Key Points
■ Brain imaging is necessary for optimal localization, characterization, and management of pediatric brain cancer prior to surgery in patients with suspected or confirmed brain tumors (strong evidence).
■ Due to its superior soft tissue contrast, multi-planar capability, and bio-safety, magnetic resonance imaging without and with gadolinium-based intravenous contrast material is the preferred method for pediatric brain cancer imaging when compared to computed tomography (moderate evidence).
■ The role of proton MR spectroscopy in the diagnosis and follow-up of pediatric brain cancer remains uncertain (insufficient evidence).
■ No adequate data exist on the role of imaging in monitoring pediatric brain cancer response to therapy and differentiating between tumor recurrence and therapy-related changes (insufficent evidence).
■ There is added value of functional MRI in the surgical planning of patients with suspected brain cancer or focal brain lesion (moderate evidence).
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Cha, S. (2010). Imaging of Brain Neoplasm. In: Medina, L., Applegate, K., Blackmore, C. (eds) Evidence-Based Imaging in Pediatrics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0922-0_8
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