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AI Model Improves Differentiation of Brain Tumor Progression from Radiation Necrosis on MRI

EurekAlertResearch

A York University-led study shows a novel AI using advanced MRI can distinguish between progressive brain tumors and radiation necrosis more accurately than human assessment.

Key Details

  • 1AI model uses attention-guided deep learning with chemical exchange saturation transfer (CEST) MRI.
  • 2Study included over 90 patients with brain metastases treated by stereotactic radiosurgery (SRS).
  • 3AI achieved over 85% accuracy in distinguishing tumor progression from necrosis, compared to ~60% for standard MRI and ~70% for advanced MRI alone.
  • 4Published December 2025 in International Journal of Radiation Oncology, Biology, Physics.
  • 5A crucial clinical challenge as treatment decisions for tumor progression vs necrosis are substantially different.

Why It Matters

Differentiating tumor progression from radiation necrosis on MRI post-therapy is a major clinical challenge, as each requires different treatments. AI that improves diagnosis accuracy could substantially impact patient management and outcomes in neuro-oncology.

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