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Parametric Response Map (PRM) Analysis Improves Response Assessment in Gliomas

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Glioma Imaging

Abstract

Current strategies for treatment and management of gliomas incorporate molecular markers to individualize patient care. Physiologic imaging identifies treatment-associated alterations in tissue properties including cellular viability, vascular function, and molecular response. Imaging biomarkers provide a noninvasive approach for early treatment response assessment and are an important tool to individualize patient management. Gliomas are heterogeneous tumors. Parametric response mapping (PRM) is a novel voxel-wise imaging analysis method which directly addresses the issue of tumor heterogeneity. PRM image analysis improves the predictive accuracy of imaging biomarkers in clinical applications including treatment response assessment. A multi-parametric imaging biomarker derived from MR perfusion and diffusion-weighted imaging (DWI) using a PRM analysis method provides early identification of high-grade glioma chemoradiation resistance. Further validation of PRM-derived imaging biomarkers is required prior to routine clinical application as an early treatment response marker.

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Acknowledgments

The authors would like to thank Lauren Keith, Ph.D, for her significant contributions to the manuscript including the generation of Fig. 7.5 and 7.6.

Funding by NIH R35CA197701, U01CA166104 and P01CA085878.

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Correspondence to Brian D. Ross or Christina Tsien .

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Cardenas, M., Galban, C.J., Chenevert, T.L., Miller-Thomas, M., Ross, B.D., Tsien, C. (2020). Parametric Response Map (PRM) Analysis Improves Response Assessment in Gliomas. In: Pope, W. (eds) Glioma Imaging. Springer, Cham. https://doi.org/10.1007/978-3-030-27359-0_7

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