The authors present their own proposal for a standard diagnostic proceduře algorithm in intracranial meningiomas. which they ušed in their prospective, non-randomized longitudinal study in a group of 30 subjects within a year. The following four criteria were assessed in each patient: age, physical condition according the ASA classification, location of the meningioma on the MRI (superficial, the scull base) and the growth invasivity using selective DSA (ACI+ACE) and MRI (the vascularization type, the oedema index and the change in the oedema signál intensity in 3.5 hours). The criteria helped to establish the optimum therapeutic proceduře for each patient: embolisation without a follow-up surgery (2 subjects), observation (2 subjects), pre-operative embolisation (5 subjects) and surgery without preceeding embolisation (21 subjects). This study did not assess the intracranial meningiomas treatment outcome. It highlights significance of the diagnostic procedures standardization in order to establish their optimum therapeutic modality.

        Key words: intracranial meningioma - ASA - growth invasivity - embolisation - MRI - selective DSA