Radiohistogenomics of pediatric low-grade neuroepithelial tumors.

BRAF p.V600E Imaging KIAA1549-BRAF fusion MAPK MRI Pediatric low-grade glioma (PLGG) Pediatric low-grade neuroepithelial tumors (PLGNTs) Radiology

Journal

Neuroradiology
ISSN: 1432-1920
Titre abrégé: Neuroradiology
Pays: Germany
ID NLM: 1302751

Informations de publication

Date de publication:
Aug 2021
Historique:
received: 03 12 2020
accepted: 10 03 2021
pubmed: 30 3 2021
medline: 30 9 2021
entrez: 29 3 2021
Statut: ppublish

Résumé

In addition to histology, genetic alteration is now required to classify many central nervous system (CNS) tumors according to the most recent World Health Organization CNS tumor classification scheme. Although that is still not the case for classifying pediatric low-grade neuroepithelial tumors (PLGNTs), genetic and molecular features are increasingly being used for making treatment decisions. This approach has become a standard clinical practice in many specialized pediatric cancer centers and will likely be more widely practiced in the near future. This paradigm shift in the management of PLGNTs necessitates better understanding of how genetic alterations influence histology and imaging characteristics of individual PLGNT phenotypes. The complex association of genetic alterations with histology, clinical, and imaging of each phenotype of the extremely heterogeneous PLGNT family has been addressed in a holistic approach in this up-to-date review article. A new imaging stratification scheme has been proposed based on tumor morphology, location, histology, and genetics. Imaging characteristics of each PLGNT entity are also depicted in light of histology and genetics. This article reviews the association of specific genetic alteration with location, histology, imaging, and prognosis of a specific tumor of the PLGNT family and how that information can be used for better imaging of these tumors.

Identifiants

pubmed: 33779771
doi: 10.1007/s00234-021-02691-1
pii: 10.1007/s00234-021-02691-1
pmc: PMC8295117
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1185-1213

Subventions

Organisme : American Lebanese Syrian Associated Charities
ID : NA

Informations de copyright

© 2021. The Author(s).

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Auteurs

Asim K Bag (AK)

Department of Diagnostic Imaging, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 220, Memphis, TN, 38105, USA. Asim.Bag@StJude.org.

Jason Chiang (J)

Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Zoltan Patay (Z)

Department of Diagnostic Imaging, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 220, Memphis, TN, 38105, USA.

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