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Abstract #4856

Combined Diffusion Kurtosis Imaging and Dynamic Susceptibility Contrast Magnetic Resonance Perfusion Imaging for In Vivo Molecular Profiling of Human Glioma.

Johann-Martin Hempel1, Jens Schittenhelm2, Nils Nüssle1, Cornelia Brendle1, Benjamin Bender1, Ghazaleh Tabatabai3, Marco Skardelly4, Salvador Castaneda Vega5, Ulrike Ernemann1, and Uwe Klose1

1Neuroradiology, Eberhard Karls University Tübingen, Tübingen, Germany, 2Neuropathology, Eberhard Karls University Tübingen, Tübingen, Germany, 3Neurology, Eberhard Karls University Tübingen, Tübingen, Germany, 4Neurosurgery, Eberhard Karls University Tübingen, Tübingen, Germany, 5Preclinical Imaging; Nuclear Medicine, Eberhard Karls University Tübingen, Tübingen, Germany

The purpose of this study was to assess the diagnostic performance of combined DKI and DSC-MRI maps for in vivo assessment of the 2016 WHO integrated glioma grades.

Histogram parameters of DKI show a higher diagnostic performance than those of DSC-MRI in stratifying gliomas according to the integrated molecular approach of 2016 CNS WHO. However, DSC-MRI may provide additional insight into the MGMT methylation profile of primary IDH wild-type GBM. Thus, combined DKI and DSC-MRI provide promising potential biomarkers for glioma.

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