Table 1:

CNS applications of advanced MR imaging techniques

TechniqueApplication
DTI and fiber tractography12,13Biopsy guidance
Determination of functionally eloquent tracts and surgical plan
PWI1424
    DSCDifferential diagnosis: tumor vs nontumoral lesions, primary vs metastatic lesions, tumor grading, tumor complications, treatment response, pseudoprogression
    DCEDifferential diagnosis: tumor vs nontumoral tissue, tumor grading, treatment response, pseudoprogression
    DWI25,26Differential diagnosis: tumor vs nontumoral lesions, tumor grading, treatment response
ADC27,28Glioma grading, differentiation of high cellularity lymphoma
MRS2933Differential diagnosis: tumor vs nontumoral lesions, primary vs metastatic lesions, treatment response
Blood oxygen level–dependent imaging34Neuronal activity, surgical guidance
Nuclear medicine, PET35Biopsy guidance, treatment response, differential diagnosis: tumor recurrence vs radionecrosis
Volumetric imaging36Not widely available and implementable