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Modeling Brain Metastases Through Intracranial Injection and Magnetic Resonance Imaging
Published on: June 7, 2020
Emerging techniques and technologies in brain tumor imaging
Benjamin M Ellingson1, Martin Bendszus1, A Gregory Sorensen1
1Department of Radiological Sciences, David Geffen School of Medicine at University of California, Los Angeles, California (B.M.E., W.B.P.); Department of Biomedical Physics, David Geffen School of Medicine at University of California, Los Angeles, California (B.M.E.); Department of Bioengineering, Henry Samueli School of Engineering and Applied Science at University of California, Los Angeles, California (B.M.E.); Brain Research Institute, David Geffen School of Medicine at University of California, Los Angeles, California (B.M.E.); UCLA Neuro-Oncology Program, David Geffen School of Medicine at University of California, Los Angeles, California (B.M.E.); Department of Neuroradiology, University of Heidelberg, Heidelberg, Germany (M.B.); Siemens Healthcare, Erlangen, Germany (A.G.S.).
Abstract:
The purpose of this report is to describe the state of imaging techniques and technologies for detecting response of brain tumors to treatment in the setting of multicenter clinical trials. Within currently used technologies, implementation of standardized image acquisition and the use of volumetric estimates and subtraction maps are likely to help to improve tumor visualization, delineation, and quantification. Upon further development, refinement, and standardization, imaging technologies such as diffusion and perfusion MRI and amino acid PET may contribute to the detection of tumor response to treatment, particularly in specific treatment settings. Over the next few years, new technologies such as 2(3)Na MRI and CEST imaging technologies will be explored for their use in expanding the ability to quantitatively image tumor response to therapies in a clinical trial setting.
Insights
Standardized imaging and volumetric analysis improve brain tumor response detection in clinical trials. Advanced techniques like diffusion MRI and amino acid PET show promise for more accurate treatment monitoring.
Area of Science:
- Neuroimaging
- Oncology
- Radiology
Background:
- Accurate assessment of brain tumor treatment response is crucial for clinical trial success.
- Multicenter clinical trials require standardized and reliable imaging methods for evaluating treatment efficacy.
Purpose of the Study:
- To review current and emerging imaging techniques for detecting brain tumor treatment response in multicenter clinical trials.
- To highlight the importance of standardization in image acquisition and analysis for improved quantification.
Main Methods:
- Review of existing imaging technologies and their application in clinical trials.
- Discussion of potential advancements including diffusion MRI, perfusion MRI, and amino acid PET.
- Exploration of novel techniques like 2(3)Na MRI and CEST imaging.
Main Results:
- Standardized image acquisition, volumetric measurements, and subtraction maps enhance tumor visualization and quantification.
- Diffusion MRI, perfusion MRI, and amino acid PET offer potential for improved detection of treatment response.
- Emerging technologies like 2(3)Na MRI and CEST imaging are under investigation for quantitative assessment.
Conclusions:
- Standardization of current imaging techniques is vital for reliable assessment of brain tumor treatment response.
- Advanced and novel imaging technologies hold significant promise for enhancing quantitative evaluation in clinical trials.
- Continued research and development are necessary to fully realize the potential of these techniques in neuro-oncology.
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