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Related Concept Videos

Tumor Progression02:07

Tumor Progression

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Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
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Related Experiment Video

Updated: Feb 23, 2026

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Pseudoprogression after glioma therapy: an update.

Norbert Galldiks1,2,3, Martin Kocher4, Karl-Josef Langen2,5

  • 1a Department of Neurology , University of Cologne , Cologne , Germany.

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|September 2, 2017
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Summary

Advanced neuroimaging, including perfusion-weighted imaging (PWI) MRI and amino acid PET scans, can help distinguish glioma pseudoprogression from true tumor growth. These methods offer valuable diagnostic information for brain tumor patients.

Keywords:
FET PETPWIadvanced MRIcheckpoint inhibitorsglioblastomaimmunotherapytemozolomide

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Area of Science:

  • Neuro-oncology
  • Radiology
  • Nuclear Medicine

Background:

  • Standard MRI struggles to differentiate glioma pseudoprogression from tumor progression.
  • Accurate diagnosis is crucial for effective treatment planning in brain tumor patients.

Purpose of the Study:

  • To review advanced neuroimaging techniques for identifying pseudoprogression in gliomas.
  • To assess the diagnostic value of PET and PWI MRI in this context.

Main Methods:

  • Literature search focusing on pseudoprogression, gliomas, PET, and PWI MRI.
  • Review of current evidence on the efficacy of these advanced imaging modalities.

Main Results:

  • Perfusion-weighted imaging (PWI) MRI and amino acid PET show strong potential in diagnosing pseudoprogression.
  • These techniques provide valuable supplementary information beyond standard MRI.

Conclusions:

  • PWI MRI and amino acid PET are valuable tools for overcoming diagnostic challenges in glioma pseudoprogression.
  • Despite availability and standardization issues, these methods offer significant benefits and warrant wider adoption.