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Imaging brain tumors - 3 - Oligodendrogliomas 

LearnNeuroradiology
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Brain tumors are one of the most common diagnoses addressed in neuroradiology. This covers a wide spectrum of disease, from primary brain tumors like gliomas and glioblastomas to secondary disease like metastases. This lecture covers the spectrum of the most common brain tumors, with an emphasis on primary brain tumors.
This video discusses imaging and genetic features of oligodendrogliomas, including low grade oligodendrogliomas (WHO grade 2) and anaplastic oligodendroglioma (grade 3). By definition, these tumors have 1p19q codeletion and IDH mutation. Oligodendrogliomas have better survival than astrocytomas. Higher grade tumors are more likely to have more mass effect, more enhancement, and less well-defined margins. However, oligodendrogliomas typically do not degenerate into glioblastomas.
Additional videos in the playlist will address the imaging findings of other types of brain tumors.
The level of this lecture is appropriate for radiology residents, radiology fellows, and trainees in other specialties who have an interest in neuroradiology or may see patients with brain tumors.
Check out this video and additional content on www.learnneuroradiology.com

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21 сен 2018

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Комментарии : 56   
@caiyu538
@caiyu538 2 года назад
Excellent teacher.
@cluelessclive5469
@cluelessclive5469 Год назад
Thank you
@LearnNeuroradiology
@LearnNeuroradiology Год назад
You're welcome
@frankrobert9199
@frankrobert9199 Год назад
since voice quality improves significantly, maybe it is a good idea to record these great lectures again to make it better.
@LearnNeuroradiology
@LearnNeuroradiology Год назад
Yeah, I agree, and I'll go back and do some of the earlier lectures when I have a chance to update them with new and better images and audio.
@justinhunstad1760
@justinhunstad1760 2 года назад
Just had a gross total resection on what the nuerologist believed to be a grade 3 Anaplastic oligodendroglioma. Awaiting pathology results. In week three of recovery. If I'm understanding this video correctly I have a really good chance at not getting any reoccurring tumors. The surgeon was able to remove it with good margins and I'm hoping for some good news on my follow up!
@LearnNeuroradiology
@LearnNeuroradiology 2 года назад
I'm sorry to hear you had a tumor and I'm glad you are recovering. These are challenging tumors so I'm glad your surgery went well and the surgeon was able to remove most of the tumor. They will probably recommend some additional therapy (chemotherapy/radiation) after you recover, if you haven't talked about it already. With this treatment, there is a good chance you can have many tumor-free years, but it's important to talk to your doctor about the specific tumor because there are other things that can affect the possible outcomes. Good luck with the treatment!
@justinhunstad1760
@justinhunstad1760 2 года назад
@@LearnNeuroradiology thanks just awaiting my pathology results. Spot on with everything my nuerosurgeon told me. The recovery is the hardest part. From super active to inactive for several weeks is tough on the psyche
@pakventurez
@pakventurez Год назад
@@justinhunstad1760 hello! I recently was diagnosed with the same tumor on my right frontal lobe, in week 4 of recovery now. I completely understand how it messes up your psyche from being super active to not so much anymore. Just curious of how you’re doing now?! Best of luck to you! Thanks for sharing!! You are not alone!! 🙏
@justinhunstad1760
@justinhunstad1760 Год назад
@@pakventurez I'm sorry to hear you are facing the same challenges. I'm doing okay. I've recovered rather well. Back at work. The biggest dislike for me is the seizure medication. It's got some tough side effects. Advice I could give us just stay the course and don't stress about things you can't control. Learn to let go of your future plans and start to accept the reality of your new life. Take time to cry if you feel upset and don't be too proud to lean on your supports when you need to.
@NeslihanAyaz-mq6yc
@NeslihanAyaz-mq6yc 4 месяца назад
hello! how are you now ?
@patrick9379
@patrick9379 3 года назад
I have recently had a grade 2 oligodendroglioma completely removed (6 weeks ago to be exact) I feel very fortunate that the surgeon could remove it including healthy surrounding tissue. do you believe this may improve my chances of reoccurrence? Thanks
@LearnNeuroradiology
@LearnNeuroradiology 3 года назад
I'm sorry to hear that you had an oligodendroglioma. Yes, more complete resections are associated with slower recurrence and better outcomes in general. Good luck and good health!
@Saimaalikharadi
@Saimaalikharadi Месяц назад
How are you this time please tell
@patrick9379
@patrick9379 Месяц назад
@@Saimaalikharadi i am doing well thanks, scans are every 3 months and so far so good with them. Hopefully i do not ever have a reoccurrence!
@Saimaalikharadi
@Saimaalikharadi Месяц назад
@@patrick9379 no you will not
@Saimaalikharadi
@Saimaalikharadi Месяц назад
@@patrick9379 after surgery doctor give you radiation and chemo pills
@helloworld3230
@helloworld3230 Год назад
Does cystic degeneration and calcification occur as an oligodendroglioma starts growing larger?
@LearnNeuroradiology
@LearnNeuroradiology Год назад
I don't think these processes are completely understood. Small tumors can have either. Calcification undoubtedly takes some time to develop, but cysts can often be present as well.
@helloworld3230
@helloworld3230 Год назад
Makes sense but my assumption is in a small lesion (say under 1cm), the likelihood of these changes occurring is very small correct? And if present they would form a minor portion of the tumor body which would otherwise be homogenously T2/FLAIR hyperintense?
@angelescastro9033
@angelescastro9033 3 года назад
