RAPNO efforts in Brain Tumour Outcomes

Assessing treatment efficacy for brain tumours has evolved since its inception with the introduction of MacDonald’s criteria, which pioneered the utility of imaging to determine an objective and quantifiable response to treatment. This criterion failed to distinguish pseudo response or progression...

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Main Authors: Qurat-ul-Ain Virani, Zanib Javed, Muhammad Shahzad Shamim
Format: Article
Language:English
Published: Pakistan Medical Association 2024-04-01
Series:Journal of the Pakistan Medical Association
Online Access:https://jpma.org.pk/index.php/public_html/article/view/20778
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author Qurat-ul-Ain Virani
Zanib Javed
Muhammad Shahzad Shamim
author_facet Qurat-ul-Ain Virani
Zanib Javed
Muhammad Shahzad Shamim
author_sort Qurat-ul-Ain Virani
collection DOAJ
description Assessing treatment efficacy for brain tumours has evolved since its inception with the introduction of MacDonald’s criteria, which pioneered the utility of imaging to determine an objective and quantifiable response to treatment. This criterion failed to distinguish pseudo response or progression from progression and did not account for non-enhancing disease therefore; the response assessment in neuro-oncology (RANO) working group was established to account for these limitations. Since, its commencement it has worked to determine response assessment for multiple tumours. As paediatric tumours exhibit heterogeneous and variable-enhancing characteristics, the response assessment in paediatric neuro-oncology (RAPNO) working group was formed to create separate criteria. Six response criteria have been published to date, and the article summarizes them. Keywords: RAPNO, neuro-oncology, response assessment
format Article
id doaj-art-4c7be40da95f4b2dbc703bf5468009aa
institution DOAJ
issn 0030-9982
language English
publishDate 2024-04-01
publisher Pakistan Medical Association
record_format Article
series Journal of the Pakistan Medical Association
spelling doaj-art-4c7be40da95f4b2dbc703bf5468009aa2025-08-20T02:40:39ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-04-0174510.47391/JPMA.24-39RAPNO efforts in Brain Tumour OutcomesQurat-ul-Ain Virani0Zanib Javed1Muhammad Shahzad Shamim2Section of Neurosurgery, Department of Surgery, Aga Khan University, Karachi, Pakistan.Section of Neurosurgery, Department of Surgery, Aga Khan University, Karachi, Pakistan.Section of Neurosurgery, Department of Surgery, Aga Khan University, Karachi, Pakistan. Assessing treatment efficacy for brain tumours has evolved since its inception with the introduction of MacDonald’s criteria, which pioneered the utility of imaging to determine an objective and quantifiable response to treatment. This criterion failed to distinguish pseudo response or progression from progression and did not account for non-enhancing disease therefore; the response assessment in neuro-oncology (RANO) working group was established to account for these limitations. Since, its commencement it has worked to determine response assessment for multiple tumours. As paediatric tumours exhibit heterogeneous and variable-enhancing characteristics, the response assessment in paediatric neuro-oncology (RAPNO) working group was formed to create separate criteria. Six response criteria have been published to date, and the article summarizes them. Keywords: RAPNO, neuro-oncology, response assessment https://jpma.org.pk/index.php/public_html/article/view/20778
spellingShingle Qurat-ul-Ain Virani
Zanib Javed
Muhammad Shahzad Shamim
RAPNO efforts in Brain Tumour Outcomes
Journal of the Pakistan Medical Association
title RAPNO efforts in Brain Tumour Outcomes
title_full RAPNO efforts in Brain Tumour Outcomes
title_fullStr RAPNO efforts in Brain Tumour Outcomes
title_full_unstemmed RAPNO efforts in Brain Tumour Outcomes
title_short RAPNO efforts in Brain Tumour Outcomes
title_sort rapno efforts in brain tumour outcomes
url https://jpma.org.pk/index.php/public_html/article/view/20778
work_keys_str_mv AT quratulainvirani rapnoeffortsinbraintumouroutcomes
AT zanibjaved rapnoeffortsinbraintumouroutcomes
AT muhammadshahzadshamim rapnoeffortsinbraintumouroutcomes