Table 2.
Patient data |
Arterial spin labeling |
Anatomical imaging |
|||
---|---|---|---|---|---|
No. | Diagnosis | Intraoperative | Postoperative | Intraoperative | Postoperative |
1a | RT | 0 | 0 | 0 | 1 (0)a |
2 | RT | 1 | 1 | 1 | 1 |
3 | RT | 0 | 0 | 0 | 0 |
4 | P | 1 | 1 | 1 | 1 |
5 | P (CTx) | 0 | 0 | 0 | 0 |
6b | P | 1 | 1b | 1 | 0b |
7 | RT | 1 | 0 | 1 | 0 |
8 | P | 1 | 1 | 1 | 1 |
In this rating, 0 means no visible residual and 1 means visible residual tumor. The ICC for the intraoperative acquired data was: 0.873 and for the postoperative data: 0.750. RT: recurrent tumor; P: primary tumor; CTx: (neoadjuvant) chemotherapy.
At first a structure was misinterpreted as residual tumor mass but later amended to being a partial volume effect of an artery (see also Fig. 2).
In this case residual tumor was visible intraoperatively in both ASL and anatomical imaging, postoperatively only in the ASL. The contrast-enhanced T1 images needed to be reevaluated and it was concluded that there is still residual tumor mass (see also Fig. 3).