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Clinical Neuroradiology
Article . 2024 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Other literature type . 2024
License: CC BY
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MR Imaging Characteristics of Solitary Fibrous Tumors of the Orbit

Case Series of 18 Patients
Authors: Christoph Ziegenfuß; Natalie van Landeghem; Chiara Meier; Roman Pförtner; Anja Eckstein; Philipp Dammann; Patrizia Haubold; +5 Authors

MR Imaging Characteristics of Solitary Fibrous Tumors of the Orbit

Abstract

Abstract Purpose Solitary fibrous tumor (SFT) of the orbit is a rare tumor that was first described in 1994. We aimed to investigate its imaging characteristics that may facilitate the differential diagnosis between SFT and other types of orbital tumors. Material and Methods Magnetic resonance imaging (MRI) data of patients with immunohistochemically confirmed orbital SFT from 2002 to 2022 at a tertiary care center were retrospectively analyzed. Tumor location, size, morphological characteristics, and contrast enhancement features were evaluated. Results Of the 18 eligible patients 10 were female (56%) with a mean age of 52 years. Most of the SFTs were oval-shaped (67%) with a sharp margin (83%). The most frequent locations were the laterocranial quadrant (44%), the extraconal space (67%) and the dorsal half of the orbit (67%). A flow void phenomenon was observed in nearly all cases (94%). On the T1-weighted imaging, tumor signal intensity (SI) was significantly lower than that of the retrobulbar fat and appeared predominantly equivalent (82%) to the temporomesial brain cortex, while on T2-weighted imaging its SI remained equivalent (50%) or slightly hyperintense to that of brain cortex. More than half of the lesions showed a homogeneous contrast enhancement pattern with a median SI increase of 2.2-fold compared to baseline precontrast imaging. Conclusion The SFT represents a rare orbital tumor with several characteristic imaging features. It was mostly oval-shaped with a sharp margin and frequently localized in the extraconal space and dorsal half of the orbit. Flow voids indicating hypervascularization were the most common findings.

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Keywords

Male, Adult, Orbital Neoplasms/diagnostic imaging [MeSH] ; Female [MeSH] ; Aged [MeSH] ; Solitary Fibrous Tumors/diagnostic imaging [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Orbital tumor ; Solitary Fibrous Tumors/pathology [MeSH] ; Retrospective Studies [MeSH] ; Middle Aged [MeSH] ; SFT ; Contrast Media [MeSH] ; Diagnosis, Differential [MeSH] ; MR orbit ; Original Article ; Solitary fibrous tumor ; Male [MeSH] ; Magnetic Resonance Imaging/methods [MeSH] ; MR imaging, Medizin, Contrast Media, Middle Aged, Magnetic Resonance Imaging, Diagnosis, Differential, Solitary Fibrous Tumors, Humans, Orbital Neoplasms, Original Article, Female, Retrospective Studies, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green
hybrid