Evidence map›Paper›PMID 29392542›Full record

ArticleMolecular imaging and biology2018

Diffusion Profiling via a Histogram Approach Distinguishes Low-grade from High-grade Meningiomas, Can Reflect the Respective Proliferative Potential and Progesterone Receptor Status.

Georg Alexander Gihr, Diana Horvath-Rizea, Nikita Garnov, Patricia Kohlhof-Meinecke, Oliver Ganslandt, Hans Henkes, Hans Jonas Meyer, Karl-Titus Hoffmann, Alexey Surov, Stefan Schob

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Article in Molecular imaging and biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

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20citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  18. Diffusion profiling of tumor volumes using a histogram approach can predict proliferation and further microarchitectural features in medulloblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018
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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Georg Alexander GihrClinic for Neuroradiology, Katharinenhospital Stuttgart, Stuttgart, Germany.
Diana Horvath-RizeaClinic for Neuroradiology, Katharinenhospital Stuttgart, Stuttgart, Germany.
Nikita GarnovEichamt Leipzig, Leipzig, Germany.
Patricia Kohlhof-MeineckeDepartment for Pathology, Katharinenhospital Stuttgart, Stuttgart, Germany.
Oliver GanslandtNeurosurgical Clinic, Katharinenhospital Stuttgart, Stuttgart, Germany.
Hans HenkesClinic for Neuroradiology, Katharinenhospital Stuttgart, Stuttgart, Germany.
Hans Jonas MeyerClinic for Diagnostic and Interventional Radiology, University Hospital Leipzig, Leipzig, Germany.
Karl-Titus HoffmannDepartment for Neuroradiology, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
Alexey SurovClinic for Diagnostic and Interventional Radiology, University Hospital Leipzig, Leipzig, Germany.
Stefan SchobDepartment for Neuroradiology, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany. Stefan.Schob@Medizin.Uni-Leipzig.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePresurgical grading, estimation of growth kinetics, and other prognostic factors are becoming increasingly important for selecting the best therapeutic approach for meningioma patients. Diffusion-weighted imaging (DWI) provides microstructural information and reflects tumor biology. A novel DWI approach, histogram profiling of apparent diffusion coefficient (ADC) volumes, provides more distinct information than conventional DWI. Therefore, our study investigated whether ADC histogram profiling distinguishes low-grade from high-grade lesions and reflects Ki-67 expression and progesterone receptor status. PROCEDURES: Pretreatment ADC volumes of 37 meningioma patients (28 low-grade, 9 high-grade) were used for histogram profiling. WHO grade, Ki-67 expression, and progesterone receptor status were evaluated. Comparative and correlative statistics investigating the association between histogram profiling and neuropathology were performed.

resultsThe entire ADC profile (p10, p25, p75, p90, mean, median) was significantly lower in high-grade versus low-grade meningiomas. The lower percentiles, mean, and modus showed significant correlations with Ki-67 expression. Skewness and entropy of the ADC volumes were significantly associated with progesterone receptor status and Ki-67 expression. ROC analysis revealed entropy to be the most accurate parameter distinguishing low-grade from high-grade meningiomas.

conclusionsADC histogram profiling provides a distinct set of parameters, which help differentiate low-grade versus high-grade meningiomas. Also, histogram metrics correlate significantly with histological surrogates of the respective proliferative potential. More specifically, entropy revealed to be the most promising imaging biomarker for presurgical grading. Both, entropy and skewness were significantly associated with progesterone receptor status and Ki-67 expression and therefore should be investigated further as predictors for prognostically relevant tumor biological features. Since absolute ADC values vary between MRI scanners of different vendors and field strengths, their use is more limited in the presurgical setting.

Indexed as

AdultAgedAged, 80 and overCell ProliferationChromobox Protein Homolog 5Diffusion Magnetic Resonance ImagingFemaleHumansKi-67 AntigenMaleMeningiomaMiddle AgedNeoplasm GradingReceptors, ProgesteroneROC CurveCBX5 protein, humanChromobox Protein Homolog 5Ki-67 AntigenReceptors, ProgesteroneDiffusion-weighted imagingHistogram analysisHistopathologyImaging biomarkerMeningiomas

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.