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. 2024 Sep 18;17(9):1228. doi: 10.3390/ph17091228

Table 2.

Characteristics of the 82 included studies. §: did not reach significance, &: did not reach significance after Bonferroni multiple-test correction, #: significance not available.

Indication Author, Year Reference Design Number of Patients Grade Mean Age Sex Imaging Modality Parameters Optimal Cut-Off Sensitivity Specificity AUC Accuracy
Diagnosis
Pauleit et al., 2009 [24] Prospective 52 Not glioma:9 46 36 M 16 F PET Lmean/B # -
Grade 2:22 Lmax/B # -
Grade 3:12 Visual grading system # -
Grade 4:9
Mauler et al., 2023 [25] Prospective 30 Not glioma:6 48 16 M 14 F PET 18F-FETn uptake 1.4 x background 76% 80% 0.89 78%
Grade 2:7 MRI Cho/NAAn 2.16 59% 83% 0.81 71%
Grade 3:7
Grade 4:10
Floeth et al., 2005 [26] Prospective 50 Not glioma:16 44 21 M 29 F PET FET lesion/brain ratio 1.6 88% 88% -
Grade 1:2 MRI Gd enhancement - 44% 69% 68%
Grade 2:13 NAA/Cho ratio 0.7 100% 81% -
Grade 3:14
Grade 4:5
Pauleit et al., 2005 [27] Prospective 28 Not glioma:5 42 9 M 19 F PET FET ratio 1.6 92% 81% -
Grade 1:2 MRI T1 ratio 1.0 85% 12% -
Grade 2:7 Gd-T1 ratio 1.0 38% 96% -
Grade 3:12 FLAIR ratio 1.0 96% 4% -
Grade 4:2 T1/Gd-T1/FLAIR ratio - 96% 53% 68%
PET/CT + MRI FET/T1/Gd-T1/FLAIR ratio - 93% 94% 94%
Grading (LGG vs. HGG)
Jeong and Lim, 2012 [28] Prospective 20 Grade 2:3 52 13 M 7 F PET SUVmax -
Grade 3:2 TNR -
Grade 4:15
Verger et al., 2017 [29] Retrospective 72 Grade 1:1 49 42 M 30 F PET TBRmax 2.62 82% 68% 0.83 78%
Grade 2:21 TBRmean 1.69 82% 68% 0.80 78%
Grade 3:25 TTP 30 min 54% 91% 0.78 65%
Grade 4:25 Slope −0.03 SUV/h 64% 91% 0.78 72%
PWI rCBF TBRmax 1.51 64% 64% 0.74 64%
TBRmean 0.69 62% 59% 0.66 61%
PWI rCBV TBRmax 1.80 88% 72% 0.81 83%
TBRmean 1.14 72% 77% 0.80 74%
PWI MTT TBRmax § 1.16 64% 50% 0.58 60%
TBRmean § 0.98 54% 36% 0.43 49%
Lopez et al., 2015 [30] Prospective 23 No-grade:2 56 18 M 5 F PET UR 3.0
Grade 1:1
Grade 2:7
Grade 3:2
Grade 4:11
Lohmann et al., 2015 [31] Prospective 36 Grade 2:12 49 19 M 17 F PET TBRmean § 2 83% 58% 0.65 75%
Grade 3:8 ∆TBRmean 20–40 min/70–90 min −8% 83% 75% 0.85 81%
Grade 4:16 TTP 35 min 58% 92% 0.76 69%
Kinetic pattern II/III 88% 75% - 83%
Calcagni et al., 2011 [32] Prospective 32 Grade 1:3 41 21 M 11 F PET TAC # I/II vs. III 73% 100% 87%
Grade 2:14 Early SUV 2.32 73% 71% 72%
Grade 3:11 Middle SUV § - - - -
Grade 4:4 Late SUV § - - - -
e-m ratio 0.93 93% 94% 94%
e-l ratio 0.95 87% 88% 87%
Tpeak 25 min 87% 100% 94%
SoD 0.5 93% 82% 87%
Logistic regression using Early SUV + SoD § 50% 93% 100% 97%
Albert et al., 2016 [33] Retrospective 314 Grade 1:3 49 181 M 133 F PET TBRmax (20–40 min) 2.7 67% 78% 70%
Grade 2:128 TBRmax (0–10 min) 2.8 76% 79% 76%
Grade 3:95 TBRmax (5–15 min) 2.7 78% 76% 77%
Grade 4:88 TBRmax (5–20 min) 2.6 80% 74% 76%
