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Table 5 Sonographic appearance of intracranial tumors

From: Ultrasound-guided versus traditional surgical resection of supratentorial gliomas in a limited-resources neurosurgical setting

Case #

Pathology (WHO grade)

Gd contrast enhancement (intensity and distribution)

US ability to localize tumor (well/poor)

US ability to delineate tumor margins (well/moderate/poor)

Echogenicity

1

GBM (IV)

Strong with patchy non-enhancing

Well

Moderate

Hyper/mixed*

2

PA (I)

Strong patchy

Well

Well

Hyper

3

Oligoastro (II)

Faint patchy

Well

Poor

Iso

4

GBM (IV)

Faint Patchy

Well

Moderate

Hyper/mixed

5

GBM (IV)

Faint Patchy

Well

Well

Hyper/mixed

6

PXA (II)

Enhancing nodule with cyst

Well

Well

Hyper with hypoechoic cyst

7

GBM (IV)

Moderate heterogeneous

Well

Well

Hyper/mixed

8

GBM (IV)

Strong rim enhancement

Well

Well

Hyper/mixed

9

GBM (IV)

Strong with areas of necrosis

Well

Well

Hyper/mixed

10

GBM (IV)

Strong rim enhancement

Well

Well

Hyperechoic borders, less hyperechoic core

11

GBM (IV)

Rim enhancement

Well

Well

Hyperechoic borders, less hyperechoic core

12

Diffuse Astrocytoma (II)

Non enhancing

Poor

Poor

Iso to hyper with homogenous texture

13

GBM (IV)

Strong with areas of necrosis

Well

Moderate

Hyper/Mixed

14

Diffuse Astrocytoma (II)

Non enhancing

Poor

Poor

Iso

15

Anaplastic PXA (III)

Homogenous enhancement

Well

Well

Hyper

16

Anaplastic Astrocytoma (III)

Cyst with enhancing wall and a mural nodule

Well

Well

Hyper (nodule)ā€“Hypo (cyst)

17

GBM (IV)

Thick ring enhancement

Well

Well

Hyper/Mixed

  1. Mainly hyperechoic with areas of lower echogenicity within the core
  2. WHO World Health Organization, Gd gadolinium, US ultrasound, GBM glioblastoma multiforme, PA pilocytic astrocytoma, PXA pleomorphic xanthoastrocytoma