Discrepant MR and [18F]Fluoroethyl-l-Tyrosine PET Imaging Findings in a Patient with Bevacizumab Failure

Antiangiogenic treatment using bevacizumab may cause difficulties in distinguishing between antivascular and true antitumor effects when using MRI response criteria based on changes of contrast enhancement (i.e., Macdonald criteria). Furthermore, more precise tumor response assessment criteria (i.e....

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Published in:Case reports in oncology Vol. 5; no. 3; pp. 493 - 497
Main Authors: Galldiks, Norbert, Filss, Christian P., Goldbrunner, Roland, Langen, Karl-Josef
Format: Journal Article
Language:English
Published: Basel, Switzerland S. Karger AG 08-09-2012
Karger Publishers
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Abstract Antiangiogenic treatment using bevacizumab may cause difficulties in distinguishing between antivascular and true antitumor effects when using MRI response criteria based on changes of contrast enhancement (i.e., Macdonald criteria). Furthermore, more precise tumor response assessment criteria (i.e., RANO criteria), which incorporate nonenhancing T2/FLAIR sequences into Macdonald criteria, may be influenced by other causes of T2/FLAIR hyperintensity (e.g., radiation-induced gliosis). The authors present discrepant MR and [ 18 F]fluoroethyl- l -tyrosine PET imaging findings in a patient with bevacizumab treatment failure.
AbstractList Antiangiogenic treatment using bevacizumab may cause difficulties in distinguishing between antivascular and true antitumor effects when using MRI response criteria based on changes of contrast enhancement (i.e., Macdonald criteria). Furthermore, more precise tumor response assessment criteria (i.e., RANO criteria), which incorporate nonenhancing T2/FLAIR sequences into Macdonald criteria, may be influenced by other causes of T2/FLAIR hyperintensity (e.g., radiation-induced gliosis). The authors present discrepant MR and [(18)F]fluoroethyl-L-tyrosine PET imaging findings in a patient with bevacizumab treatment failure.
Antiangiogenic treatment using bevacizumab may cause difficulties in distinguishing between antivascular and true antitumor effects when using MRI response criteria based on changes of contrast enhancement (i.e., Macdonald criteria). Furthermore, more precise tumor response assessment criteria (i.e., RANO criteria), which incorporate nonenhancing T2/FLAIR sequences into Macdonald criteria, may be influenced by other causes of T2/FLAIR hyperintensity (e.g., radiation-induced gliosis). The authors present discrepant MR and [18F]fluoroethyl-l-tyrosine PET imaging findings in a patient with bevacizumab treatment failure.
Antiangiogenic treatment using bevacizumab may cause difficulties in distinguishing between antivascular and true antitumor effects when using MRI response criteria based on changes of contrast enhancement (i.e., Macdonald criteria). Furthermore, more precise tumor response assessment criteria (i.e., RANO criteria), which incorporate nonenhancing T2/FLAIR sequences into Macdonald criteria, may be influenced by other causes of T2/FLAIR hyperintensity (e.g., radiation-induced gliosis). The authors present discrepant MR and [ 18 F]fluoroethyl-L-tyrosine PET imaging findings in a patient with bevacizumab treatment failure.
Author Filss, Christian P.
Goldbrunner, Roland
Langen, Karl-Josef
Galldiks, Norbert
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  surname: Langen
  fullname: Langen, Karl-Josef
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Issue 3
Keywords Amino acid PET
Volume-of-interest analysis
RANO criteria
Metabolically active tumor volume
[18F]Fluoroethyl-l-tyrosine
[18F]Fluoroethyl-L-tyrosine
Language English
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SubjectTerms [18F]Fluoroethyl-l-tyrosine
Amino acid PET
Metabolically active tumor volume
Published: September 2012
RANO criteria
Volume-of-interest analysis
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Title Discrepant MR and [18F]Fluoroethyl-l-Tyrosine PET Imaging Findings in a Patient with Bevacizumab Failure
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