14] . It can be inferred that the low signal on T2WI of the epidermoid cyst in this case resulted in the low signal on DWI.…”
Section: Discussionmentioning
confidence: 94%
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“…Thus, based on intraoperative findings and previous literature, we speculated that the high signal on T1WI is mainly related to the high protein content in the cyst, while the low signal on T2WI may be explained by the high viscosity of the cyst contents. According to the previous literature, intracranial epidermoid cysts demonstrate an markedly hyperintense signal compared to brain tissue and CSF on DWI because of the combination of T2 and diffusion effects, especially the T2 penetration effect rather than diffusion effects when ADC values were significantly higher than other brain area [13] , [14] . It can be inferred that the low signal on T2WI of the epidermoid cyst in this case resulted in the low signal on DWI.…”
Section: Discussionmentioning
confidence: 94%
“…Rare causes, such as the presence of melanin deposits, large numbers of polymorphonuclear leukocytes and infection, were also thought to be causes of atypical imaging findings [6] , [12] . The latest research suggested that HIECs contenting high protein levels and viscosity resulted in low T2 signal, while blood products resulted in high T2 signal [13] .…”
Section: Discussionmentioning
confidence: 99%
“…Although tissue biopsy and conventional imaging techniques have been widely used for many years, limitations remain unaddressed. For tissue biopsy, limited sampling is often hard to capture the heterogeneity and evolution of tumors (Cheng et al, 2019), while conventional imaging techniques are less sensitive for the early detection of cancer (Loy et al, 2022). In recent years, liquid biopsy, which aims to provide an alternative to invasive tissue biopsy Frontiers in Genetics frontiersin.org by analyzing biomarkers in biofluids that reflect the nature of cancer (Ignatiadis et al, 2021), has been widely investigated.…”
Section: Discussionmentioning
confidence: 99%
“…Intracranial epidermoid cysts (ECs) arise from ectodermal cells that become aberrantly trapped within the central nervous system during development. 1 They comprise approximately 1% of all intracranial cysts. 2 ECs are characterized by a thin epithelialized capsule and grow through the process of desquamation.…”
mentioning
confidence: 99%