CNS applications of advanced MR imaging techniques
Technique | Application |
---|---|
DTI and fiber tractography12,13 | Biopsy guidance |
Determination of functionally eloquent tracts and surgical plan | |
PWI14–24 | |
DSC | Differential diagnosis: tumor vs nontumoral lesions, primary vs metastatic lesions, tumor grading, tumor complications, treatment response, pseudoprogression |
DCE | Differential diagnosis: tumor vs nontumoral tissue, tumor grading, treatment response, pseudoprogression |
DWI25,26 | Differential diagnosis: tumor vs nontumoral lesions, tumor grading, treatment response |
ADC27,28 | Glioma grading, differentiation of high cellularity lymphoma |
MRS29–33 | Differential diagnosis: tumor vs nontumoral lesions, primary vs metastatic lesions, treatment response |
Blood oxygen level–dependent imaging34 | Neuronal activity, surgical guidance |
Nuclear medicine, PET35 | Biopsy guidance, treatment response, differential diagnosis: tumor recurrence vs radionecrosis |
Volumetric imaging36 | Not widely available and implementable |