Consensus recommendations for MRI and PET imaging of primary central nervous system lymphoma: guideline statement from the International Primary CNS Lymphoma Collaborative Group (IPCG).

Consensus recommendations for MRI and PET imaging of primary central nervous system lymphoma: guideline statement from the International Primary CNS Lymphoma Collaborative Group (IPCG).
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DOI:
10.1093/neuonc/noab020
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发表时间:
2021-07-01
期刊:
影响因子:
15.9
通讯作者:
Hu LS
Hu LS
中科院分区:
医学1区
文献类型:
--
作者:
Barajas RF;Politi LS;Anzalone N;Schöder H;Fox CP;Boxerman JL;Kaufmann TJ;Quarles CC;Ellingson BM;Auer D;Andronesi OC;Ferreri AJM;Mrugala MM;Grommes C;Neuwelt EA;Ambady P;Rubenstein JL;Illerhaus G;Nagane M;Batchelor TT;Hu LS

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原发性中枢神经系统淋巴瘤 (PCNSL) 的先进分子和病理生理学特征揭示了对有前景的靶向治疗方法的见解。医学成像在 PCNSL 诊断、分期和反应评估中发挥着重要作用。机构成像变异和不一致的临床试验报告降低了临床反应评估的可靠性和可重复性。在此背景下,我们的目标是:(1)严格审查先进的正电子发射断层扫描(PET)和磁共振成像(MRI)在 PCNSL 中的应用; (2) 提供国际临床中心调查的结果,描述常规和高级成像的当前实践,(3) 提供国际 PCNSL 协作组 (IPCG) 关于标准化成像实践的基于生物学的建议。 IPCG 提供了 PET 和 MRI 共识建议,这些建议建立在之前针对原发性和转移性疾病的标准化脑肿瘤成像方案 (BTIP) 的建议之上。提供了一种生物集成方法来解决与 PCNSL 成像评估相关的独特挑战。详细的成像参数有助于研究人员和临床医生采纳这些建议。为了提高临床可行性,我们在 3T 和 1.5T MR 系统上开发了“理想”和“最低标准”协议,以促进广泛采用。
Advanced molecular and pathophysiologic characterization of primary central nervous system lymphoma (PCNSL) has revealed insights into promising targeted therapeutic approaches. Medical imaging plays a fundamental role in PCNSL diagnosis, staging, and response assessment. Institutional imaging variation and inconsistent clinical trial reporting diminishes the reliability and reproducibility of clinical response assessment. In this context, we aimed to: (1) critically review the use of advanced positron emission tomography (PET) and magnetic resonance imaging (MRI) in the setting of PCNSL; (2) provide results from an international survey of clinical sites describing the current practices for routine and advanced imaging, and (3) provide biologically based recommendations from the International PCNSL Collaborative Group (IPCG) on adaptation of standardized imaging practices. The IPCG provides PET and MRI consensus recommendations built upon previous recommendations for standardized brain tumor imaging protocols (BTIP) in primary and metastatic disease. A biologically integrated approach is provided to addresses the unique challenges associated with the imaging assessment of PCNSL. Detailed imaging parameters facilitate the adoption of these recommendations by researchers and clinicians. To enhance clinical feasibility, we have developed both “ideal” and “minimum standard” protocols at 3T and 1.5T MR systems that will facilitate widespread adoption.
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