Evidence map›Paper›PMID 32789494›Full record

ArticleNeuro-oncology2021

Functional connectivity within glioblastoma impacts overall survival.

Andy G S Daniel, Ki Yun Park, Jarod L Roland, Donna Dierker, James Gross, Joseph B Humphries, Carl D Hacker, Abraham Z Snyder, Joshua S Shimony, Eric C Leuthardt

Abstract read
In one paragraph

Article in Neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

41 citing papers in PubMed.

  1. Review
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  10. Individual-level metabolic connectivity from dynamic [European journal of nuclear medicine and molecular imaging · 2025
    Article
  11. Article
  12. The promise of precision functional mapping for neuroimaging in psychiatry.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  13. Article
  14. Article
  15. Review
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  17. Tumour-infiltrated cortex participates in large-scale cognitive circuits.Cortex; a journal devoted to the study of the nervous system and behavior · 2024
    Article
  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Andy G S DanielDepartment of Biomedical Engineering, McKelvey School of Engineering, Washington University, St. Louis, Missouri.
Ki Yun ParkMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Jarod L RolandWashington University School of Medicine, St Louis, Missouri.
Donna DierkerMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
James GrossSchool of Medicine, St Louis, Missouri.
Joseph B HumphriesDepartment of Biomedical Engineering, McKelvey School of Engineering, Washington University, St. Louis, Missouri.
Carl D HackerDepartment of Neurological Surgery, St Louis, Missouri.
Abraham Z SnyderMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Joshua S ShimonyMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Eric C LeuthardtDepartment of Biomedical Engineering, McKelvey School of Engineering, Washington University, St. Louis, Missouri.

Funding

Washington University Intellectual and Developmental Disabilities Research Center-Administrative Down Syndrome SupplementU54HD087011 · NICHD · WASHINGTON UNIVERSITY · PI CONSTANTINO, JOHN N. · 2015 to 2019
$7.1M
Augmented Neurosurgical Navigation Software Using Resting State MRIR01CA203861 · NCI · WASHINGTON UNIVERSITY · PI Eric CLAUDE Leuthardt, JOSHUA S SHIMONY · 2017 to 2026
$5.8M
NCI NIH HHS R01 CA203861NICHD NIH HHS U54 HD087011
6 · The paper itself

Abstract

backgroundGlioblastoma (GBM; World Health Organization grade IV) assumes a variable appearance on MRI owing to heterogeneous proliferation and infiltration of its cells. As a result, the neurovascular units responsible for functional connectivity (FC) may exist within gross tumor boundaries, albeit with altered magnitude. Therefore, we hypothesize that the strength of FC within GBMs is predictive of overall survival.

methodsWe used predefined FC regions of interest (ROIs) in de novo GBM patients to characterize the presence of within-tumor FC observable via resting-state functional MRI and its relationship to survival outcomes.

resultsFifty-seven GBM patients (mean age, 57.8 ± 13.9 y) were analyzed. Functionally connected voxels, not identifiable on conventional structural images, can be routinely found within the tumor mass and was not significantly correlated to tumor size. In patients with known survival times (n = 31), higher intranetwork FC strength within GBM tumors was associated with better overall survival even after accounting for clinical and demographic covariates.

conclusionsThese findings suggest the possibility that functionally intact regions may persist within GBMs and that the extent to which FC is maintained may carry prognostic value and inform treatment planning.

Indexed as

Brain NeoplasmsGlioblastomaAdultAgedHumansMagnetic Resonance ImagingMiddle AgedPrognosisFCfunctional MRIglioblastomagliomaresting state

Identifiers

PMID32789494
PMCPMC7992880

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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.