TBRmax (10–30 min) 2.5 75% 75% 74%
Kinetic pattern # Decreasing 90% 66% 80%
Pöpperl et al., 2007 [19] Prospective 54 Grade 2:15 49 30 M 24 F PET SUVmax/BG 2.58 71% 85% 0.798
Grade 3:21 SUV90 10–60 min 0.20 94% 100% 0.969
Grade 4:18 SUV90 15–60 min −0.41 94% 100% 0.965
Grade 2/3 vs. grade 4 Hua et al., 2021 [34] Retrospective 58 Grade 2:33 42 37 M 21 F PET TBRmax 2.67 92% 61% 0.824 67%
Grade 3:13 TBRpeak 2.35 92% 61% 0.832 67%
Grade 4:12 TBRmean 2.31 58% 93% 0.791 86%
COV 27.21 58% 91% 0.808 84%
HI 1.77 67% 87% 0.826 83%
MTV 20.13 75% 80% 0.801 79%
TLU 50.93 75% 83% 0.841 81%
SUVsd 0.45 67% 87% 0.816 83%
TBRmax + SUVsd + TBRmean - 75% 85% 0.850 83%
HI + SUVsd + MTV - 75% 83% 0.848 81%
HI + SUVsd + TLU - 75% 84% 0.848 81%
Kunz et al., 2011 [35] Prospective 55 Grade 2:31 44 33 M 22 F PET TAC Increasing vs. decreasing 96% 94%
Grade 3:22 MRI Tumor volume § - - -
Grade 4:2
Grade 2/3 vs. grade 4 Röhrich et al., 2018 [36] Retrospective 44 Grade 2:10 53 - PET TAC # LGG-like vs. mixed vs. HGG-like - - -
Grade 3:13 SUVmax/BG - - - -
Grade 4:21 TTP § - - - -
Relative K1 - 85% 60% 0.766
Relative K2 § - - - -
Relative K3 § - - - -
Relative FD - 67% 78% 0.716
SUVmax/BG + TTP - - - 0.745
SUVmax/BG + TTP + relative K1 + relative FD - - - 0.799
Jansen et al., 2012 [37] Retrospective 127 No tumor:7 46 72 M 55 F PET TAC # Increasing vs. decreasing 95% 72%
Grade 1:4 FET uptake # Reduced vs. normal vs. increased - -
Grade 2:69 FET uptake pattern § Inhomogeneous vs. diffuse vs. focal - -
Grade 3:42 SUVmax/BG § - - -
Grade 4:5 SUVmean/BG § - - -
BTV § - - -
grade 2 vs. 3 Jansen et al., 2012 [38] Prospective 144 Grade 2:79 45 84 M 60 F PET TAC # Decreasing 88% 63%
Grade 3:65 SUVmax/BG § - - -
BTV § - - -
SUVtotal/BG § - - -
SUVmean/BG § - - -
grade 3 vs. 4 Pyka et al., 2016 [39] Retrospective 113 Grade 3:26 59 43 M 70 F PET TBRmax § 2.74 0.614
Grade 4:87 TBRmean 1.68 0.644
MTV 19.7 0.710
TLU 46.2 0.704
Textural parameters:
Coarseness 0.607 0.757
Contrast 0.203 0.775
Busyness 1.12 0.737
Complexity 0.069 0.633
Combined 2.05 0.830
IDH status determination
Hua et al., 2021 [34] Retrospective 58 Grade 2:33 42 37 M 21 F PET TBRmax 2.21 48% 87% 0.658 72%
Grade 3:13 TBRpeak § 2.15 57% 73% 0.638 67%
Grade 4:12 TBRmean § 1.84 62% 68% 0.633 66%
COV 8.85 52% 76% 0.650 67%
HI 1.26 48% 87% 0.676 72%
MTV 19.48 90% 46% 0.660 62%
TLU 28.95 81% 57% 0.698 66%
SUVsd 0.11 47% 57% 0.710 66%
TBRmax + SUVsd + TBRmean - 76% 84% 0.821 81%
HI + SUVsd + MTV - 86% 81% 0.804 83%
HI + SUVsd + TLU - 76% 84% 0.799 81%
Zhou et al., 2021 [40] Retrospective 58 Grade 2:31 - 26 M 22 F PET SUVSD 0.23 - - - -
Grade 3:14 TLU § - - - - -
Grade 4:13 MTV § - - - - -
TBRmax § - - - - -
TBRmean § - - - - -
TBRpeak § - - - - -
Midline involvement Yes vs. no - - - -
Simple predictive model - 85% 71% 0.786 76%
