Complications and Pitfalls in Neuro-oncology Imaging

  • Stavros Michael StivarosEmail author
  • John-Paul Kilday
  • Bruno P. Soares
  • Thierry A. G. M. Huisman
Part of the Pediatric Oncology book series (PEDIATRICO)


Neuro-oncological imaging in children presents specific challenges with regard to both tumour identification and characterisation and determination of treatment response and short- to long-term follow-up. This chapter aims to address potential pitfalls in the imaging assessment of children with brain tumours at each of these steps in a patient’s treatment journey. Consideration will be given to complications relating to the tumour assessment process, in terms of technical and practical aspects of the imaging acquisition (including timing), as well as pitfalls relating to normal variants. Given the complexity of modern multi-parametric imaging studies, the reader should be aware of how a pattern recognition approach to imaging assessment can lead to erroneous imaging interpretation of a mass lesion or missed diagnoses. This chapter will aim to highlight the potential for such mistakes and discuss strategies to minimise the risk of such errors occurring.


MRI Neuro-oncology Perfusion imaging Spectroscopy Multi-parametric imaging Paediatric Pitfalls Diffusion imaging 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Stavros Michael Stivaros
    • 1
    • 2
    Email author
  • John-Paul Kilday
    • 3
    • 4
  • Bruno P. Soares
    • 5
  • Thierry A. G. M. Huisman
    • 6
  1. 1.Academic Unit of Paediatric Radiology, Royal Manchester Children’s Hospital, Manchester Academic Health Sciences CentreManchester University, NHS Foundation TrustManchesterUK
  2. 2.Division of Informatics, Imaging and Data Sciences, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science CentreUniversity of ManchesterManchesterUK
  3. 3.Children’s Brain Tumour Research Network (CBTRN)Royal Manchester Children’s HospitalManchesterUK
  4. 4.Division of Cancer Sciences, The Centre for Paediatric, Teenage and Young Adult CancerThe University of ManchesterManchesterUK
  5. 5.Division of Pediatric Radiology and Pediatric NeuroradiologyThe Johns Hopkins University School of MedicineBaltimoreUSA
  6. 6.Edward B. Singleton Department of Pediatric RadiologyTexas Children’s HospitalHoustonUSA

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