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@ARTICLE{Galldiks:837424,
author = {Galldiks, Norbert and Kocher, Martin and Langen,
Karl-Josef},
title = {{P}seudoprogression after glioma therapy: an update},
journal = {Expert review of neurotherapeutics},
volume = {17},
number = {11},
issn = {1744-8360},
address = {Abingdon},
publisher = {Taylor $\&$ Francis Group},
reportid = {FZJ-2017-06349},
pages = {1109-1115},
year = {2017},
abstract = {Introduction: Initial diagnostics and follow-up of gliomas
is usually based on contrast-enhanced MRI. However, the
capacity of standard MRI to differentiate neoplastic tissue
from posttherapeutic effects such as pseudoprogression is
limited. Advanced neuroimaging methods may provide relevant
additional information, which allow for a more accurate
diagnosis especially in clinically equivocal situations.
This review article focuses predominantly on PET using
radiolabeled amino acids and advanced MRI techniques such as
perfusion-weighted imaging (PWI) and summarizes the efforts
of these methods regarding the identification of
pseudoprogression after glioma therapy.Areas covered: The
current literature on pseudoprogression in the field of
brain tumors, with a focus on gliomas is summarized. A
literature search was performed using the terms
‘pseudoprogression’, ‘temozolomide’,
‘glioblastoma’, ‘PET’, ‘PWI’,
‘radiochemotherapy’, and derivations thereof.Expert
commentary: The present literature provides strong evidence
that PWI MRI and amino acid PET can be of great value by
providing valuable additional diagnostic information in
order to overcome the diagnostic challenge of
pseudoprogression. Despite various obstacles such as the
still limited availability of amino acid PET and the lack of
standardization of PWI, the diagnostic improvement probably
results in relevant benefits for brain tumor patients and
justifies a more widespread use of these diagnostic tools.},
cin = {INM-4 / INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-4-20090406 / I:(DE-Juel1)INM-3-20090406},
pnm = {573 - Neuroimaging (POF3-573)},
pid = {G:(DE-HGF)POF3-573},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:28862482},
UT = {WOS:000414154300006},
doi = {10.1080/14737175.2017.1375405},
url = {https://juser.fz-juelich.de/record/837424},
}