Radiomics models:
PET-Rad model - 80% 74% 0.812 76%
CT CT-Rad model - 85% 76% 0.883 79%
PET/CT PET/CT-Rad model - 85% 87% 0.912 86%
Lohmann et al., 2018 [41] Retrospective 84 Grade 2:7 54 50 M 34 F PET TBRmean 1.68 12% 100% 0.66 73%
Grade 3:26 TBRmax § 2.07 8% 100% 0.59 71%
Grade 4:51 TTP 45 min 27% 93% 0.75 73%
Slope 0.30 SUV/h 58% 90% 0.79 80%
Slope + Radiomic feature SZHGE - 54% 93% - 81%
Radiomic features:
SkewnessH § - 31% 90% 0.53 71%
LRHGE § - 8% 100% 0.52 71%
Verger et al., 2018 [42] Retrospective 90 Grade 2:16 51 55 M 35 F PET TBRmean 1.85 44% 92% 0.73 69%
Grade 3:27 TBRmax 2.15 56% 77% 0.68 67%
Grade 4:47 TTP 25 min 86% 60% 0.75 72%
Slope −0.26 SUV/h 81% 60% 0.75 70%
TBRmean + TBRmax 1.85 and 2.15 44% 91% - 69%
TTP + Slope 25 min and −0.26 SUV/h 77% 70% - 73%
TBRmean + TTP 1.85 and 25 min 40% 96% - 69%
TBRmax + TTP 2.15 and 25 min 51% 94% - 73%
TBRmean + Slope 1.85 and −0.26 SUV/h 40% 94% - 68%
TBRmax + Slope 2.15 and −0.26 SUV/h 47% 91% - 70%
Blanc-Durand et al., 2018 [43] Retrospective 37 Grade 1:3 45 23 M 14 F PET TBRmax - -
Grade 2:15 TBRmean - -
Grade 3:14 TTP - -
Grade 4:5 Slope - -
TAC Centroid #1 vs. centroid #3 - -
Bette et al., 2016 [44] Retrospective 65 Grade 1:11 38 36 M 29 F PET TBR # 1.3 89% 36%
Grade 2:54 TBR # 1.6 71% 53%
TBR # 2.0 57% 68%
TBRmax § - - -
Prediction of oligodendroglial components
Jansen et al., 2012 [38] Prospective 144 Grade 2:79 45 84 M 60 F PET SUVmax/BG 2.6 70% 72%
Grade 3:65 BTV 4.0 71% 69%
SUVmean/BG 2.1 61% 59%
SUVtotal/BG 6.9 75% 66%
Bette et al., 2016 [44] Retrospective 65 Grade 1:11 38 36 M 29 F PET TBR # 1.3 100% 23%
Grade 2:54 TBR # 1.6 93% 48%
TBR # 2.0 86% 65%
TBRmax - - -
Guided resection/biopsy
Ort et al., 2021 [45] Retrospective 30 Grade 3:5 59 19 M 11 F PET BTV 1 cm3
Grade 4:25
Floeth et al., 2011 [46] Prospective 30 patients/38 biopsies Grade 2:17 43 20 M 10 F PET TBR 1.6
Grade 3:19 MRI Gd-DTPA enhancement -
Grade 4:2 5-ALA-fluorescence Fluorescent areas -
Ewelt et al., 2011 [47] Prospective 30 Grade 2:13 42 20 M 10 F LGG subgroup:
Grade 3:15 PET Tumor/brain tissue ratio 1.6 54% 12%
Grade 4:2 MRI Gd enhancement - 8% 36%
5-ALA-fluorescence Fluorescent areas - 8% 29%
PET/MRI - - 8% 35%
MRI/5-ALA - - 8% 41%
PET/5-ALA - - 8% 29%
PET/MRI/5-ALA - - 8% 41%
HGG subgroup:
PET Tumor/brain tissue ratio 1.6 88% 46%
MRI Gd enhancement - 65% 92%
5-ALA-fluorescence Fluorescent areas - 71% 92%
PET/MRI - - 65% 92%
MRI/5-ALA - - 59% 92%
PET/5-ALA - - 71% 92%
PET/MRI/5-ALA - - 59% 92%
Verburg et al., 2020 [48] Prospective 20 Grade 2:8 - 12 M 8 F PET TBR - - - 0.76
Grade 4:12 T1G-MRI - - - - 0.56
PET/MRI ADC + TBR - - - 0.89
Detection of residual tumor
Buchmann et al., 2016 [49] Retrospective 62 Grade 4:62 61 37 M 25 F PET TBR 1.6
MRI Contrast-enhanced tissue areas -
