Axial FLAIR MRI1 (a), MRI2 (b) and PET 18F-FDOPA (c) imaging of a diffuse IDH wild type (WHO 2016) astrocytoma, with a SUVmax T/N (Tumour/contralateral Normal brain tissue uptake) ratio = 1.1 (<1.8) and velocity of diameter expansion between MRI1 and MRI2 of 7.7 mm (>4 mm per year). F-FDOPA, 3,4-dihydroxy-6-(18F)-fluoro-L-phenylalanine; FLAIR, fluid attenuation inversion recovery; IDH, isocitrate deshydrogenase; PET, positron emission tomography; SUV, standardized uptake value; WHO, World Health Organization.