Journal
CURRENT ONCOLOGY REPORTS
Volume 23, Issue 3, Pages -Publisher
SPRINGER
DOI: 10.1007/s11912-021-01020-2
Keywords
Brain tumor; Advanced MRI; Amino acid PET; FET; Hybrid PET; MRI; Radiogenomics; Glioma; Glioblastoma; Metastasis; High-grade malignancy; Progression; Pseudoprogression; Radiation necrosis; Pseudoresponse; Treatment-related change; Tumor grading; Perfusion-weighted imaging; Diffusion-weighted imaging; Chemical exchange saturation transfer; MR spectroscopy; Radiomics
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This review discusses the latest advances in brain tumor imaging, focusing on the complementary nature of MRI and PET imaging techniques, as well as the advantages of advanced MRI techniques and the specificity of PET in tumor diagnosis.
Purpose of Review This review will explore the latest in advanced imaging techniques, with a focus on the complementary nature of multiparametric, multimodality imaging using magnetic resonance imaging (MRI) and positron emission tomography (PET). Recent Findings Advanced MRI techniques including perfusion-weighted imaging (PWI), MR spectroscopy (MRS), diffusion-weighted imaging (DWI), and MR chemical exchange saturation transfer (CEST) offer significant advantages over conventional MR imaging when evaluating tumor extent, predicting grade, and assessing treatment response. PET performed in addition to advanced MRI provides complementary information regarding tumor metabolic properties, particularly when performed simultaneously. F-18-fluoroethyltyrosine (FET) PET improves the specificity of tumor diagnosis and evaluation of post-treatment changes. Incorporation of radiogenomics and machine learning methods further improve advanced imaging. The complementary nature of combining advanced imaging techniques across modalities for brain tumor imaging and incorporating technologies such as radiogenomics has the potential to reshape the landscape in neuro-oncology.
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