Kläsner et al., 2015 [50] Prospective 25 Grade 2:4 62 16 M 9 F PET Visual uptake >Background
Grade 3:3 MRI Contrast-enhancement volume 0.175 cm2
Grade 4:18
Guided radiotherapy
Allard et al., 2022 [51] Prospective 23 Grade 3:3 59 14 M 9 F PET TBRmax # 1.6
Grade 4:20 SUVmax # 30%
SUVmax # 40%
SUVmax # 50%
SUVmax # 60%
SUVmax # 70%
SUVmax # 80%
SUVmax # 90%
CE-MRI Visual analysis # -
Munck af Rosenschold et al., 2015 [52] Prospective 54 Grade 3:19 55 - PET TBR # 1.6
Grade 4:35 CE-MRI Visual analysis # -
Fleischmann et al., 2020 [53] Retrospective 36 Grade 4:36 66 20 M 16 F PET TBRmax # 1.6
MRI Visual analysis #
Harat et al., 2016 [54] Prospective 34 Grade 4:34 - - PET FET uptake # 1.6 x SUVmean
MRI Visual analysis # -
Dissaux et al., 2020 [55] Prospective 30 Grade 3:5 63 20 M 10 F PET TBR# 1.6
Grade 4:25 MRI Visual analysis # -
Hayes et al., 2018 [56] Retrospective 26 Grade 3:5 61 17 M 9 F PET TBR # 1.6
Grade 4:21 CE-MRI Visual analysis # -
FLAIR-MRI Visual analysis # -
Detection of malignant transformation in LGG
Galldiks et al., 2013 [57] Prospective 27 Grade 2:27 44 18 M 9 F PET TBRmax ∆33% 72% 89% 0.87 78%
TBRmean ∆13% 72% 78% 0.80 74%
TTP ∆-6 min 72% 89% 0.78 78%
Kinetic pattern change I to II/III 72% 89% - 78%
TBRmax + TTP + Kinetic pattern change ∆ + 33% or ∆-6 min or I to II/III 83% 78% - 81%
MRI Contrast enhancement change - 44% 100% - 63%
Unterrainer et al., 2016 [58] Retrospective 31 Grade 2:26 38 18 M 13 F PET TBRmax 2.46 82% 89% 0.92 85%
Grade 3:5 TTPmin 17.5 min 73% 67% - 70%
Bashir et al., 2018 [59] Retrospective 42 patients/47 PET Inconclusive:2 41 18 M 24 F PET TBRmax § - 57% 41% 0.476
Grade 1:1 TAC § - 71% 41% 0.549
Grade 1/2:1 TTP § 25 min 57% 47% 0.511
Grade 2:43 TBRmax + TAC + TTP § 1.6 + II/III + 25 min 65% 58% 0.634
TBRmax + TAC§ 1.6 + II/III 65% 58% 0.639
TBRmax + TTP § 1.6 + 25 min 96% 25% 0.591
MRI Contrast enhancement § (CE) new area 43% 77% 0.597
PET/MRI TBRmax + TAC + TTP + CE § - 70% 50% 0.643
TBRmax + TAC + CE § - 52% 75% 0.656
TBRmax + TTP + CE § - 57% 58% 0.620
Recurrence vs. treatment-related changes
Jeong et al., 2010 [60] Retrospective 32 Grade 2:10 47 12 M 20 F PET SUVmax 1.66 87% 100% 0.978
Grade 3:8 LNR 2.18 86% 88% 0.940
Grade 4:14 LGG subgroup:
SUVmax 1.48 88% 89% 0.951
LNR 1.64 100% 75% 0.893
HGG subgroup:
SUVmax 1.66 93% 100% 0.993
LNR 2.46 86% 100% 0.964
Jansen et al., 2013 [61] Prospective 33 Grade 3:20 - - PET BTV after 6 months -
Grade 4:13 SUVmax/BG after 6 months -
Puranik et al., 2021 [62] Retrospective 72 Grade 3:13 - 47 M 25 F PET T/Wm 2.65 80% 88%
Grade 4:59
Kertels et al., 2019 [63] Retrospective 36 Grade 4:36 54 22 M 14 F PET TBRmax 3.69 79% 88% 0.86
TBRmax 3.58 64% 100% 0.84
TBRmax 3.44 86% 88% 0.86
TBRmean 2.31 61% 100% 0.83
TBRmean 2.19 71% 88% 0.80
TBR16 mm 2.44 82% 75% 0.82
TBR10 mm 2.86 86% 75% 0.81
TBR90% 3.23 71% 100% 0.85
