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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticlePediatric Neuroimaging
Open Access

Measurable Supratentorial White Matter Volume Changes in Patients with Diffuse Intrinsic Pontine Glioma Treated with an Anti-Vascular Endothelial Growth Factor Agent, Steroids, and Radiation

P. Svolos, W.E. Reddick, A. Edwards, A. Sykes, Y. Li, J.O. Glass and Z. Patay
American Journal of Neuroradiology June 2017, 38 (6) 1235-1241; DOI: https://doi.org/10.3174/ajnr.A5159
P. Svolos
aFrom the Departments of Diagnostic Imaging (P.S., W.E.R., A.E., J.O.G., Z.P.)
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  • ORCID record for P. Svolos
W.E. Reddick
aFrom the Departments of Diagnostic Imaging (P.S., W.E.R., A.E., J.O.G., Z.P.)
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A. Edwards
aFrom the Departments of Diagnostic Imaging (P.S., W.E.R., A.E., J.O.G., Z.P.)
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A. Sykes
bBiostatistics (A.S., Y.L.), St. Jude Children's Research Hospital, Memphis, Tennessee.
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Y. Li
bBiostatistics (A.S., Y.L.), St. Jude Children's Research Hospital, Memphis, Tennessee.
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J.O. Glass
aFrom the Departments of Diagnostic Imaging (P.S., W.E.R., A.E., J.O.G., Z.P.)
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Z. Patay
aFrom the Departments of Diagnostic Imaging (P.S., W.E.R., A.E., J.O.G., Z.P.)
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    Fig 1.

    Axial T2-weighted images of the supratentorial brain (A and B) and brain stem lesions (C and D) in a patient with DIPG at baseline (A and C) and after RT (B and D). D, Note the prominent brain stem lesion volume reduction in conjunction with less robust but measurable pseudoatrophic changes within the supratentorial brain parenchyma.

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    Fig 2.

    A, Treatment duration and number of patients receiving corticosteroids at each time point. Radiation therapy and vandetanib were started on the same date, approximately 1 week from baseline. Longitudinal volumetric (B) and diffusion (C) changes (mean ± standard error) of the brain stem lesion and supratentorial white matter.

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  • Volumetric and diffusion measurements of brain stem lesions and supratentorial white mattera

    Time PointsNormalized Volume MeanNormalized ADC Mean
    BS-LST-WMBS-LST-WM
    Baseline1.001.001.001.00
    eRT0.65 ± 0.180.88 ± 0.110.80 ± 0.120.98 ± 0.03
    W140.60 ± 0.170.85 ± 0.140.76 ± 0.180.97 ± 0.06
    ePFS0.99 ± 0.400.86 ± 0.110.82 ± 0.170.95 ± 0.04
    • ↵a All values were normalized to baseline value.

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American Journal of Neuroradiology: 38 (6)
American Journal of Neuroradiology
Vol. 38, Issue 6
1 Jun 2017
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Cite this article
P. Svolos, W.E. Reddick, A. Edwards, A. Sykes, Y. Li, J.O. Glass, Z. Patay
Measurable Supratentorial White Matter Volume Changes in Patients with Diffuse Intrinsic Pontine Glioma Treated with an Anti-Vascular Endothelial Growth Factor Agent, Steroids, and Radiation
American Journal of Neuroradiology Jun 2017, 38 (6) 1235-1241; DOI: 10.3174/ajnr.A5159

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Measurable Supratentorial White Matter Volume Changes in Patients with Diffuse Intrinsic Pontine Glioma Treated with an Anti-Vascular Endothelial Growth Factor Agent, Steroids, and Radiation
P. Svolos, W.E. Reddick, A. Edwards, A. Sykes, Y. Li, J.O. Glass, Z. Patay
American Journal of Neuroradiology Jun 2017, 38 (6) 1235-1241; DOI: 10.3174/ajnr.A5159
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