Somatic mutations associated with MRI-derived volumetric features in glioblastoma.

Introduction: MR imaging can noninvasively visualize tumor phenotype characteristics at the macroscopic level. Here, we investigated whether somatic mutations are associated with and can be predicted by MRI-derived tumor imaging features of glioblastoma (GBM). Methods: Seventy-six GBM patients were...

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Published in:Neuroradiology Vol. 57; no. 12; pp. 1227 - 1238
Main Authors: Gutman, David, Dunn, William, Grossmann, Patrick, Cooper, Lee, Holder, Chad, Ligon, Keith, Alexander, Brian, Aerts, Hugo
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Dec2015
Online Access:View this record in EBSCOhost
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      dt: Dec2015
      vid: 57
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-015-1576-7
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        atl: Somatic mutations associated with MRI-derived volumetric features in glioblastoma.
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        au:
          Gutman, David
          Dunn, William
          Grossmann, Patrick
          Cooper, Lee
          Holder, Chad
          Ligon, Keith
          Alexander, Brian
          Aerts, Hugo
        affil: Department of Radiation Oncology, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston USA
      sug:
        subj:
          Mutation
          Magnetic Resonance Imaging Evaluation
          Glioma Pathology
          Glioma Familial and Genetic
          Genomics
          Necrosis
          Edema
          Human
          Male
          Female
          Glioma Diagnosis
          Male
          Female
      ab: Introduction: MR imaging can noninvasively visualize tumor phenotype characteristics at the macroscopic level. Here, we investigated whether somatic mutations are associated with and can be predicted by MRI-derived tumor imaging features of glioblastoma (GBM). Methods: Seventy-six GBM patients were identified from The Cancer Imaging Archive for whom preoperative T1-contrast (T1C) and T2-FLAIR MR images were available. For each tumor, a set of volumetric imaging features and their ratios were measured, including necrosis, contrast enhancing, and edema volumes. Imaging genomics analysis assessed the association of these features with mutation status of nine genes frequently altered in adult GBM. Finally, area under the curve (AUC) analysis was conducted to evaluate the predictive performance of imaging features for mutational status. Results: Our results demonstrate that MR imaging features are strongly associated with mutation status. For example, TP53-mutated tumors had significantly smaller contrast enhancing and necrosis volumes ( p = 0.012 and 0.017, respectively) and RB1-mutated tumors had significantly smaller edema volumes ( p = 0.015) compared to wild-type tumors. MRI volumetric features were also found to significantly predict mutational status. For example, AUC analysis results indicated that TP53, RB1, NF1, EGFR, and PDGFRA mutations could each be significantly predicted by at least one imaging feature. Conclusion: MRI-derived volumetric features are significantly associated with and predictive of several cancer-relevant, drug-targetable DNA mutations in glioblastoma. These results may shed insight into unique growth characteristics of individual tumors at the macroscopic level resulting from molecular events as well as increase the use of noninvasive imaging in personalized medicine.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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