TBR80% 3.08 82% 88% 0.88
TBR70% 2.72 86% 88% 0.87
Verger et al., 2018 [64] Retrospective 31 patients/32 tumors Grade 2:2 52 16 M 15 F PET TBRmax 2.61 80% 86% 0.78 81%
Grade 3:3 TBRmean § - - - 0.74 -
Grade 4:27 TTP § - - - 0.71 -
Slope § - - - 0.70 -
PWI rCBF TBRmax § - - - 0.65 -
TBRmean § - - - 0.55 -
PWI rCBV TBRmax § - - - 0.58 -
TBRmean § - - - 0.64 -
PWI MTT TBRmax § - - - 0.59 -
TBRmean § - - - 0.59 -
Pyka et al., 2018 [65] Retrospective 47 patients/63 lesions Grade 2:5 54 22 M 25 F PET TBR30–40 min 2.07 80% 85% 0.863
Grade 3:20 TBR10–20 min 1.71 76% 85% 0.848
Grade 4:38 TTP 20 min 64% 79% 0.728
PWI MRI rCBVuncor 4.32 62% 77% 0.726
rCBVcor 3.35 66% 77% 0.708
DWI MRI ADC 1610 × 10−6 mm2/s 50% 77% 0.688
nADC 1.22 62% 77% 0.697
FA § 98.9 65% 62% 0.593
PET/MRI TBR30–40 min + TTP + rCBVcor + nADC - 78% 92% 0.891
Werner et al., 2021 [66] Retrospective 23 Grade 4:23 58 13 M 10 F PET TBRmax 2.85 64% 92% 0.75 78%
TBRmean 1.95 82% 92% 0.77 87%
Slope § 0.02 SUV/h 73% 75% 0.72 74%
TTP 35 min 64% 83% 0.82 74%
TBRmax + TTP 2.85 and 35 min 36% 100% - 70%
TBRmean + TTP 1.95 and 35 min 55% 100% - 78%
MRI RANO criteria § - 30% 79% - 58%
Galldiks et al., 2015 [67] Retrospective 22 Grade 4:22 56 14 M 8 F PET TBRmax 2.3 100% 91% 0.94 96%
TBRmean 2.0 82% 82% 0.91 82%
Kinetic pattern II/III - - - -
TBRmax+ Kinetic pattern 2.3 and II/III 80% 91% - 86%
TBRmean+ Kinetic pattern 2.0 and II/III 60% 91% - 76%
Werner et al., 2019 [68] Retrospective 48 Grade 3:8 50 29 M 19 F PET TBRmax 1.95 100% 79% 0.89 83%
Grade 4:40 TBRmean 1.95 100% 79% 0.89 83%
TTP 32.5 min 80% 69% 0.79 72%
Slope 0.32 SUV/h 70% 75% 0.82 74%
TBRmax/mean + TTP 1.95 and 32.5 min 89% 91% - 90%
TBRmax/mean + Slope 1.95 and 0.32 SUV/h 78% 97% - 93%
DWI-MRI Visual assessment § - 70% 66% - 67%
ADC § 1.09×10−3 mm2/s 60% 71% 0.73 69%
PET/MRI TBRmax/mean + ADC - 67% 94% - 89%
Lohmann et al., 2020 [69] Retrospective 34 Grade 3:1 57 21 M 13 F PET TBRmax 2.25 81% 67% 0.79 74%
Grade 4:33 TBRmean 1.95 75% 61% 0.73 68%
TTP § 25 min 75% 44% 0.61 59%
Slope § 0.3 SUV/h 56% 61% 0.55 59%
TBRmean + TBRmax - 75% 72% - 74%
TBRmean + TTP - 69% 78% - 74%
TBRmean + Slope § - 50% 78% - 65%
TBRmax + TTP - 69% 83% - 76%
TBRmax + Slope - 50% 89% - 71%
TTP + Slope § - 56% 61% - 59%
TBRmax + TBRmean + TTP - 69% 89% - 79%
Radiomics features - 100% 40% 0.74 70%
Kebir et al., 2016 [70] Retrospective 26 Grade 4:26 58 21 M 5 F PET TBRmax 1.9 84% 86% 0.88 85%
TBRmean 1.9 74% 86% 0.86 77%
TAC II/III 84% 100% - 89%
TTP - - - 0.86 -
Rachinger et al., 2005 [71] Retrospective 45 Grade 1:1 45 23 M 22 F PET SUVmax 2.2 100% 93%
Grade 2:10 MRI Volume/Gd-enhancing area ∆25%/new area 94% 50%
Grade 3:12
Grade 4:22
Lohmeier et al., 2019 [72] Retrospective 42 Grade 1–2:2 47 32 M 10 F PET SUVmax § - - - -
Grade 3–4:40 SUV80mean § - - - -
SUV-BG § - - - -
