Standard clinical approaches and emerging modalities for glioblastoma imaging

Autor: Joshua D Bernstock, Sam E Gary, Neil Klinger, Pablo A Valdes, Walid Ibn Essayed, Hannah E Olsen, Gustavo Chagoya, Galal Elsayed, Daisuke Yamashita, Patrick Schuss, Florian A Gessler, Pier Paolo Peruzzi, Asim K Bag, Gregory K Friedman
Rok vydání: 2022
Předmět:
Zdroj: Neuro-Oncology Advances. 4
ISSN: 2632-2498
Popis: Glioblastoma (GBM) is the most common primary adult intracranial malignancy and carries a dismal prognosis despite an aggressive multimodal treatment regimen that consists of surgical resection, radiation, and adjuvant chemotherapy. Radiographic evaluation, largely informed by magnetic resonance imaging (MRI), is a critical component of initial diagnosis, surgical planning, and post-treatment monitoring. However, conventional MRI does not provide information regarding tumor microvasculature, necrosis, or neoangiogenesis. In addition, traditional MRI imaging can be further confounded by treatment-related effects such as pseudoprogression, radiation necrosis, and/or pseudoresponse(s) that preclude clinicians from making fully informed decisions when structuring a therapeutic approach. A myriad of novel imaging modalities have been developed to address these deficits. Herein, we provide a clinically oriented review of standard techniques for imaging GBM and highlight emerging technologies utilized in disease characterization and therapeutic development.
Databáze: OpenAIRE