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@ARTICLE{Galldiks:864681,
author = {Galldiks, Norbert and Kocher, Martin and Ceccon, Garry and
Werner, Jan-Michael and Brunn, Anna and Deckert, Martina and
Pope, Whitney B and Soffietti, Riccardo and Le Rhun, Emilie
and Weller, Michael and Tonn, Jörg C and Fink, Gereon R and
Langen, Karl-Josef},
title = {{I}maging challenges of immunotherapy and targeted therapy
in patients with brain metastases: {R}esponse,
{P}rogression, and {P}seudoprogression},
journal = {Neuro-Oncology},
volume = {22},
number = {1},
issn = {1523-5866},
address = {Oxford},
publisher = {Oxford Univ. Press},
reportid = {FZJ-2019-04375},
pages = {17-30},
year = {2020},
abstract = {The advent of immunotherapy using immune checkpoint
inhibitors (ICIs) and targeted therapy (TT) has dramatically
improved the prognosis of various cancer types. However,
following ICI therapy or TT—either alone (especially ICI)
or in combination with radiotherapy—imaging findings on
anatomical contrast-enhanced MRI can be unpredictable and
highly variable, and are often difficult to interpret
regarding treatment response and outcome. This review aims
at summarizing the imaging challenges related to TT and ICI
monotherapy as well as combined with radiotherapy in
patients with brain metastases, and to give an overview on
advanced imaging techniques which potentially overcome some
of these imaging challenges. Currently, major evidence
suggests that imaging parameters especially derived from
amino acid PET, perfusion-/diffusion-weighted MRI, or MR
spectroscopy may provide valuable additional information for
the differentiation of treatment-induced changes from brain
metastases recurrence and the evaluation of treatment
response.},
cin = {INM-3 / INM-4},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-4-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31437274},
UT = {WOS:000522635600005},
doi = {10.1093/neuonc/noz147},
url = {https://juser.fz-juelich.de/record/864681},
}