TBR80mean - - - -
TBRmax 2.0 81% 60% 0.81
DWI-MRI ADCmean 1254 × 10−6 mm2/s 62% 100% 0.82
ADC-BG § - - - -
rADCmean - - - -
PET/MRI TBRmax + ADCmean - 97% 60% 0.90
Bashir et al., 2019 [73] Retrospective 146 Grade 4:146 60 96 M 50 F PET TBRmax 2.0 99% 94% 0.970 99%
TBRmean 1.8 96% 94% 0.977 96%
BTV 0.55 cm3 98% 94% 0.955 98%
Steidl et al., 2020 [74] Retrospective 104 Grade 2:9 52 68 M 36 F PET TBRmax 1.95 70% 60% 0.72 68%
Grade 3:24 TBRmean - - - 0.72 -
Grade 4:71 TTP § - - - 0.60 -
Slope 0.69 SUV/h 84% 62% 0.69 80%
TBRmax + Slope # 1.95 and/or 0.69 SUV/h 96% 43% - 86%
MRI rCBVmax 2.85 54% 100% 0.75 63%
PET/MRI rCBVmax + TBRmax + Slope # - 98% 43% - 87%
Pöpperl et al., 2006 [75] Prospective 24 Grade 3:5 49 15 M 9 F PET Tumax/BG # 2.0 100% 78%
Grade 4:19 Tumax/BG # 2.1 97% 91%
Tumax/BG # 2.2 82% 95%
Tumax/BG # 2.3 74% 98%
Tumax/BG # 2.4 74% 100%
Tumax/BG # 2.5 62% 100%
Visual analysis # Nodular vs. non-nodular 94% 94%
Müller et al., 2022 [76] Retrospective 151 Grade 2:28 52 97 M 54 F PET TBRmax - - - -
Grade 3:40 TBRmean - - - -
Grade 4:83 TBRmax + TBRmean # - 66% 80% 0.78
Radiomics features # - 73% 80% 0.85
TBRmax + TBRmean + radiomics features # - 81% 70% 0.85
Mehrkens et al., 2008 [77] Prospective 31 Grade 2:17 46 17 M 14 F PET SUVmax/BG § 2.0
Grade 3:6
Grade 4:8
Galldiks et al., 2015 [78] Retrospective 124 Grade 2:55 52 81 M 43 F PET TBRmax 2.3 68% 100% 0.85 71%
Grade 3:19 TBRmean 2.0 74% 91% 0.91 75%
Grade 4:50 TTP 45 min 82% 73% 0.81 81%
Curve pattern II/III 78% 73% - 77%
TBRmax + Curve pattern 2.3 and/or II/III 93% 73% - 91%
TBRmean + Curve pattern 2.0 and/or II/III 93% 73% - 91%
TBRmax + TTP 2.3 and/or 45 min 92% 73% - 90%
TBRmean + TTP 2.0 and/or 45 min 93% 100% - 93%
MRI RANO criteria § - 92% 9% - 85%
Pöpperl et al., 2004 [79] Prospective 53 Grade 1:1 - 28 M 25 F PET SUVmax 2.2
Grade 2:9 SUVmax/BG 2.0
Grade 3:16 SUV80/BG -
Grade 4:27 SUV70/BG -
Prognosis/Treatment response evaluation
Müther et al., 2019 [80] Prospective 31 Grade 4:31 67 13 M 18 F PET Volume 4.3 cm3
Jansen et al., 2013 [61] Prospective 33 Grade 3:20 - - PET Uptake kinetics Increasing
Grade 4:13
Suchorska et al., 2018 [81] Retrospective 61 Grade 2:44 46 31 M 30 F PET Initial BTV § -
Grade 3:17 Initial TBRmax § -
Initial TAC § Increasing vs. decreasing
BTV after 6 months -
TBRmax after 6 months § -
TAC after 6 months § Increasing vs. decreasing
BTV response ∆ ± 25%
TBRmax response ∆ ± 10%
TAC response § Stable increasing vs. Decreasing to increasing vs. Increasing to decreasing vs. Stable decreasing
FET-PET response Yes vs. no
MRI Initial T2 volume -
T2 volume after 6 months -
T2 volume response § RD vs. SD vs. PD
Galldiks et al., 2012 [82] Prospective 25 Grade 4:25 54 15 M 10 F PET TBRmax change ∆-10% (PFS)/∆-20% (OS) 83% (OS) 67% (OS) 0.75 (OS)
TBRmean change ∆-5% 67% 75% 0.72
