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Methotrexate

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Neuroimaging Pharmacopoeia
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Abstract

Methotrexate is a folate antagonist that is used to treat acute leukemia, lymphoma, osteosarcoma, and leptomeningeal metastases. Methotrexate can be administered orally, intravenously, or intrathecally. Methotrexate given intravenously at high dose has been shown to decrease the incidence of hematologic, testicular, and central nervous system relapse.

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  • Agarwal A, Vijay K, Thamburaj K, Ouyang T. Transient leukoencephalopathy after intrathecal methotrexate mimicking stroke. Emerg Radiol. 2011;18(4):345–7.

    Article  PubMed  Google Scholar 

  • Baehring JM, Fulbright RK. Delayed leukoencephalopathy with stroke-like presentation in chemotherapy recipients. J Neurol Neurosurg Psychiatry. 2008;79:535–9.

    Article  CAS  PubMed  Google Scholar 

  • Bay A, Oner AF, Etlik O, Yilmaz C, Caksen H. Myelopathy due to intrathecal chemotherapy: report of six cases. J Pediatr Hematol Oncol. 2005;27(5):270–2.

    Article  PubMed  Google Scholar 

  • de Waal R, Algra PR, Heimans JJ, Wolbers JG, Scheltens P. Methotrexate induced brain necrosis and severe leukoencephalopathy due to disconnection of an Ommaya device. J Neurooncol. 1993;15(3):269–73.

    Article  PubMed  Google Scholar 

  • Glass JO, Reddick WE, Li CS, Laningham FH, Helton KJ, Pui CH. Computer-aided detection of therapy-induced leukoencephalopathy in pediatric acute lymphoblastic leukemia patients treated with intravenous high-dose methotrexate. Magn Reson Imaging. 2006;24(6):785–91.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Inaba H, Khan RB, Laningham FH, Crews KR, Pui CH, Daw NC. Clinical and radiological characteristics of methotrexate-induced acute encephalopathy in pediatric patients with cancer. Ann Oncol. 2008;19(1):178–84.

    Article  CAS  PubMed  Google Scholar 

  • Küker W, Bader P, Herrlinger U, Heckl S, Nägele T. Transient encephalopathy after intrathekal methotrexate chemotherapy: diffusion-weighted MRI. J Neurooncol. 2005;73(1):47–9.

    Article  PubMed  Google Scholar 

  • Reddick WE, Glass JO, Helton KJ, Langston JW, Xiong X, Wu S, Pui CH. Prevalence of leukoencephalopathy in children treated for acute lymphoblastic leukemia with high-dose methotrexate. AJNR Am J Neuroradiol. 2005;26(5):1263–9.

    PubMed Central  PubMed  Google Scholar 

  • Reddick WE, Glass JO, Johnson DP, Laningham FH, Pui CH. Voxel-based analysis of T2 hyperintensities in white matter during treatment of childhood leukemia. AJNR Am J Neuroradiol. 2009;30(10):1947–54.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Sandoval C, Kutscher M, Jayabose S, Tenner M. Neurotoxicity of intrathecal methotrexate: MR imaging findings. AJNR Am J Neuroradiol. 2003;24(9):1887–90.

    PubMed  Google Scholar 

  • Shanley DJ. Mineralizing microangiopathy: CT and MRI. Neuroradiology. 1995;37:331–3.

    Article  CAS  PubMed  Google Scholar 

  • Visentin M, Zhao R, Goldman ID. The antifolates. Hematol Oncol Clin North Am. 2012;26(3):629–48, ix.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Daniel Thomas Ginat MD, MS .

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© 2015 Springer International Publishing Switzerland

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Ginat, D.T. (2015). Methotrexate. In: Ginat, D., Small, J., Schaefer, P. (eds) Neuroimaging Pharmacopoeia. Springer, Cham. https://doi.org/10.1007/978-3-319-12715-6_19

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  • DOI: https://doi.org/10.1007/978-3-319-12715-6_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-12714-9

  • Online ISBN: 978-3-319-12715-6

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