Diagnostic Imaging for Retinoblastoma Cancer Staging: Guide for Providing Essential Insights for Ophthalmologists and Oncologists.

Vivek Pai, Stephanie Kletke, Birgit Ertl-Wagner, Ashwin Mallipatna, Prakash Muthusami, Manohar M Shroff, Carmen Parra-Fariñas, Kanchan Sainani, Marie-Anne Brundler

Journal: Radiographics : a review publication of the Radiological Society of North America, Inc 2024;44(4):e230125

PMID: 38451848

Abstract

Retinoblastoma is the most common cause of all intraocular pediatric malignancies. It is caused by the loss of tumor suppressor gene function, although some tumors occur due to oncogene amplification with normal genes. Nearly half of all retinoblastomas occur due to a hereditary germline pathogenic variant, most of which manifest with bilateral tumors. This germline mutation also predisposes to intracranial midline embryonal tumors. Accurate staging of retinoblastoma is crucial in providing optimal vision-, eye-, and life-saving treatment. The has undergone significant changes, resulting in a universally accepted system with a multidisciplinary approach for managing retinoblastoma. The authors discuss the role of MRI and other diagnostic imaging techniques in the pretreatment assessment and staging of retinoblastoma. A thorough overview of the prevailing imaging standards and evidence-based perspectives on the benefits and drawbacks of these techniques is provided. Published under a CC BY 4.0 license. Test Your Knowledge questions for this article are available in the supplemental material.

Address: From the Divisions of Neuroradiology (V.P., P.M., B.E.W., M.M.S., C.P.F.) and Image Guided Therapy (P.M., M.M.S., C.P.F.), Department of Diagnostic Imaging, and Retinoblastoma Program, Department of Ophthalmology and Vision Sciences (K.S., S.K., A.M.), The Hospital for Sick Children (SickKids), University of Toronto, 555 University Ave, Toronto, ON, Canada M5G 1X8; and Department of Pathology and Department of Laboratory Medicine and Pediatrics, Cumming School of Medicine, Calgary, Alberta, Canada (M.A.B.).

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