Tvol 1.6 change ∆0% (PFS) - - -
MRI Gd-volume § ∆0%/∆-25% - - -
Suchorska et al., 2015 [83] Prospective 79 Grade 4:79 - - PET BTVpreRCx 9.5 cm3 64% 70%
LBRmax-preRCx 2.9 (OS) 68% 73%
Initial TAC Increasing vs. decreasing (OS) - -
MRI Gd+ volume - - -
Jansen et al., 2014 [84] Retrospective 59 Grade 2:59 43 32 M 27 F PET TAC Increasing vs. decreasing
Uptake § Positive vs. negative
SUVmax/BG § -
SUVmean/BG § -
SUVtotal/BG § -
BTV § -
MRI Contrast enhancement § Yes vs. no
Largest diameter 6 cm (PFS)
Tumor crossing midline § Yes vs. no
Thon et al., 2015 [85] Prospective 98 Grade 2:54 - 56 M 42 F PET TAC Homogeneous decreasing vs. focal decreasing vs. homogeneous increasing
Grade 3:40 SUVmax § 2.3
Grade 4:4 MRI Tumor volume § 35 mL
Kunz et al., 2018 [86] Prospective 98 Grade 2:59 - - PET TAC Homogeneous increasing vs. mixed vs. homogeneous decreasing
Grade 3:35 TTPmin >25 min vs. 12.5 < t ≤ 25 min vs. ≤12.5 min
Grade 4:4 SUVmax § 2.3
MRI Tumor volume § 35 mL
Ceccon et al., 2021 [87] Prospective 41 Grade 2:1 52 22 M 19 F PET TBRmax baseline 2.0 (PFS)/1.9 § (OS)
Grade 3:2 TBRmean baseline § 1.9 (PFS)/1.8 (OS)
Grade 4:38 MTV baseline 28.2 mL (PFS)/13.8 mL (OS)
TBRmax change 0%
TBRmean change § 0%
MTV change 0%
MRI RANO criteria § SD/PR/CR vs. PD
Galldiks et al., 2018 [88] Prospective 21 Grade 4:21 55 13 M 8 F PET TBRmax relative reduction § 27% 92% 63% 0.78
TBRmean relative reduction § 16% 92% 63% 0.81
MTV relative reduction § 27% 77% 63% 0.82
Absolute MTV at follow-up 5 mL 85% 88% 0.92
MRI RANO criteria § PR or SD 63% 69% -
Carles et al., 2021 [89] Prospective 32 Grade 4:32 52 17 M 15 F PET Radiomic features:
SUVmin & -
SUVmean & -
GLV & -
GLV2 & -
WF_GLV & -
Qacor & -
QHGZE & -
QSZHGE & -
QGLN2 & -
QHGRE & -
QSRHGE & -
QLRHGE & -
SZLGE -
Busyness & -
WF_TS & -
QvarianceCM & -
Eccentricity & -
SUVmean + WF_GLV + QLRHGE + SUVmin -
SZLGE + Busyness + QVarianceCM + Eccentricity -
Suchorska et al., 2018 [90] Retrospective 300 Grade 2:121 48 166 M 134 F PET TBRmax § 1.6
Grade 3:106 TBRmax § 2.6
Grade 4:73 TTPmin 17.5 min (OS)
MRI Contrast enhancement § Yes vs. no
T2 volume § 49 mL
Wirsching et al., 2021 [91] Retrospective 31 Grade 4:31 - - PET TBR in non-contrast enhancing tumor portions at follow-up High vs. low
MRI Contrast enhancement at baseline -
ADC at baseline -
Contrast enhancement at follow-up -
Sweeney et al., 2013 [92] Retrospective 28 Grade 2:5 - 21 M 7 F PET SUVmax 2.6
Grade 3:12 TBRmax § -
Grade 4:11 TBRmean§ -
Tumor volume §
VolSUVmax ≥ 2.2 -
Vol ≥ 40%SUVmax -
MRI VolMRI -
PET/MRI VolMRI + VolSUVmax ≥ 2.2 -
VolMRI + Vol≥ 40%SUVmax -
Non-overlap, VolMRI + VolSUVmax ≥ 2.2 -
Non-overlap, VolMRI + Vol ≥ 40%SUVmax -
Pyka et al., 2014 [93] Retrospective 34 Grade 1:2 41 22 M 12 F PET TBRmax 2.5 0.696
Grade 2:19 TBRmean 2.3 0.696
Grade 3:3 TTP 20 min 0.848
