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Abstract #2797

Response Assessment to Tumor Treating Fields in Patients with Glioblastoma using Physiologic and Metabolic MR Imaging

Sanjeev Chawla1, Sumei Wang1, Gaurav Verma1, Aaron Skolnik1, Sulaiman Sheriff2, Katelyn M Reilly1, Lisa Desiderio1, Andrew Maudsley2, Steven Brem3, Katherine Peters4, Harish Poptani5, and Suyash Mohan1

1Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 2Radiology, University of Miami, Miami, FL, United States, 3Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 4Neurology, Duke University Medical Center, Durham, NC, United States, 5Department of Cellular and Molecular Physiology, University of Liverpool, Liverpool, United Kingdom

Tumor treating fields (TTFields) are a novel antimitotic treatment modality for treatment of patients with glioblastoma (GBM). To assess response to TTFields, 4 GBM patients underwent diffusion, perfusion and 3D-echo-planar spectroscopic imaging prior to initiation of TTFields and at one and two month follow-up periods. A trend towards increased MD and a decrease in FA and rCBVmax was noted in most patients at 2-month relative to baseline indicating inhibited tumor growth and vascularity. Cho/Cr values did not exhibit any trend probably due to heterogeneity in response. These preliminary data indicate the potential of advanced MR imaging in assessing response to TTFields.

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