MRI and PET/MRI in hematologic malignancies Review


Authors: Mayerhoefer, M. E.; Archibald, S. J.; Messiou, C.; Staudenherz, A.; Berzaczy, D.; Schòˆder, H.
Review Title: MRI and PET/MRI in hematologic malignancies
Abstract: The role of MRI differs considerably between the three main groups of hematological malignancies: lymphoma, leukemia, and myeloma. In myeloma, whole-body MRI (WB-MRI) is recognized as a highly sensitive test for the assessment of myeloma, and is also endorsed by clinical guidelines, especially for detection and staging. In lymphoma, WB-MRI is presently not recommended, and merely serves as an alternative technique to the current standard imaging test, [F-18]FDG-PET/CT, especially in pediatric patients. Even for lymphomas with variable FDG avidity, such as extranodal mucosa-associated lymphoid tissue lymphoma (MALT), contrast-enhanced computed tomography (CT), but not WB-MRI, is presently recommended, despite the high sensitivity of diffusion-weighted MRI and its ability to capture treatment response that has been reported in the literature. In leukemia, neither MRI nor any other cross-sectional imaging test (including positron emission tomography [PET]) is currently recommended outside of clinical trials. This review article discusses current clinical applications as well as the main research topics for MRI, as well as PET/MRI, in the field of hematological malignancies, with a focus on functional MRI techniques such as diffusion-weighted imaging and dynamic contrast-enhanced MRI, on the one hand, and novel, non-FDG PET imaging probes such as the CXCR4 radiotracer [Ga-68]Ga-Pentixafor and the amino acid radiotracer [C-11]methionine, on the other hand. Technical Efficacy Stage: 3 J. Magn. Reson. Imaging 2019.
Keywords: leukemia; minimal residual disease; lymphoma; pet; mri; myeloma; diffusion-weighted mri; response assessment; positron-emission-tomography; non-hodgkin-lymphoma; magnetic-resonance; acute myeloid-leukemia; metabolic tumor volume; whole-body mri; bone-marrow angiogenesis
Journal Title: Journal of Magnetic Resonance Imaging
Volume: 51
Issue: 5
ISSN: 1053-1807
Publisher: Wiley Blackwell  
Date Published: 2020-05-01
Start Page: 1325
End Page: 1335
Language: English
ACCESSION: WOS:000477369600001
DOI: 10.1002/jmri.26848
PROVIDER: wos
PUBMED: 31260155
PMCID: PMC7217155
Notes: Review -- Source: Wos
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  1. Heiko Schoder
    543 Schoder