Grade 4:10 Peak TBR 2.2 0.704
Slope-to-peak 7 × 10−5/s 0.711
Wollring et al., 2022 [94] Retrospective 36 Grade 3:8 54 20 M 16 F PET New distant FET hotspot Yes vs. no
Grade 4:28 TBRmax change 0%
TBRmean change § 0%
MTV change 0%
TTP change § 0%
MRI RANO criteria SD/PR/CR vs. PD
Bauer et al., 2020 [95] Retrospective 60 Grade 3:15 55 35 M 25 F PET TBRmax § 2.55 70% 57% 0.63
Grade 4:45 TBRmean § 2.05 60% 70% 0.69
MTV § 11.15 mL 72% 54% 0.56
TTP 25 min 90% 87% 0.90
Slope § −0.103 SUV/h 70% 90% 0.77
Piroth et al., 2011 [96] Prospective 44 Grade 4:44 57 16 M 28 F PET VolTBR ≥ 1.6 25 mL
VolTBR ≥ 2.0 10 mL
TBRmax 2.4
TBRmean 2.0
MRI Gd-volume § 10 mL
Jansen et al., 2015 [97] Retrospective 121 Grade 3:51 54 73 M 48 F PET TTPmin 12.5 min
Grade 4:70 SUVmax/BG § -
SUVmean/BG § -
BTV § -
MRI contrast enhancement § Yes vs. no
Moller et al., 2016 [98] Prospective 31 Grade 3:6 54 - PET BTV baseline -
Grade 4:25 Tmax/B baseline # -
∆BTV scan 2 § -
∆BTV scan 3 § -
∆Tmax/B scan 2 # -
∆Tmax/B scan 3 # -
MRI Volume (+necrosis) § -
Volume (−necrosis) -
Dissaux et al., 2020 [99] Prospective 29 Grade 3:3 60 17 M 12 F PET TBRmax Median (5.03)
Grade 4:26 TBRmean § Median
SUVmax § Median
SUVmean § Median
SUVpeak § Median
TLG § Median
Volume § Median
Piroth et al., 2011 [100] Prospective 22 Grade 4:22 56 13 M 9 F PET Volume 20 mL
TBRmax § 3.0
TBRmean § 2.0
TBRmean 2.4
Early TBRmax response ∆-10%
Early TBRmean response ∆-10%
MRI Diameter of contrast-enhanced area 4 cm
Schneider et al., 2020 [101] Retrospective 42 Grade 2:19 46 26 M 16 F PET SUVmax 3.4
Grade 3:23 TBRmax 3.03
BTV 10 cm3
Kertels et al., 2019 [102] Retrospective 35 Grade 2:14 48 20 M 15 F PET FET positivity Yes vs. no
Grade 3:21
Floeth et al., 2007 [103] Prospective 33 Grade 2:33 - 20 M 13 F PET Mean FET uptake 1.1
Maximum FET uptake § 2.0
MRI Hemisphere§ Right vs. left
Brain lobe location § -
Extension § Deep vs. superficial
Size § 3 cm
Mass shift § Yes vs. no
Appearance Circumscribed vs. diffuse
PET/MRI Mean FET uptake + MRI appearance -
Niyazi et al., 2012 [104] Retrospective 56 Grade 3:13 50 34 M 22 F PET Kinetics pre re-RT G1–2 vs. G3 vs. G4–5
Grade 4:43 Kinetics post re-RT § G1–2 vs. G3 vs. G4–5
SUVmax/BG pre re-RT § 3.3
SUVmax/BG post re-RT § 2.6
SUVmean/BG pre re-RT § 2.2
SUVmean/BG post re-RT § 2.3
BTV pre re-RT § 13.7 cc
BTV post re-RT § 7.3 cc
Pyka et al., 2016 [39] Retrospective 113 Grade 3:26 59 43 M 70 F PET TBRmax § 2.5
Grade 4:87 TBRmean § 1.56 (PFS)/1.57 (OS)
MTV 19.4 (PFS) §/18.9 (OS)
TLU 35.0 (PFS) §/17.1 (OS)
Textural parameters:
Coarseness 5.96 × 10−3 (PFS)/6.88 × 10−3 (OS)
Contrast 0.427
Busyness 1.366 (PFS)/0.984 (OS)
Complexity 0.085 (PFS)/0.094 (OS)
Blanc-Durand et al., 2018 [43] Retrospective 37 Grade 1:3 45 23 M 14 F PET TBRmax § -
Grade 2:15 TBRmean § -
Grade 3:14 TTP -
Grade 4:5 Slope -
TAC -