| Abstract [eng] |
Relevance of the topic. Radiological diagnosis of meningiomas is of critical importance in modern neuro-oncology, as it enables precise assessment of tumor location, size, and its relationship to surrounding structures, which is essential for planning further treatment. Contrast-enhanced magnetic resonance imaging (MRI) is considered the gold standard in meningioma diagnostics due to its ability to clearly visualize soft tissues and identify features characteristic of meningiomas. Computed tomography (CT) is useful for evaluating bony changes and calcifications, especially when MRI is contraindicated. Aim of the study. To review scientific literature and assess radiological imaging techniques and their diagnostic value in identifying meningiomas in the context of a clinical case. Materials and methods. This literature review included searches of scientific publications in PubMed and Google Scholar databases. The following keywords and their combinations in English were used: meningioma, MRI, CT, radiology, imaging, differential diagnostics. Filters applied in the search included: publication date within the last 10 years (2015–2025), full-text availability, and English language. The clinical case described was approved by the patient with written informed consent, and all confidential data were anonymized. Results. There remain numerous challenges in the radiological diagnosis of meningiomas. In the absence of classical imaging features, other pathologies—particularly higher-grade malignancies—may be suspected. Computed tomography and magnetic resonance imaging remain the mainstay of routine radiological evaluation. Conclusions. Although meningioma is one of the most common intracranial extra-axial tumors, some subtypes may be difficult to diagnose radiologically. CT provides sufficient diagnostic value, particularly for visualizing bone changes and calcifications. MRI offers the most accurate assessment of tumor structure and spread, especially in malignant cases with brain parenchymal or transosseous invasion. In the clinical case, the tumor exhibited many features characteristic of a meningioma, but accompanying changes in the bones raised suspicion of a systemic disease, of which the tumor was a manifestation. Only a comprehensive examination and pathological analysis helped establish the final diagnosis. Keywords. meningioma, magnetic resonance imaging, computed tomography, brain tumors, extra-axial tumors. |
