Published in:
Open Access
05-10-2023 | Glioma | Commentary
Let’s have one more look on the potential power of dynamic susceptibility contrast MRI: time, space, and vascular habitats in locally recurrent high-grade gliomas
Authors:
Riccardo Pascuzzo, Fabio M. Doniselli, Marco E. M. Moscatelli
Published in:
European Radiology
|
Issue 3/2024
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Excerpt
High-grade gliomas (HGGs) including glioblastoma (GBM) are the most frequent malignant brain tumor in adults with an extremely aggressive pathology. Prognosis is dismal with few years of median overall survival (OS), despite the efforts to identify novel therapeutic approaches over the last decades. To date, recommended therapy consists of surgery with maximal safe resection of the nodule with enhancement followed by radiotherapy and chemotherapy [
1]. However, recurrence is inevitable, most often occurring locally along the margins of the surgical cavity or, in a minority of cases, far from the initial surgical site [
2]. When feasible, a repeated resection should be attempted as correlates with longer survival [
3]. …