Evidence map›Paper›PMID 34185076›Full record

ReviewNeuro-oncology2021

The 2021 WHO Classification of Tumors of the Central Nervous System: a summary.

David N Louis, Arie Perry, Pieter Wesseling, Daniel J Brat, Ian A Cree, Dominique Figarella-Branger, Cynthia Hawkins, H K Ng, Stefan M Pfister, Guido Reifenberger and 3 more

11 registry-linked trialsAbstract readReview
In one paragraph

Review in Neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 11 registered trials, which are not on this map. Cited by 7,419 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7,419citing papers in PubMed, 2 pooled it
–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.

NCT05331521 phase3recruitingnot on this map

Improvement of Functional Outcome for Patients With Newly Diagnosed Grade 2 or 3 Glioma With Co-deletion of 1p/19q - IMPROVE CODEL: the NOA-18 Trial

TypeinterventionalSponsorUniversity Hospital HeidelbergRan2021 to 2033Enrolled406ConditionsOligodendrogliomaArmsCETEG, PCV, RT
NCT05782374 active not recruitingnot on this mapstarted 2022, after this paper: background citation

Studio Osservazionale Retrospettivo Multicentrico Sull'Utilizzo di Ibrutinib in Monoterapia o in Associazione a Immunochemioterapia Secondo Schema R-CHOP in Pazienti Adulti Con Diagnosi di PCNSL Ricaduto o Refrattario

TypeobservationalSponsorIRCCS San RaffaeleRan2022 to 2026Enrolled36ConditionsPCNSLArmsIbrutinib
NCT06480721 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

FET-PET-Guided Management of Pseudoprogression in Glioblastoma

TypeinterventionalSponsorVeerle RuijtersRan2024 to 2027Enrolled144ConditionsGlioblastoma, Radionecrosis of BrainArmsClinical management based on the index MRI and an additional [¹⁸F] FET PET scan
NCT06492486 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Glioma Adaptive Radiotherapy With Development of an Artificial Intelligence Workflow

TypeinterventionalSponsorTata Memorial CentreRan2026 to 2028Enrolled60ConditionsDiffuse Glioma, Glioblastoma, Adaptive Radiotherapy, Artificial IntelligenceArmsAdaptive radiotherapy
NCT06499922 unknown statusnot on this mapstarted 2024, after this paper: background citation

Recent Advances in Surgical Management of Low Grade Glioma

TypeobservationalSponsorAssiut UniversityRan2024 to 2026Enrolled100ConditionsLow Grade Glioma of BrainArmsSURGICAL EXCISION
NCT06916715 active not recruitingnot on this map

Feasibility and Diagnostic Accuracy of Magnetic Resonance Elastography in Intracranial Space-Occupying Lesions

TypeobservationalSponsorShengjing HospitalRan2017 to 2026Enrolled626ConditionsBrain Neoplasms
NCT07036783 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Multimodal Data Collection for the Development and Validation of the STRATUM Tool to Assist Surgery in Patients Affected by Brain Tumours: Observational Study

Typeobservational_patient_registrySponsorFundación Canaria Instituto de Investigación Sanitaria de CanariasRan2025 to 2027Enrolled320ConditionsBrain (Nervous System) Cancers, Brain Tumor, Primary
NCT07243470 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Multicenter, Open-label Phase I/II Trial Aiming to Assess the Safety and Clinical Activity of Tarlatamab in Combination With Metronomic Temozolomide in Adolescents and Adults' Patients With High Grade Brain Tumors

TypeinterventionalSponsorCentre Leon BerardRan2025 to 2030Enrolled70ConditionsGlioma, CNS Tumor, Adult, CNS Tumor, ChildhoodArmsTarlatamab, Temozolomide (TMZ)
NCT07424092 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Intratumoral DNX-2401 Administration for Recurrent and Refractory High Grade Brain Tumors in Pediatric and Young Adult Patients

TypeinterventionalSponsorClinica Universidad de Navarra, Universidad de NavarraRan2026 to 2029Enrolled39ConditionsHigh Grade Glioma, Ependymoma, Embryonal Tumor of Brain, RecurrenceArmsDNX-2401
NCT07547163 recruitingnot on this mapstarted 2025, after this paper: background citation

