Magnetic Resonance Imaging in Studies of Perifocal Zone of Brain Gliomas (a Literature Review)

Author:

Zakharova N. E.1ORCID,Batalov A. I.1ORCID,Pogosbekyan E. L.1ORCID,Goryaynov S. A.1ORCID,Fadeeva L. M.1ORCID,Bykanov A. E.1ORCID,Tyurina A. N.1ORCID,Chekhonin I. V.1ORCID,Galstyan S. A.1ORCID,Pronin I. N.1ORCID,Usachev D. Yu.1ORCID

Affiliation:

1. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation

Abstract

This review provides insight into application of modern MRI modalities including diffusion kurtosis imaging in assessment of perifocal glioma zone. Differentiation of “pure” perifocal vasogenic edema from edema infiltrated by glioma cells, as well as identification of peritumoral intact (on conventional MRI) brain matter infiltration make it possible to determine glial tumor borders more accurately. Analysis of diffusion and perfusion quantitative MR data allow determining glioma borders in areas with unaltered blood-brain barrier. There is a growing possibility to develop a personalized navigation algorithm for surgical removal of the tumor, followed by the determination of an individual plan for radiation and chemotherapy, as well as prediction of disease outcomes.

Publisher

Central Research Institute of Radiation Diagnostics

Reference27 articles.

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2. Turkin A. M., Pogosbekyan E. L., Tonoyan A. S., Schults E. I., Maximov I. I., Dolgushin M. B., Khachanova N. V., Fadeeva L. M., Melnikova-Pitskhelauri T. V., Pitskhelauri D. I., Pronin I. N., Kornienko V. N. Diffusion kurtosis Imaging in the assessment of peritumoral brain edema in glioblastomas and brain metastases. Med. Vis. 2017;4:97-112. (In Russ., in Engl.). https://doi.org/10.24835/1607-0763-2017-4-97-112

3. Abdalla G., Dixon L., Sanverdi E., Machado P., Kwong J., Panovska-Griffiths J., Rojas-García A., Yoneoka D., Veraart J., Van Cauter S., Abdelkhalek A., Settein M., Yousry T., Bisdas S. The diagnostic role of diffusional kurtosis imaging in glioma grading and differentiation of gliomas from other intra-axial brain tumours: a systematic review with critical appraisal and meta-analysis. Neuroradiology. 2020; 62(7):791-802. https://doi.org/10.1007/S00234-020-02425-9

4. Akbari H., Macyszyn L., Da X., Bilello M., Wolf R., Martinez-Lage M., Biros G., Alonso-Basanta M., O’Rourke D., Davatzikos C. Imaging surrogates of infiltration obtained via multiparametric imaging pattern analysis predict subsequent location of recurrence of glioblastoma. Neurosurgery. 2016;78(4): 572-580. https://doi.org/10.1227/NEU.0000000000001202

5. Batalov A. I., Zakharova N. E., Pronin I. N., Belyaev A. Yu., Pogosbekyan E. L., Goryaynov S. A., Bykanov A. E., Tyurina pCASL-perfusion in preoperative assessment of brain gliomas in large cohort of patients. Sci. Rep. 2022;12:2121. https:// doi.org/10.1038/s41598-022-05992-4

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