Scientific publications

Advanced MR Techniques for Preoperative Glioma Characterization: Part 2

Mar 13, 2023 | Magazine: Journal of Magnetic Resonance Imaging

Gilbert Hangel  1   2   3   4 , Bárbara Schmitz-Abecassis  5   6 , Nico Sollmann  7   8   9 , Joana Pinto  10 , Fatemehsadat Arzanforoosh  11 , Frederik Barkhof  12   13 , Thomas Booth  14   15 , Marta Calvo-Imirizaldu  16 , Guilherme Cassia  17 , Marek Chmelik  18 , Patricia Clement  19   20 , Ece Ercan  5 , Maria A Fernández-Seara  16   21 , Julia Furtner  22   23 , Elies Fuster-Garcia  24 , Matthew Grech-Sollars  25   26 , N Tugay Guven  27 , Gokce Hale Hatay  27 , Golestan Karami  14 , Vera C Keil  12   28 , Mina Kim  29 , Johan A F Koekkoek  30   31 , Simran Kukran  32   33 , Laura Mancini  26   34 , Ruben Emanuel Nechifor  35 , Alpay Özcan  36 , Esin Ozturk-Isik  27 , Senol Piskin  37 , Kathleen M Schmainda  38 , Siri F Svensson  39   40 , Chih-Hsien Tseng  6   41 , Saritha Unnikrishnan  42   43 , Frans Vos  6   11   41 , Esther Warnert  11 , Moss Y Zhao  44   45 , Radim Jancalek  46   47 , Teresa Nunes  48 , Lydiane Hirschler  49 , Marion Smits  6   11   50 , Jan Petr  51 , Kyrre E Emblem  39


 Abstract

Preoperative clinical MRI protocols for gliomas, brain tumors with dismal outcomes due to their infiltrative properties, still rely on conventional structural MRI, which does not deliver information on tumor genotype and is limited in the delineation of diffuse gliomas.

The GliMR COST action wants to raise awareness about the state of the art of advanced MRI techniques in gliomas and their possible clinical translation.

This review describes current methods, limits, and applications of advanced MRI for the preoperative assessment of glioma, summarizing the level of clinical validation of different techniques. In this second part, we review magnetic resonance spectroscopy (MRS), chemical exchange saturation transfer (CEST), susceptibility-weighted imaging (SWI), MRI-PET, MR elastography (MRE), and MR-based radiomics applications.

The first part of this review addresses dynamic susceptibility contrast (DSC) and dynamic contrast-enhanced (DCE) MRI, arterial spin labeling (ASL), diffusion-weighted MRI, vessel imaging, and magnetic resonance fingerprinting (MRF). EVIDENCE LEVEL: 3. TECHNICAL EFFICACY: Stage 2.

CITATION  J Magn Reson Imaging. 2023 Mar 13. doi: 10.1002/jmri.28663