A recent development in multi-modality treatment with poly ADP-ribose polymerase inhibitors (PARPiās) combined with DNA damaging agents (temozolomide), is increasingly recognized as an important approach for curing or prolonging survival in patients with recurrent Ewing sarcoma (EWS). In this study, we employed multimodal quantitative imaging methods to predict treatment response in EWS. We used T2-weighted MRI, diffusion-weighted MRI, and 1H MRS in a patient derived xenograft model of EWS. We envisage that multi-parametric MR indices will be able to evaluate the treatment response and predict treatment response in the tumors.
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