The promise of metabolic imaging in diffuse midline glioma Review


Authors: Lovibond, S.; Gewirtz, A. N.; Pasquini, L.; Krebs, S.; Graham, M. S.
Review Title: The promise of metabolic imaging in diffuse midline glioma
Abstract: Recent insights into histopathological and molecular subgroups of glioma have revolutionized the field of neuro-oncology by refining diagnostic categories. An emblematic example in pediatric neuro-oncology is the newly defined diffuse midline glioma (DMG), H3 K27–altered. DMG represents a rare tumor with a dismal prognosis. The diagnosis of DMG is largely based on clinical presentation and characteristic features on conventional magnetic resonance imaging (MRI), with biopsy limited by its delicate neuroanatomic location. Standard MRI remains limited in its ability to characterize tumor biology. Advanced MRI and positron emission tomography (PET) imaging offer additional value as they enable non-invasive evaluation of molecular and metabolic features of brain tumors. These techniques have been widely used for tumor detection, metabolic characterization and treatment response monitoring of brain tumors. However, their role in the realm of pediatric DMG is nascent. By summarizing DMG metabolic pathways in conjunction with their imaging surrogates, we aim to elucidate the untapped potential of such imaging techniques in this devastating disease. © 2023
Keywords: child; treatment response; clinical feature; nuclear magnetic resonance imaging; positron emission tomography; glioma; cancer diagnosis; metabolism; diagnostic imaging; cancer genetics; fluorodeoxyglucose f 18; nuclear magnetic resonance spectroscopy; imaging; pet; mri; neuroanatomy; radiolabeling; human; article; diffuse midline glioma
Journal Title: NeoPlasia
Volume: 39
ISSN: 1522-8002
Publisher: Elsevier Science Inc.  
Date Published: 2023-05-01
Start Page: 100896
Language: English
DOI: 10.1016/j.neo.2023.100896
PROVIDER: scopus
PMCID: PMC10036941
PUBMED: 36944297
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Maya S. Graham -- Source: Scopus
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MSK Authors
  1. Alexandra Gewirtz
    21 Gewirtz
  2. Simone Susanne Krebs
    55 Krebs
  3. Maya Srikanth Graham
    22 Graham