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PET imaging in patients with meningioma-report of the RANO/PET Group
Norbert Galldiks1,2,3, Nathalie L Albert4, Michael Sommerauer5,6
1Department of Neurology, University Hospital Cologne, Cologne, Germany.
Abstract:
Meningiomas are the most frequent nonglial primary brain tumors and represent about 30% of brain tumors. Usually, diagnosis and treatment planning are based on neuroimaging using mainly MRI or, rarely, CT. Most common treatment options are neurosurgical resection and radiotherapy (eg, radiosurgery, external fractionated radiotherapy). For follow-up after treatment, a structural imaging technique such as MRI or CT is used. However, these structural imaging modalities have limitations, particularly in terms of tumor delineation as well as diagnosis of posttherapeutic reactive changes. Molecular imaging techniques such as PET can characterize specific metabolic and cellular features which may provide clinically relevant information beyond that obtained from structural MR or CT imaging alone. Currently, the use of PET in meningioma patients is steadily increasing. In the present article, we provide recommendations for the use of PET imaging in the clinical management of meningiomas based on evidence generated from studies being validated by histology or clinical course.
Insights
Positron emission tomography (PET) offers valuable insights for managing meningiomas, complementing traditional MRI and CT scans. This molecular imaging technique aids in tumor delineation and assessing treatment responses, improving patient care.
Area of Science:
- Neuro-oncology
- Medical Imaging
- Radiology
Background:
- Meningiomas are the most common primary brain tumors, accounting for 30% of all brain tumors.
- Current diagnosis and treatment planning rely on MRI and CT, which have limitations in tumor delineation and assessing post-treatment changes.
- Molecular imaging, specifically PET, is increasingly used in meningioma management.
Purpose of the Study:
- To provide evidence-based recommendations for using PET imaging in the clinical management of meningiomas.
- To highlight the advantages of PET over conventional structural imaging for meningioma assessment.
Main Methods:
- Review of studies validating PET imaging in meningioma patients.
- Evaluation of PET's ability to characterize metabolic and cellular features.
- Correlation of PET findings with histological or clinical course data.
Main Results:
- PET imaging provides clinically relevant information beyond structural MRI or CT.
- PET can aid in overcoming limitations of MRI/CT for tumor delineation and post-therapeutic change diagnosis.
- The use of PET in meningioma patients is growing.
Conclusions:
- PET imaging is a valuable tool for the clinical management of meningiomas.
- Recommendations are provided for integrating PET into meningioma patient care.
- PET enhances diagnostic accuracy and treatment monitoring for meningiomas.
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