[Imaging methods used in the differential diagnosis between brain tumour relapse and radiation necrosis after stereotactic radiosurgery of brain metastases: Literature review]

I Menoux; J-P Armspach; G Noël; D Antoni

doi:10.1016/j.canrad.2016.07.098

[Imaging methods used in the differential diagnosis between brain tumour relapse and radiation necrosis after stereotactic radiosurgery of brain metastases: Literature review]

Cancer Radiother. 2016 Dec;20(8):837-845. doi: 10.1016/j.canrad.2016.07.098. Epub 2016 Oct 27.

[Article in French]

Authors

I Menoux¹, J-P Armspach², G Noël³, D Antoni⁴

Affiliations

¹ Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, BP 42, 67065 Strasbourg cedex, France.
² Institut de physique biologique-ICube, faculté de médecine, université de Strasbourg, 4, rue Kirschleger, 67085 Strasbourg cedex, France.
³ Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, BP 42, 67065 Strasbourg cedex, France; Laboratoire de radiobiologie, EA 3430, Fédération de médecine translationnelle de Strasbourg (FMTS), université de Strasbourg, 3, rue de la Porte-de-l'Hôpital, BP 42, 67065 Strasbourg, France.
⁴ Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, BP 42, 67065 Strasbourg cedex, France; Laboratoire de radiobiologie, EA 3430, Fédération de médecine translationnelle de Strasbourg (FMTS), université de Strasbourg, 3, rue de la Porte-de-l'Hôpital, BP 42, 67065 Strasbourg, France. Electronic address: [email protected].

PMID: 28270324
DOI: 10.1016/j.canrad.2016.07.098

Abstract

After stereotactic radiosurgery for a cerebral metastasis, one of the dreaded toxicities is radionecrosis. In the follow-up of these patients, it is impossible to distinguish radiation necrosis from tumour relapse either clinically or with MRI. In current practice, many imaging methods are designed such as special sequences of MRI (dynamic susceptibility contrast perfusion and susceptibility-weighted imaging, diffusion), proton magnetic resonance spectroscopy, positron emission tomography, or more seldom 201-thallium single-photon emission computerized tomography. This article is a required literature analysis in order to establish a decision tree with the analysis of retrospective and prospective data.

Keywords: IRM; Imagerie; MRI; PET scan; Radionecrosis; Radionécrose; Spectro-RMN; TEP-scanographie.

Publication types

Review

MeSH terms

Brain / pathology*
Brain Neoplasms / pathology
Brain Neoplasms / secondary
Brain Neoplasms / surgery*
Decision Trees
Diagnosis, Differential
Diagnostic Imaging / methods*
Humans
Necrosis
Neoplasm Recurrence, Local / diagnosis*
Radiation Injuries / diagnosis*
Radiosurgery / adverse effects*