Neuroimaging of brain tumors: back to the standardized MRI-protocol

Author:

Zakharova N. E.1ORCID,Pronin I. N.1ORCID,Batalov A. I.1ORCID,Chekhonin I. V.1ORCID,Tyurina A. N.1ORCID

Affiliation:

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

Abstract

Despite the widespread application of MRI in brain tumor MR-imaging, the standardized MRI protocol has not yet been approved. This fact creates obstacles for interpreting of the obtained data and even limits the diagnostic power of MRI. Standardization of MRI studies facilitates successful planning of surgery, chemotherapy, or radiation therapy and provides more reliable follow-up. In this regard, unification of image acquisition parameters and protocols remains relevant. We propose a standard MRI protocol that includes axial and coronal T2-weighted images, axial or 3D T2-FLAIR, 3D T2* (gradient echo), diffusion-weighted imaging, axial T1-weighted images, contrast-enhanced spin-echo T1-weighted images (either axial or three planes) and obligatory subsequent isotropic 3D T1 images. The following combination of sequences facilitates the correct diagnosis and follow-up. The least magnetic field strength should be 1.5 T.

Publisher

Central Research Institute of Radiation Diagnostics

Reference21 articles.

1. Batalov A. I., Zakharova N. E., Pogosbekyan E. L., Fadeeva L. M., Goryaynov S. A., Baev A. A., Shul’ts E. I., Chelushkin D. M., Potapov A. A., Pronin I. N. Non-contrast ASL perfusion in preoperative diagnosis of supratentorial gliomas. Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko. 2018;82(6):15-22. (In Russ., In Engl.) https://doi.org/10.17116/neir o20188206115

2. Zakharova N. E., Pronin I. N., Batalov A. I., Shul’ts E. I., Tyurina A. N., Baev A. A., Fadeeva L. M. Modern standards for magnetic resonance imaging of the brain tumors. Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko. 2020;84(3): 102-112. (In Russ., In Engl.) https://doi.org/10.17116/neiro202084031102

3. Pronin I. N., Zakharova N. E., Fadeeva L. M., Pronin A. I., Shul’ts E. I., Batalov A. I. SWI/SWAN pulse sequence in MR imaging of microhemorrhages and vascular malformations. Onkologicheskij zhurnal: luchevaja diagnostika, luchevaja terapija. 2018;1(3):49-59. (In Russ.)

4. Pronin I. N., Zakharova N. E., Batalov A. I., Schul’ts E. I., Tyurina A. N., Baev A.A., Fadeeva L. M. Diagnostic standards in diagnostics of brain disorders. Kremlevskaya medicina. Klinicheskij vestnik. 2020;1:107-118. (In Russ.)

5. Batalov A. I., Zakharova N. E., Pronin I. N., Belyaev A. Yu., Pogosbekyan E. L., Goryaynov S. A., Bykanov A. E., Tyurina A. N., Shevchenko A. M., Solozhentseva K. D., Nikitin P. V., Potapov A. A. 3D 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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