Evidence map›Paper›PMID 35911979›Full record

ArticleFrontiers in neuroscience2022

Decoding the Heterogeneity of Malignant Gliomas by PET and MRI for Spatial Habitat Analysis of Hypoxia, Perfusion, and Diffusion Imaging: A Preliminary Study.

Michele Bailo, Nicolò Pecco, Marcella Callea, Paola Scifo, Filippo Gagliardi, Luca Presotto, Valentino Bettinardi, Federico Fallanca, Paola Mapelli, Luigi Gianolli and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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  20. The value of habitat analysis based onBMC medical imaging · 2025
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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

16 authors at 2 institutions in 1 country.

Michele BailoVita-Salute San Raffaele University, Milan, Italy.
Nicolò PeccoNeuroradiology Unit and CERMAC, IRCCS Ospedale San Raffaele, Milan, Italy.
Marcella CalleaPathology Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Paola ScifoDepartment of Nuclear Medicine, IRCCS Ospedale San Raffaele, Milan, Italy.
Filippo GagliardiDepartment of Neurosurgery and Gamma Knife Radiosurgery, IRCCS Ospedale San Raffaele, Milan, Italy.
Luca PresottoDepartment of Nuclear Medicine, IRCCS Ospedale San Raffaele, Milan, Italy.
Valentino BettinardiDepartment of Nuclear Medicine, IRCCS Ospedale San Raffaele, Milan, Italy.
Federico FallancaDepartment of Nuclear Medicine, IRCCS Ospedale San Raffaele, Milan, Italy.
Paola MapelliVita-Salute San Raffaele University, Milan, Italy.
Luigi GianolliDepartment of Nuclear Medicine, IRCCS Ospedale San Raffaele, Milan, Italy.
Claudio DoglioniPathology Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Nicoletta AnzaloneVita-Salute San Raffaele University, Milan, Italy.
Maria PicchioVita-Salute San Raffaele University, Milan, Italy.
Pietro MortiniVita-Salute San Raffaele University, Milan, Italy.
Andrea FaliniVita-Salute San Raffaele University, Milan, Italy.
Antonella CastellanoVita-Salute San Raffaele University, Milan, Italy.
IRCCS Ospedale San Raffaele · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tumor heterogeneity poses major clinical challenges in high-grade gliomas (HGGs). Quantitative radiomic analysis with spatial tumor habitat clustering represents an innovative, non-invasive approach to represent and quantify tumor microenvironment heterogeneity. To date, habitat imaging has been applied mainly on conventional magnetic resonance imaging (MRI), although virtually extendible to any imaging modality, including advanced MRI techniques such as perfusion and diffusion MRI as well as positron emission tomography (PET) imaging. Objectives: This study aims to evaluate an innovative PET and MRI approach for assessing hypoxia, perfusion, and tissue diffusion in HGGs and derive a combined map for clustering of intra-tumor heterogeneity. Materials and Methods: Seventeen patients harboring HGGs underwent a pre-operative acquisition of MR perfusion (PWI), Diffusion (dMRI) and Results: A highly reproducible distribution pattern of the clusters was observed among different cases, particularly with respect to morphological landmarks as the necrotic core, contrast-enhancing vital tumor, and peritumoral infiltration and edema, providing valuable supplementary information to conventional imaging. A preliminary analysis, performed on stereotactic bioptic samples where exact intracranial coordinates were available, identified a reliable correlation between the expected microenvironment of the different spatial habitats and the actual histopathological features. A trend toward a higher representation of the most aggressive clusters in WHO (World Health Organization) grade IV compared to WHO III was observed. Conclusion: Preliminary findings demonstrated high reproducibility of the PET and MRI hypoxia, perfusion, and tissue diffusion spatial habitat maps and correlation with disease-specific histopathological features.

Indexed as

diffusion-weighted imaginghabitatshigh-grade gliomahypoxia imagingMRIperfusion-weighted imagingPETtumor heterogeneity

Identifiers

PMID35911979
PMCPMC9326318
OpenAlexW4285087151

What OpenQuestion holds

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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.