Mei-Yun Wang1, Wei-Ting Zhang1, Poe-zhou chen1, Thomas Benner1, Divya S. Bolar1, Tracy T. Batchelor2, Rakesh K. Jain3, A. Gregory Sorensen1
1Radiology, Massachusetts General Hospital, Boston, MA, USA; 2Neurology, Massachusetts General Hospital, Boston, MA, USA; 3Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA
Angiogenesis is an essential step in the growth and spread of solid tumor, and advances in MRI now permit detection of the hemodynamic changes of glioblastoma after treatment. In the current study, arterial spin-labeling (ASL) and first-pass dynamic susceptibility contrast (DSC) perfusion MRI were used to assess the treatment effect of an anti-angiogenic agent AZD2171, a pan-VEGF receptor tyrosine kinase inhibitor, in a phase-II clinical trial. Our results suggest ASL is almost as sensitive as DSC in assessing rCBF changes of tumor and the tumor vascular normalization and reversal after anti-angiogenesis treatment.