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- W2602465663 abstract "// Shuxian Chen 1, * , Xunda Ji 2, * , Ming Liu 1 , Zhengrong Xia 1 , Hui Zheng 1 , Qiufeng Yin 1 , He Wang 3 , Yuhua Li 1 1 Department of Radiology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China 2 Department of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China 3 Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai 200433, China * These authors have contributed equally to this work Correspondence to: Yuhua Li, email: liyuhua10@sina.com He Wang, email: hewang@fudan.edu.cn Keywords: retinoblastoma, intra-arterial chemotherapy, MRI, ADC value, children Received: December 23, 2016 Accepted: March 14, 2017 Published: March 21, 2017 ABSTRACT Retinoblastoma is the most common intraocular malignant tumor of childhood. Intra-arterial chemotherapy (IAC) is a recently popularized technique used for the treatment of retinoblastoma, to decrease mortality, increase preservation of the eye, and prevent blindness. Along with the extensive use of IAC, it is important to apply noninvasive examination methods to assess the activity of the tumor and the risk factors for disease dissemination without histopathological confirmation. There are few studies that have assessed the value of magnetic resonance imaging (MRI) in evaluating the efficacy and complications of IAC for retinoblastoma. We retrospectively analyzed the MRI features of 60 patients with unilateral retinoblastoma given the primary treatment of IAC from January 2014 to February 2016 in our hospital. Our study showed that MRI could well assess the decreased activity of the tumor after IAC, presenting with diminished tumor size, increased apparent diffusion coefficient (ADC) values (from 0.94 ± 0.24 × 10 −3 mm 2 /s to 2.24 ± 0.40 × 10 −3 mm 2 /s), and a reduced degree of enhancement of the tumor. Our study also showed that MRI can monitor the risk factors of abnormal enhancement of the postlaminar optic nerve, to avoid unnecessary enucleation. Meanwhile, the results showed that the main late complications after IAC included affected eyeball volume reduction, subretinal hemorrhage, vitreous hemorrhage, vitreous opacity, cataractous len, and choroidal vascular ischemia." @default.
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- W2602465663 date "2017-03-21" @default.
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- W2602465663 title "The value of MRI in evaluating the efficacy and complications with the treatment of intra-arterial chemotherapy for retinoblastoma" @default.
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- W2602465663 doi "https://doi.org/10.18632/oncotarget.16423" @default.
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