Cell invasion, motility, and proliferation level estimate (CIMPLE) maps derived from serial diffusion MR images in recurrent glioblastoma treated with bevacizumab

2011 ◽  
Vol 105 (1) ◽  
pp. 91-101 ◽  
Author(s):  
Benjamin M. Ellingson ◽  
Timothy F. Cloughesy ◽  
Albert Lai ◽  
Phioanh L. Nghiemphu ◽  
Whitney B. Pope
Author(s):  
Junjie Zhang ◽  
Sameer Baig ◽  
Alexander Wong ◽  
Masoom A. Haider ◽  
Farzad Khalvati
Keyword(s):  

Neurosurgery ◽  
2020 ◽  
Vol 87 (5) ◽  
pp. 931-938 ◽  
Author(s):  
Kunal S Patel ◽  
Richard G Everson ◽  
Jingwen Yao ◽  
Catalina Raymond ◽  
Jodi Goldman ◽  
...  

Abstract Background Diffusion magnetic resonance (MR) characteristics are a predictive imaging biomarker for survival benefit in recurrent glioblastoma treated with anti-vascular endothelial growth factor (VEGF) therapy; however, its use in large volume recurrence has not been evaluated. Objective To determine if diffusion MR characteristics can predict survival outcomes in patients with large volume recurrent glioblastoma treated with bevacizumab or repeat resection. Methods A total of 32 patients with large volume (>20 cc or > 3.4 cm diameter) recurrent glioblastoma treated with bevacizumab and 35 patients treated with repeat surgery were included. Pretreatment tumor volume and apparent diffusion coefficient (ADC) histogram analysis were used to phenotype patients as having high (>1.24 μm2/ms) or low (<1.24 μm2/ms) ADCL, the mean value of the lower peak in a double Gaussian model of the ADC histogram within the contrast enhancing tumor. Results In bevacizumab and surgical cohorts, volume was correlated with overall survival (Bevacizumab: P = .009, HR = 1.02; Surgical: P = .006, HR = 0.96). ADCL was an independent predictor of survival in the bevacizumab cohort (P = .049, HR = 0.44), but not the surgical cohort (P = .273, HR = 0.67). There was a survival advantage of surgery over bevacizumab in patients with low ADCL (P = .036, HR = 0.43) but not in patients with high ADCL (P = .284, HR = 0.69). Conclusion Pretreatment diffusion MR imaging is an independent predictive biomarker for overall survival in recurrent glioblastoma with a large tumor burden. Large tumors with low ADCL have a survival benefit when treated with surgical resection, whereas large tumors with high ADCL may be best managed with bevacizumab.


2016 ◽  
Vol 125 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Binsheng You ◽  
Yanhao Cheng ◽  
Jian Zhang ◽  
Qimin Song ◽  
Chao Dai ◽  
...  

OBJECT The goal of this study was to investigate the significance of contrast-enhanced T1-weighted (T1W) MRI-based 3D reconstruction of dural tail sign (DTS) in meningioma resection. METHODS Between May 2013 and August 2014, 18 cases of convexity and parasagittal meningiomas showing DTS on contrast-enhanced T1W MRI were selected. Contrast-enhanced T1W MRI-based 3D reconstruction of DTS was conducted before surgical treatment. The vertical and anteroposterior diameters of DTS on the contrast-enhanced T1W MR images and 3D reconstruction images were measured and compared. Surgical incisions were designed by referring to the 3D reconstruction and MR images, and then the efficiency of the 2 methods was evaluated with assistance of neuronavigation. RESULTS Three-dimensional reconstruction of DTS can reveal its overall picture. In most cases, the DTS around the tumor is uneven, whereas the DTS around the dural vessels presents longer extensions. There was no significant difference (p > 0.05) between the vertical and anteroposterior diameters of DTS measured on the contrast-enhanced T1W MR and 3D reconstruction images. The 3D images of DTS were more intuitive, and the overall picture of DTS could be revealed in 1 image, which made it easier to design the incision than by using the MR images. Meanwhile, assessment showed that the incisions designed using 3D images were more accurate than those designed using MR images (ridit analysis by SAS, F = 7.95; p = 0.008). Pathological examination showed that 34 dural specimens (except 2 specimens from 1 tumor) displayed tumor invasion. The distance of tumor cell invasion was 1.0–21.6 mm (5.4 ± 4.41 mm [mean ± SD]). Tumor cell invasion was not observed at the dural resection margin in all 36 specimens. CONCLUSIONS Contrast-enhanced T1W MRI-based 3D reconstruction can intuitively and accurately reveal the size and shape of DTS, and thus provides guidance for designing meningioma incisions.


NeuroImage ◽  
2017 ◽  
Vol 152 ◽  
pp. 450-466 ◽  
Author(s):  
Jesper L.R. Andersson ◽  
Mark S. Graham ◽  
Ivana Drobnjak ◽  
Hui Zhang ◽  
Nicola Filippini ◽  
...  

2021 ◽  
Author(s):  
Nabil Ettehadi ◽  
Xuzhe Zhang ◽  
Yun Wang ◽  
David Semanek ◽  
Jia Guo ◽  
...  

NeuroImage ◽  
2016 ◽  
Vol 139 ◽  
pp. 450-461 ◽  
Author(s):  
Oscar Esteban ◽  
Dominique Zosso ◽  
Alessandro Daducci ◽  
Meritxell Bach-Cuadra ◽  
María J. Ledesma-Carbayo ◽  
...  

Author(s):  
Mohamed Shehata ◽  
Fahmi Khalifa ◽  
Ahmed Soliman ◽  
Rahaf Alrefai ◽  
Mohamed Abou El-Ghar ◽  
...  

2013 ◽  
Vol 116 (3) ◽  
pp. 551-558 ◽  
Author(s):  
Davis C. Woodworth ◽  
Whitney B. Pope ◽  
Linda M. Liau ◽  
Hyun J. Kim ◽  
Albert Lai ◽  
...  

2010 ◽  
Vol 64 (3) ◽  
pp. 893-901 ◽  
Author(s):  
Vanessa K. Tidwell ◽  
Joong H. Kim ◽  
Sheng-Kwei Song ◽  
Arye Nehorai

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