Clinical impact of integrated physiologic brain tumor imaging

Technology in Cancer Research & Treatment
Jay J PillaiAsim Choudhri

Abstract

The development of new MRI techniques in the last two decades has provided neuroradiologists and neurosurgeons with additional noninvasive imaging tools for management and treatment of brain tumors. When coupled with standard structural MR sequences in imaging brain tumors, Blood Oxygenation Level Dependent (BOLD) functional MRI (fMRI), Perfusion Weighted Imaging (PWI) and Diffusion Tensor Imaging (DTI) provide additional physiologic information that is very useful for differential diagnosis, presurgical planning and prognosis. In this review after a brief technical description of BOLD fMRI, PWI and DTI, studies are described from the literature that have extensively validated these imaging techniques in comparison with invasive "gold standard" techniques such as intraoperative electrical cortical and subcortical stimulation mapping or biopsy. Additional studies are mentioned that demonstrate the positive impact of BOLD fMRI, PWI and DTI on brain tumor treatment and clinical outcome. In the final section an interesting clinical case treated at our institution is presented that highlights the clinical utility of this integrated physiologic brain tumor imaging approach.

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Citations

Oct 12, 2013·Neuroradiology·Asim F ChoudhriJames W Wheless
Mar 4, 2014·Radiologic Clinics of North America·Asim F ChoudhriDheeraj Gandhi
Aug 1, 2015·AJNR. American Journal of Neuroradiology·A F ChoudhriJ W Wheless
Dec 3, 2014·Pediatric Neurology·Shalini NarayanaAndrew C Papanicolaou
Apr 14, 2016·The British Journal of Radiology·Adam Z FinkMichael L Lipton
Jul 18, 2016·Neuroimaging Clinics of North America·Asim F ChoudhriPaul Klimo
Oct 16, 2016·Magnetic Resonance Imaging Clinics of North America·Asim F ChoudhriPaul Klimo
Aug 7, 2019·Topics in Magnetic Resonance Imaging : TMRI·Shruti AgarwalJay J Pillai

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