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Review ArticleAdult Brain
Open Access

Newly Recognized CNS Tumors in the 2021 World Health Organization Classification: Imaging Overview with Histopathologic and Genetic Correlation

R.K. Rigsby, P. Brahmbhatt, A.B. Desai, G. Bathla, B.A. Ebner, V. Gupta, P. Vibhute and A.K. Agarwal
American Journal of Neuroradiology April 2023, 44 (4) 367-380; DOI: https://doi.org/10.3174/ajnr.A7827
R.K. Rigsby
aFrom the Department of Radiology (R.K.R., P.B., A.B.D., V.G., P.V., A.K.A.), Mayo Clinic, Jacksonville, Florida
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P. Brahmbhatt
aFrom the Department of Radiology (R.K.R., P.B., A.B.D., V.G., P.V., A.K.A.), Mayo Clinic, Jacksonville, Florida
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A.B. Desai
aFrom the Department of Radiology (R.K.R., P.B., A.B.D., V.G., P.V., A.K.A.), Mayo Clinic, Jacksonville, Florida
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G. Bathla
bDepartment of Radiology (G.B.), Mayo Clinic, Rochester, Minnesota
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B.A. Ebner
cDepartment of Laboratory Medicine and Pathology (B.A.E.), Mayo Clinic, Rochester, Minnesota
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V. Gupta
aFrom the Department of Radiology (R.K.R., P.B., A.B.D., V.G., P.V., A.K.A.), Mayo Clinic, Jacksonville, Florida
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P. Vibhute
aFrom the Department of Radiology (R.K.R., P.B., A.B.D., V.G., P.V., A.K.A.), Mayo Clinic, Jacksonville, Florida
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A.K. Agarwal
aFrom the Department of Radiology (R.K.R., P.B., A.B.D., V.G., P.V., A.K.A.), Mayo Clinic, Jacksonville, Florida
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Abstract

SUMMARY: In 2021, the World Health Organization released an updated classification of CNS tumors. This update reflects the growing understanding of the importance of genetic alterations related to tumor pathogenesis, prognosis, and potential targeted treatments and introduces 22 newly recognized tumor types. Herein, we review these 22 newly recognized entities and emphasize their imaging appearance with correlation to histologic and genetic features.

ABBREVIATIONS:

AT/RT
atypical teratoid/rhabdoid tumor
cIMPACT-NOW
Consortium to Inform Molecular and Practical Approaches to CNS Tumor Taxonomy-Not Official WHO
GFAP
glial fibrillary acidic protein
MAPK
mitogen-activated protein kinase
NEC
not elsewhere classified
NOS
not otherwise specified
PFA and PFB
posterior fossa ependymoma groups A and B
WHO
World Health Organization
WHO CNS5
World Health Organization Classification of Tumors of the Central Nervous System, fifth edition
IDH
isocitrate dehydrogenase
  • © 2023 by American Journal of Neuroradiology

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American Journal of Neuroradiology: 44 (4)
American Journal of Neuroradiology
Vol. 44, Issue 4
1 Apr 2023
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Cite this article
R.K. Rigsby, P. Brahmbhatt, A.B. Desai, G. Bathla, B.A. Ebner, V. Gupta, P. Vibhute, A.K. Agarwal
Newly Recognized CNS Tumors in the 2021 World Health Organization Classification: Imaging Overview with Histopathologic and Genetic Correlation
American Journal of Neuroradiology Apr 2023, 44 (4) 367-380; DOI: 10.3174/ajnr.A7827

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New CNS Tumors 2021: Imaging & Genetic Insights
R.K. Rigsby, P. Brahmbhatt, A.B. Desai, G. Bathla, B.A. Ebner, V. Gupta, P. Vibhute, A.K. Agarwal
American Journal of Neuroradiology Apr 2023, 44 (4) 367-380; DOI: 10.3174/ajnr.A7827
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