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Table 1: CNS applications of advanced MR imaging techniques
Technique Application DTI and fiber tractography12,13 Biopsy guidance Determination of functionally eloquent tracts and surgical plan PWI14–24 DSC Differential diagnosis: tumor vs nontumoral lesions, primary vs metastatic lesions, tumor grading, tumor complications, treatment response, pseudoprogression DCE Differential diagnosis: tumor vs nontumoral tissue, tumor grading, treatment response, pseudoprogression DWI25,26 Differential diagnosis: tumor vs nontumoral lesions, tumor grading, treatment response ADC27,28 Glioma grading, differentiation of high cellularity lymphoma MRS29–33 Differential diagnosis: tumor vs nontumoral lesions, primary vs metastatic lesions, treatment response Blood oxygen level–dependent imaging34 Neuronal activity, surgical guidance Nuclear medicine, PET35 Biopsy guidance, treatment response, differential diagnosis: tumor recurrence vs radionecrosis Volumetric imaging36 Not widely available and implementable