Publications by authors named "M A Heesters"

Objective: C-Methionine positron emission tomography (MET-PET) is used for stereotactic radiotherapy planning in meningioma patients. The role of MET-PET during subsequent follow-up (FU) is unclear. We analyzed the uptake of C-Methionine before and after stereotactic radiotherapy (SRT) in patients with a complex meningioma and investigated if there was a difference between patients with progressive disease (PD) and stable disease (SD) during FU.

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Purpose: Radiologic follow-up of patients with a meningioma at the skull base or near the venous sinuses with magnetic resonance imaging (MRI) after stereotactic radiotherapy (SRT) and neurosurgical resection(s) can be difficult to interpret. This study evaluates the addition of C-methionine positron emission tomography (MET-PET) to the regular MRI follow-up.

Methods: This prospective pilot study included patients with predominantly WHO grade I meningiomas at the skull base or near large vascular structures.

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Article Synopsis
  • The study investigates the effectiveness and safety of various re-irradiation treatment regimens for patients with recurrent glioma, as there's no established standard protocol.
  • A retrospective analysis was conducted on 121 patients treated with different radiation techniques, revealing that overall survival rates did not significantly differ between treatment types.
  • Results showed that factors like performance status and timing between treatments were crucial in determining outcomes, but decisions on re-irradiation should be tailored to each patient until a more extensive treatment guideline is established.
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Purpose: Response evaluation in patients with glioblastoma after chemoradiotherapy is challenging due to progressive, contrast-enhancing lesions on MRI that do not reflect true tumour progression. In this study, we prospectively evaluated the ability of the PET tracer F-fluorothymidine (FLT), a tracer reflecting proliferative activity, to discriminate between true progression and pseudoprogression in newly diagnosed glioblastoma patients treated with chemoradiotherapy.

Methods: FLT PET and MRI scans were performed before and 4 weeks after chemoradiotherapy.

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Unlabelled: Transforming growth factor-β (TGF-β) signaling is involved in glioma development. The monoclonal antibody fresolimumab (GC1008) can neutralize all mammalian isoforms of TGF-β, and tumor uptake can be visualized and quantified with (89)Zr-fresolimumab PET in mice. The aim of this study was to investigate the fresolimumab uptake in recurrent high-grade gliomas using (89)Zr-fresolimumab PET and to assess treatment outcome in patients with recurrent high-grade glioma treated with fresolimumab.

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