Conventional MR structural imaging is insufficient for assessment of posttreatment gliomas and advanced imaging is needed to improve diagnostic certainty. The present study compared DWI, ASL, proton MRS and APT for distinction between glioma recurrence and treatment effects. Total 25 patients were enrolled. Results show similar diagnostic performance of APT and ASL, both of which could distinguish recurrent tumor from treatment lesion (P<0.05) with AUC greater than 0.8, superior to that of ADC and proton MRS. Herein, APT and ASL would facilitate posttreatment glioma diagnosis.
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