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@ARTICLE{Hu:1027030,
author = {Hu, Leland S. and Smits, Marion and Kaufmann, Timothy J.
and Knutsson, Linda and Rapalino, Otto and Galldiks, Norbert
and Sundgrene, Pia C. and Cha, Soonmee},
title = {{A}dvanced {I}maging in the {D}iagnosis and {R}esponse
{A}ssessment of {H}igh-{G}rade {G}lioma: {AJR} {E}xpert
{P}anel {N}arrative {R}eview},
journal = {American journal of roentgenology},
volume = {224},
number = {1},
issn = {0002-9580},
address = {Leesburg, Va.},
publisher = {American Roentgen Ray Society},
reportid = {FZJ-2024-03596},
pages = {AJR.23.30612},
year = {2025},
note = {Supported by NIH grants to L. S. Hu (nos.U01CA220378,
U01CA250481,R01CA264992, R01CA221938, and R21NS082609).},
abstract = {This AJR Expert Panel Narrative Review explores the current
status of advanced MRI and PET techniques for the
posttherapeutic response assessment of high-grade adult-type
gliomas, focusing on ongoing clinical controversies in
current practice. Discussed techniques that complement
conventional MRI and aid the differentiation of recurrent
tumor from posttreatment effects include DWI and
diffusion-tensor imaging; perfusion MRI techniques including
dynamic susceptibility contrast (DSC), dynamic
contrast-enhanced, and arterial spin labeling MRI; MR
spectroscopy (MRS) including assessment of
2-hydroxyglutarate (2HG) concentration; glucose- and amino
acid (AA)-based PET; and amide proton transfer imaging.
Updated criteria for the Response Assessment in
Neuro-Oncology are presented. Given the abundant supporting
clinical evidence, the panel supports a recommendation that
routine response assessment after high-grade glioma
treatment should include perfusion MRI, particularly given
the development of a consensus recommended DSC-MRI protocol.
Although published studies support 2HG MRS and AA PET, these
techniques' widespread adoption will likely require
increased availability (for 2HG MRS) or increased insurance
funding in the United States (for AA PET). The review
concludes with a series of consensus opinions from the
author panel, centered on the clinical integration of the
advanced imaging techniques into posttreatment surveillance
protocols.Keywords: PET; advanced MRI; high-grade glioma;
posttreatment; surveillance.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5252 - Brain Dysfunction and Plasticity (POF4-525)},
pid = {G:(DE-HGF)POF4-5252},
typ = {PUB:(DE-HGF)16},
doi = {10.2214/AJR.23.30612},
url = {https://juser.fz-juelich.de/record/1027030},
}