IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model
Digital
- Autores:
-
Tripathi, Shashwat
Vivas-Buitrago, Tito
Domingo, Ricardo A.
De Biase, Gaetano
Brown, Desmond
Akinduro, Oluwaseun O.
Ramos-Fresnedo, Andres
Sherman, Wendy
Gupta, Vivek
Middlebrooks, Erik H.
Sabsevitz, David S.
Porter, Alyx B.
Uhm, Joon H.
Bendok, Bernard R.
Parney, Ian
Meyer, Fredric B.
Chaichana, Kaisorn L.
Swanson, Kristin R.
Quiñones-Hinojosa, Alfredo
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2021
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/7377
- Acceso en línea:
- https://doi.org/10.3171/2021.6.JNS21925
https://repositorio.udes.edu.co/handle/001/7377
- Palabra clave:
- Rights
- closedAccess
- License
- © Copyright 1944-2022 Tha Authors, American Association of Neurological Surgeons
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IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
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IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
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IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
| title_short |
IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
| title_full |
IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
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IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
| title_full_unstemmed |
IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
| title_sort |
IDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical model |
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Tripathi, Shashwat Vivas-Buitrago, Tito Domingo, Ricardo A. De Biase, Gaetano Brown, Desmond Akinduro, Oluwaseun O. Ramos-Fresnedo, Andres Sherman, Wendy Gupta, Vivek Middlebrooks, Erik H. Sabsevitz, David S. Porter, Alyx B. Uhm, Joon H. Bendok, Bernard R. Parney, Ian Meyer, Fredric B. Chaichana, Kaisorn L. Swanson, Kristin R. Quiñones-Hinojosa, Alfredo |
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Tripathi, Shashwat Vivas-Buitrago, Tito Domingo, Ricardo A. De Biase, Gaetano Brown, Desmond Akinduro, Oluwaseun O. Ramos-Fresnedo, Andres Sherman, Wendy Gupta, Vivek Middlebrooks, Erik H. Sabsevitz, David S. Porter, Alyx B. Uhm, Joon H. Bendok, Bernard R. Parney, Ian Meyer, Fredric B. Chaichana, Kaisorn L. Swanson, Kristin R. Quiñones-Hinojosa, Alfredo |
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Masira |
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Digital |
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2021 |
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2021-10-29 |
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2022-08-10T16:06:38Z |
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2022-08-10T16:06:38Z |
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1933-0693 |
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0022-3085 |
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https://repositorio.udes.edu.co/handle/001/7377 |
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136 |
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Scopus |
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Journal of Neurosurgery |
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© Copyright 1944-2022 Tha Authors, American Association of Neurological Surgeons |
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Tripathi, Shashwat7d585429-7135-4054-91c9-7b844b124f0a-1Vivas-Buitrago, Titof6fbc968-9bb8-41d5-9cf5-1321cde51d47-1Domingo, Ricardo A.73a1e3bb-6493-4db9-b47f-bc9e4481632f-1De Biase, Gaetano7a84331b-430c-42fc-8e2e-f657224ebf8e-1Brown, Desmond76dc7bb5-d17e-4064-bd2d-311082c0b383-1Akinduro, Oluwaseun O.08691d44-b54c-4421-a366-5d4028f1ec9f-1Ramos-Fresnedo, Andres641af961-843e-4121-8e72-a8faf43a6b20-1Sherman, Wendy5f088811-a5a0-4b20-9e29-32588d98d31c-1Gupta, Viveke9edcfd1-a0ca-4a16-b21d-0f21e345934f-1Middlebrooks, Erik H.1c06751f-cdd1-404c-98d8-80498119d6cf-1Sabsevitz, David S.c8840b58-d662-4c2e-b68d-8382061acb16-1Porter, Alyx B.e83ec419-ec74-444f-8499-dd9bb09edf7b-1Uhm, Joon H.c9e8a4ee-1a09-4f64-91ae-3a05648166c7-1Bendok, Bernard