26-03-2024 | Oligodendroglioma | Commentary
Perfusion percentage signal recovery and a mundane chicken wire: what could they have to do in oligodendrogliomas?
Author:
Elaine Lui
Published in:
European Radiology
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Excerpt
Diffuse gliomas are the most common adult primary brain tumours [
1]. This tumour family has undergone further revision in the latest 2021 WHO classification of CNS tumours, now simplified and consolidated to three tumour types under “adult-type diffuse gliomas”: astrocytoma IDH-mutant (1p/19q noncodeleted), oligodendroglioma (IDH-mutant, 1p/19q-codeleted) and glioblastoma IDH-wildtype [
2]. Depending primarily on their respective molecular signatures, each type has distinct prognosis to treatment [
1,
3]. IDH-mutant tumours with 1p/19q-codeletion have been shown to respond more robustly to adjuvant procarbazine, lomustine and vincristine chemotherapy than those without 1p/19q-codeletion [
4]. Novel treatment options with IDH inhibitors, currently undergoing clinical trials, are also on the horizon for IDH-mutant tumours [
1]. …