Advances in differentiating intracranial isolated fibromas from different grades of meningiomas based on diffusion-weighted imaging
Intracranial solitary fibrous tumor (SFT) has the characteristics of easy recurrence and high probability of intraoperative hemorrhage. It must be actively carried out preoperative and intraoperative preparations and systematic postoperative treatment. In contrast,meningiomas,which are similar in imaging manifestations with SFTs,are mostly benign,less prone to intraoperative hemorrhage,and have a better prognosis. So,it is crucial to differentiate between SFTs and meningiomas before surgery or treatment accurately. Therefore,accurate differentiation between SFTs and meningiomas before surgery or treatment is crucial. This article aims to systematically review the research progress and pathophysiological mechanisms of magnetic resonance diffusion-weighted imaging in distinguishing intracranial SFT from high-grade meningiomas,low-grade meningiomas,and angiomatous meningiomas. It thoroughly explores the advantages and value of this sequence in improving diagnostic accuracy,providing reference ideas for subsequent studies. Additionally,it aims to offer effective assistance to clinicians in preoperative evaluation and intraoperative decision-making,with the goal of improving patient prognosis and quality of life.