2009
DOI: 10.1007/978-3-211-98811-4_33
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MR Spectroscopic Evaluation of Brain Tissue Damage After Treatment for Pediatric Brain Tumors

Abstract: MRS examinations of uninvolved brain tissue indicate long-lasting metabolic disturbances. However, the NAA/Cr ratio increase may be a sign of at least partial recovery of metabolic function of the brain.

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Cited by 10 publications
(4 citation statements)
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“…In addition to the expected immediate deleterious effects of CRT, a much more puzzling consequence is the ongoing long-term effects, which are still evident years or decades after treatment. For example, magnetic resonance spectroscopic analysis of children that have undergone CRT has demonstrated metabolic changes that are associated with brain tissue damage up to 18 months after completion of therapy ( Blamek et al, 2010 ). Magnetic resonance diffusion tensor imaging of adults 25 years after CRT has revealed loss of white matter integrity compared with healthy controls ( Schuitema et al, 2013 ).…”
Section: Discussionmentioning
confidence: 99%
“…In addition to the expected immediate deleterious effects of CRT, a much more puzzling consequence is the ongoing long-term effects, which are still evident years or decades after treatment. For example, magnetic resonance spectroscopic analysis of children that have undergone CRT has demonstrated metabolic changes that are associated with brain tissue damage up to 18 months after completion of therapy ( Blamek et al, 2010 ). Magnetic resonance diffusion tensor imaging of adults 25 years after CRT has revealed loss of white matter integrity compared with healthy controls ( Schuitema et al, 2013 ).…”
Section: Discussionmentioning
confidence: 99%
“…MRI has been used in preclinical [ 12 ] and clinical [ 27 32 ] studies to diagnose and predict therapy outcomes for pediatric GBMs. The techniques most commonly used include in vivo 1 H magnetic resonance spectroscopy ( 1 H-MRS) [ 33 35 ], diffusion-weighted imaging (DWI) [ 36 ], and arterial spin labeling perfusion (ASL) [ 37 ]. 1 H-MRS has been used in research and clinical settings to measure metabolite levels in the brain, and is well suited to perform the diagnosis, characterization, and assessment of tumor response to treatment [ 38 ].…”
Section: Introductionmentioning
confidence: 99%
“…This clinical problem is, furthermore, of major importance within neurodiagnostics for children, as well as for the adult population. Specifically, a critical differential diagnostic dilemma in neuro-oncology is to distinguish non-tumorous cerebral hypoxia/ischemia from brain tumors [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”
Section: Clinical Relevance Of the Studied Mrs Problemmentioning
confidence: 99%