Table 2.
Imaging Modality | Metastatic dural lesions | Meningiomas |
---|---|---|
Noncontrast MRI (T1) | Hypointense areas on T1-weighted images | Hypo- or isointense on T1-weighted images |
Noncontrast MRI (T2) | Hyperintense areas on T2-weighted images | Variable signal intensity on T2- weighted images; Typically isointensity or slightly hyperintensity |
MRI with gadolinium-DTPA contrast (T1) | Distinctly hyperintense lesion Enhancement of a dural tail Best imaging modality |
Intense homogeneous or heterogeneous enhancement Well-defined margin |
MRI (additional findings) | Dural tail sign is a possibility | Dural tail sign Star-burst sign CSF cleft |