Patient Voice in the Treatment of Low-grade Gliomas: Use of Patient-reported Outcomes, Vorasidenib and Radiotherapy Compared

TypeobservationalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2025 to 2027Enrolled90ConditionsGlioma, Glioma of Brain, Low Grade Glioma of Brain, Low Grade GliomasArmsVorasidenib, Radiotherapy, active surveillance
NCT07703761 recruitingnot on this mapstarted 2026, after this paper: background citation

AI-driven Processing and Analysis of Glioma Imaging Data EUCAIM Database Contribution by the Italian Brain Glioma Initiative Italian Title: Elaborazione ed Analisi Supportata Dall'Intelligenza Artificiale di Immagini di Risonanza Magnetica di Gliomi Cerebrali

TypeobservationalSponsorUniversità degli Studi di TrentoRan2026 to 2031Enrolled700ConditionsGlioma, Glioma (Diagnosis)ArmsAI-driven analysis of brain MRI data for early, non-invasive detection, segmentation, and histological characterization of gliomas using retrospective clinical and imaging records.
3 · Its place in the literature

Who cites it

7,419 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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7,359 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

David N LouisDepartment of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Arie PerryDepartment of Pathology, University of California San Francisco, San Francisco, California, USA.
Pieter WesselingDepartment of Pathology, Amsterdam University Medical Centers/VUmc, Amsterdam, the Netherlands.ORCID 0000-0001-5453-5201
Daniel J BratDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-0633-6563
Ian A CreeInternational Agency for Research on Cancer, World Health Organization, Lyon, France.
Dominique Figarella-BrangerService d'Anatomie Pathologique et de Neuropathologie, APHM, CNRS, Institut de Neurophysiopathologie, Hôpital de la Timone, Aix-Marseille University, Marseille, France.
Cynthia HawkinsDepartment of Paediatric Laboratory Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
H K NgDepartment of Anatomical and Cellular Pathology, Chinese University of Hong Kong, Hong Kong, China.
Stefan M PfisterHopp Children's Cancer Center at the NCT Heidelberg (KiTZ), Division of Pediatric Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), and Department of Pediatric Oncology, Hematology and Immunology, Heidelberg University Hospital, Heidelberg, Germany.
Guido ReifenbergerInstitute of Neuropathology, University Hospital Düsseldorf and Medical Faculty, Heinrich Heine University Düsseldorf, and German Cancer Consortium (DKTK) Partner Site Essen/Düsseldorf, Düsseldorf, Germany.
Riccardo SoffiettiDepartment of Neurology and Neuro-Oncology, University of Turin Medical School, Turin, Italy.
Andreas von DeimlingDepartment of Neuropathology, Institute of Pathology, Ruprecht-Karls-University, Heidelberg, Germany.
David W EllisonDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.

Funding

World Health Organization 001
6 · The paper itself

Abstract

The fifth edition of the WHO Classification of Tumors of the Central Nervous System (CNS), published in 2021, is the sixth version of the international standard for the classification of brain and spinal cord tumors. Building on the 2016 updated fourth edition and the work of the Consortium to Inform Molecular and Practical Approaches to CNS Tumor Taxonomy, the 2021 fifth edition introduces major changes that advance the role of molecular diagnostics in CNS tumor classification. At the same time, it remains wedded to other established approaches to tumor diagnosis such as histology and immunohistochemistry. In doing so, the fifth edition establishes some different approaches to both CNS tumor nomenclature and grading and it emphasizes the importance of integrated diagnoses and layered reports. New tumor types and subtypes are introduced, some based on novel diagnostic technologies such as DNA methylome profiling. The present review summarizes the major general changes in the 2021 fifth edition classification and the specific changes in each taxonomic category. It is hoped that this summary provides an overview to facilitate more in-depth exploration of the entire fifth edition of the WHO Classification of Tumors of the Central Nervous System.

Indexed as

Central Nervous System NeoplasmsBrainCentral Nervous SystemHumansPathology, MolecularWorld Health Organizationbrain tumorcentral nervous systemclassificationdiagnosisWorld Health Organization

Identifiers

PMID34185076
PMCPMC8328013

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 5 more above

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.