R.31dce5fa-9022-47d4-9aa1-52f942d3eda6-1Parney, Ian173418f2-d03d-485d-987f-ec2822b1ccc2-1Meyer, Fredric B.16c13661-a972-493b-a123-493c30f2a722-1Chaichana, Kaisorn L.b40b5947-4fc1-4211-820e-cfa65c3a5ec5-1Swanson, Kristin R.7d548a80-18e5-4046-9171-a8f84a7f8145-1Quiñones-Hinojosa, Alfredo2ab3981b-164a-4725-a6fa-82addecd4843-1Masira2022-08-10T16:06:38Z2022-08-10T16:06:38Z2021-10-29DigitalOBJECTIVE Recent studies have proposed resection of the T2 FLAIR hyperintensity beyond the T1 contrast enhancement (supramarginal resection [SMR]) for IDH–wild-type glioblastoma (GBM) to further improve patients’ overall survival (OS). GBMs have significant variability in tumor cell density, distribution, and infiltration. Advanced mathematical models based on patient-specific radiographic features have provided new insights into GBM growth kinetics on two important parameters of tumor aggressiveness: proliferation rate (ρ) and diffusion rate (D). The aim of this study was to investigate OS of patients with IDH–wild-type GBM who underwent SMR based on a mathematical model of cell distribution and infiltration profile (tumor invasiveness profile). METHODS Volumetric measurements were obtained from the selected regions of interest from pre- and postoperative MRI studies of included patients. The tumor invasiveness profile (proliferation/diffusion [ρ/D] ratio) was calculated using the following formula: ρ/D ratio = (4π/3)2/3 × (6.106/[VT21/1 − VT11/1])2, where VT2 and VT1 are the preoperative FLAIR and contrast-enhancing volumes, respectively. Patients were split into subgroups based on their tumor invasiveness profiles. In this analysis, tumors were classified as nodular, moderately diffuse, or highly diffuse. RESULTS A total of 101 patients were included. Tumors were classified as nodular (n = 34), moderately diffuse (n = 34), and highly diffuse (n = 33). On multivariate analysis, increasing SMR had a significant positive correlation with OS for moderately and highly diffuse tumors (HR 0.99, 95% CI 0.98–0.99; p = 0.02; and HR 0.98, 95% CI 0.96–0.99; p = 0.04, respectively). On threshold analysis, OS benefit was seen with SMR from 10% to 29%, 10% to 59%, and 30% to 90%, for nodular, moderately diffuse, and highly diffuse, respectively. CONCLUSIONS The impact of SMR on OS for patients with IDH–wild-type GBM is influenced by the degree of tumor invasiveness. The authors’ results show that increasing SMR is associated with increased OS in patients with moderate and highly diffuse IDH–wild-type GBMs. When grouping SMR into 10% intervals, this benefit was seen for all tumor subgroups, although for nodular tumors, the maximum beneficial SMR percentage was considerably lower than in moderate and highly diffuse tumors.Ciencias Médicas y de la Saludapplication/pdfhttps://doi.org/10.3171/2021.6.JNS219251933-06930022-3085https://repositorio.udes.edu.co/handle/001/7377engUSA157561567136ScopusJournal of Neurosurgery© Copyright 1944-2022 Tha Authors, American Association of Neurological Surgeonsinfo:eu-repo/semantics/closedAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)https://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_14cbhttps://thejns.org/view/journals/j-neurosurg/136/6/article-p1567.xmlIDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival: a mathematical modelArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALIDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival. A mathematical model.pdfIDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival. A mathematical model.pdfapplication/pdf246339https://repositorio.udes.edu.co/bitstreams/4651dfd1-4846-45aa-b2c2-ae6ed264d763/downloadb2989845bec131533547bd69495b32f3MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/1a5ddbff-b250-47e9-81b0-b2e0bace02c2/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTIDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival. A mathematical model.pdf.txtIDH–wild-type glioblastoma cell density and infiltration distribution influence on supramarginal resection and its impact on overall survival. 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