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CLINICAL PROBLEM

Contrast enhancement on CT and MRI and hyperintensity

areas MRI are not always real measures of tumor

extension. Tumor cells are detected beyond the margins of

contrast enhancement, in the surrounding edema, and

even in the adjacent normal-appearing tissue.

After treatment, contrast enhancement and edema can be

treatment related and cannot be differentiated from

persistent tumor on CT or MRI.

(Traditional) CT and MRI give no information about the

biological properties of the tumor.

Limitation of CT and MRI