AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on February 13, 2008
doi: 10.3174/ajnr.A0963

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Review Article

Brain Tumor Imaging in Clinical Trials

J.W. Hensona,b,c,d,e,f, S. Ulmera and G.J. Harrisc,d,f

a Stephen E. and Catherine Pappas Brain Tumor Imaging Research Program, Massachusetts General Hospital, Boston, Mass
b Division of Neuroradiology, Massachusetts General Hospital, Boston, Mass
c 3D Imaging Service, Massachusetts General Hospital, Boston, Mass
d Department of Radiology, Massachusetts General Hospital, Boston, Mass
e Neurology Service, Massachusetts General Hospital, Boston, Mass
f Harvard Medical School, Boston, Mass

Please address correspondence to John W. Henson, MD, Stephen E. and Catherine Pappas Brain Tumor Imaging Research Program, Massachusetts General Hospital, 55 Fruit St, Yawkey Nine East, Boston, MA 02114; e-mail: henson{at}helix.mgh.harvard.edu

SUMMARY: There are substantial challenges in the radiologic evaluation of tumor size during clinical trials, and it is important for neuroradiologists to have a firm understanding of these issues. This review will examine measurement approaches, response criteria, selection of lesions for measurement, technical imaging considerations, interval between tumor measurements and response confirmation, and validity of imaging as a measure of efficacy.




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