Longitudinal MR spectroscopic imaging of pediatric diffuse pontine tumors to assess tumor aggression and progression Journal Article


Authors: Thakur, S. B.; Karimi, S.; Dunkel, I. J.; Koutcher, J. A.; Huang, W.
Article Title: Longitudinal MR spectroscopic imaging of pediatric diffuse pontine tumors to assess tumor aggression and progression
Abstract: Two pediatric patients with diffuse pontine tumors underwent MR spectroscopic imaging pre- and postradiation. Choline/creatine (Cho/Cr) and Cho/N-acetylaspartate (NAA) ratios were elevated before treatment, with no MR imaging contrast enhancement. These ratios were further elevated at 2 posttreatment follow-up studies, despite signs of excellent clinical improvement at initial follow-up. This study suggests that MR spectroscopic imaging is more specific in assessing the aggressiveness of diffuse pontine tumors than conventional MR imaging and can serve as a valuable tool in early prognostication.
Keywords: child; school child; clinical feature; disease course; case report; cancer radiotherapy; radiation dose; neuroimaging; nuclear magnetic resonance imaging; follow up; methodology; magnetic resonance imaging; cancer mortality; symptom; disease progression; magnetic resonance spectroscopy; choline; creatine; nuclear magnetic resonance spectroscopy; headache; general condition improvement; pons angle tumor; brain stem tumor; brain stem neoplasms; n acetylaspartic acid; proton nuclear magnetic resonance; apparatus
Journal Title: American Journal of Neuroradiology
Volume: 27
Issue: 4
ISSN: 0195-6108
Publisher: American Society of Neuroradiology  
Date Published: 2006-04-01
Start Page: 806
End Page: 809
Language: English
PUBMED: 16611768
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 12" - "Export Date: 4 June 2012" - "CODEN: AAJND" - "Source: Scopus"
Citation Impact
MSK Authors
  1. Ira J Dunkel
    372 Dunkel
  2. Sasan Karimi
    115 Karimi
  3. Sunitha Bai Thakur
    100 Thakur
  4. Jason A Koutcher
    278 Koutcher
  5. Wei Huang
    24 Huang