1. WERKGROEP HERSENTUMOREN vzw Study Group Brain Tumours RECENT ADVANCES IN THE BRAIN IMAGING A PATIENTS OPINION 16.03.2010 European Parliament, Brussels

2. WERKGROEP HERSENTUMOREN VZW Study Group Brain Tumours Brain Tumours -Incidence HG BT 8 new cases/100.000 people/year -Incidence LG BT 8 new cases/100.000 people/year -Source: Improving Outcomes for People with Brain and other CNS Tumours; National institute for Health and Clinical Excellence, June 2006 In Europe 80.000 new cases/year

3. Typical Stages of the Disease Vague Symptoms Heavy Neurological Symptoms Diagnosis Detailed Diagnosis Neurosurgery Radiotherapy if HG Chemotherapy if HG Rehabilitation Adaptation-Integration Follow Up ACUTE PHASE TREATMENT REHABILITATION

4. DIAGNOSIS = LOOKING INSIDE THE SKULL

5. LOOKING INSIDE THE SKULL 2 METHODS CT-SCAN -Work with X-rays -Ionising effects -May cause cancer (certainty) - Lower resolution MRI-SCAN -Work with magnetical resonance -Raise of temperature of 0,1 ° C -No known lasting effects -No evidence for cancer -Higher resolution

6. DETAILED DIAGNOSIS Primary or secundary brain tumour ? Exact location Functional analysis (PET-SCAN) EEG Stereotactical biopsy

7. NEUROSURGERY -Stereotactical frame -Mapping -Awake surgery -Neurostimulation -Interventional MRI

8. FOLLOW UP Regular Controls with MRI

9. CONCLUSIONS -Diagnosis, treatment and follow up depend entirely on the MRI technology -MRI is a less harmful tool than CT -Quality of images are superior with MRI