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Abstract #2906

Differentiation between glioma recurrence and treatment effects using DWI, ASL, proton MRS and amide proton transfer (APT) imaging at 3 Tesla

Jie Liu1, Yinsheng Chen2, Cong Li2, Xiaofei Lv3, Zhongping Chen2, Hairong Zheng1, and Yin Wu1

1Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2Department of Neurosurgery, Cancer Center, Sun Yat-Sen University, Guangzhou, China, 3Department of Medical Imaging, Cancer Center, Sun Yat-Sen University, Guangzhou, China

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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