My father was recently diagnosed (7 days ago) with this tumor on his frontal left lobe. He had surgery yesterday, but they were only able to remove 50%. Because of Covid, it has been very difficult communicating with the doctors, considering that we’re not allowed in the hospital. Is there any info you can provide that will help understand what happens with the other 50% if the tumor. Thank you!
@LearnNeuroradiology
@LearnNeuroradiology 3 года назад
I'm sorry to hear your father has a tumor. Sometimes you can't remove all of a tumor because it is unsafe to remove it all or would cause too many side effects. For most tumors, you'll treat the rest with chemotherapy and radiation afterwards. For some lower grade tumors, they might just want to follow up the remaining tumor with imaging and wait until it gets worse to give radiation. The good news is, most of the time these decisions are made at your first follow-up appointment, so hopefully even with covid someone from your family can go with him.
@LearnNeuroradiology
@LearnNeuroradiology 3 года назад
@@unclejunior2668 I'm sorry about your dad. You're right, these are terrible tumors in general, but GBM especially. A lot of our research is in ways to try to do better so that people can live longer more meaningful lives after treatment. Oligodendrogliomas are the best of a bad bunch. They have the best survival, respond the best to treatment, and never turn into GBMs (although the anaplastic oligodendrogliomas can be pretty bad). Still not great, but better. My dream for everyone is that one day brain tumor treatment will be a cure, but right now it's not there, so we keep trying!
@subhashreechakraborty5368
@subhashreechakraborty5368 3 года назад
My mother also had oligo3 right frontal lobe. She did her surgery feb,2020. 90% removed then she take radiation and chemo. Hows your dad now?
@Urvashi618
@Urvashi618 Год назад
My mother was diagnosed with astrocytroma,grade3 , idh1 mutant 4 month ago on her left frontal ... now she is looking fine but doctors suggested me for radiation/ chemo but I am scared whether its safe or not as she is looking fine for now and is it curable as she is absolutely fine after operation and having astrocytroma grade3, idh1 mutant
@angelescastro9033
@angelescastro9033 Год назад
@@Urvashi618 my father had done several rounds of radiation at this point and it takes a toll on his body, he gets very sick during these treatments. I hope your mom recovers from this, best wishes💜
@shqiperickdauti-prather130
@shqiperickdauti-prather130 Год назад
Sound of this video has some vibration that makes listening very almost painful. Not present while I listen other videos.
@LearnNeuroradiology
@LearnNeuroradiology Год назад
Sorry to hear. Hopefully the new videos are better
@bluehussah6179
@bluehussah6179 2 года назад
My gf had grade 2 glioma which was in progressive stage.. Treated with SRS.. Removed it completely.. Still facing some minor difficulties in daily life.. Will she be able to lead a normal life hereafter?
@LearnNeuroradiology
@LearnNeuroradiology 2 года назад
I'm sorry to hear. It's hard to predict how normal the future will be for her because there is a wide range of deficits she might have. However, many people live with these tumors and have full lives. If she's lucky enough to have all the tumor removed and get SRS, she can do very well. Good luck!
@kartikswami8802
@kartikswami8802 Год назад
It's hard to get back to normal almost impossible it's true and tragic too😟
@germanbligerpropiedades2244
@germanbligerpropiedades2244 3 года назад
Me tocó una cirugía de estás hace unos días! Si alguien necesita una palabra de aliento o simplemente hablar! Me mandan por privado!
@LearnNeuroradiology
@LearnNeuroradiology 3 года назад
Good luck!
@germanbligerpropiedades2244
@germanbligerpropiedades2244 3 года назад
Pul Monic hola! Muy bien por suerte! De hecho ya he vuelto a trabajar, entrenar y correr.
@afiyaameer5410
@afiyaameer5410 Год назад
Hello Iam 27 year old Recently iam diagnosed with oligandroglioma grade 3 (1p19q)(right temporal lobe) My surgery completed successfully (Alhamdulillah) My surgeon said he can remove all the tumor, if there left microscopic cells something that we can’t see with eyes for that they are going to give me 6 week radiation with chemo pills Sir it can be cured or not?
@maliksuper919
@maliksuper919 Год назад
Salam Afiya, I had the same tumour and had 33 session of radio & 6 cycle of chemo. May Allah give you good health. How's ur radio therapy going?
@user-fx5jy1ye4h
@user-fx5jy1ye4h 7 месяцев назад
​@@maliksuper919now you ok
@ashutoshthakursingh9128
@ashutoshthakursingh9128 4 года назад
Voice is not clear 😔
@mishaarbab8867
@mishaarbab8867 3 года назад
Good lecture but ur voice is too slow
@LearnNeuroradiology
@LearnNeuroradiology 3 года назад
Noted. If you want to speed it up, why don't you try the youtube controls to play it faster. It might suit you better at 1.25 or 1.5 speed.
@irajyalakshmi4817
@irajyalakshmi4817 4 года назад
Voice is not clear .
@Bloodfang152
@Bloodfang152 3 года назад
His voice is very clear, you just clearly cannot understand the language
@jmac512
@jmac512 3 года назад
@@Bloodfang152 , but, he should have spoken loudly
@farzanehghazy4737
@farzanehghazy4737 3 года назад
Excellent but voice in not good 😐 😕
@k.1729
@k.1729 3 года назад
I have grade 2 oligodendro glioma :(
@LearnNeuroradiology
@LearnNeuroradiology 3 года назад
I'm sorry to hear that. A brain tumor diagnosis is something I wish no one had to hear, and we're doing our best to improve the treatments available. The good news is, grade 2 oligodendrogliomas are among the slowest growing and most treatable brain tumors. So there is a good chance you can have a good life after treatment. I wish you the best of luck with your treatments.
@sayedmulla5356
@sayedmulla5356 3 года назад
@@LearnNeuroradiology thanks to your saggesstion next what i will do sir plz give your con number
@Saimaalikharadi
@Saimaalikharadi Месяц назад
How are you this time please tell
@ciciyo28
@ciciyo28 8 месяцев назад
Bad voice sorry
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