Evidence map›Paper›PMID 37668941›Full record

ArticleJournal of neuro-oncology2023

Predicting survival in glioblastoma with multimodal neuroimaging and machine learning.

Patrick H Luckett, Michael Olufawo, Bidhan Lamichhane, Ki Yun Park, Donna Dierker, Gabriel Trevino Verastegui, Peter Yang, Albert H Kim, Milan G Chheda, Abraham Z Snyder and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
10.4field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  20. Inhibition of TRAF3IP2 Modulates NAMPT and NAD Metabolism in Glioblastoma.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
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

12 authors at 4 institutions in 1 country.

Patrick H LuckettDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA. luckett.patrick@wustl.edu.ORCID http://orcid.org/0000-0003-2262-6605
Michael OlufawoDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Bidhan LamichhaneDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Ki Yun ParkDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Donna DierkerMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Gabriel Trevino VerasteguiDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Peter YangDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Albert H KimDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Milan G ChhedaBrain Tumor Center at Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA.
Abraham Z SnyderMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Joshua S ShimonyMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Eric C LeuthardtDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Washington University in St. Louis · USNeurological Surgery · USHope Center for Neurological Disorders · USMallinckrodt (United States) · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Training and DisseminationP41EB018783 · NIBIB · WADSWORTH CENTER · PI Theresa M. Vaughan · 2014 to 2026
$15.4M
Resilience and brain health of older adults during the COVID-19 pandemicR01AG072694 · NIA · WASHINGTON UNIVERSITY · PI DINIZ, BRENO SATLER, LENZE, ERIC J · 2021 to 2025
$9.1M
Augmented Neurosurgical Navigation Software Using Resting State MRIR01CA203861 · NCI · WASHINGTON UNIVERSITY · PI Eric CLAUDE Leuthardt, JOSHUA S SHIMONY · 2017 to 2026
$5.8M
BCI2000: Software Resource for Adaptive Neurotechnology ResearchU24NS109103 · NINDS · WASHINGTON UNIVERSITY · PI BRUNNER, PETER · 2019 to 2024
$2.8M
BCI2000+: A Software Platform for Adaptive NeurotechnologiesR01EB026439 · NIBIB · WASHINGTON UNIVERSITY · PI BRUNNER, PETER · 2018 to 2022
$1.5M
Dynamics and Causal Functions of Large-Scale Cortical and Subcortical NetworksU01NS108916 · NINDS · WADSWORTH CENTER · PI WOLPAW, JONATHAN RICKEL · 2018 to 2019
$1.4M
NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA203861NCI NIH HHS R01CA203861NIA NIH HHS R01 AG072694NIBIB NIH HHS P41 EB018783NIBIB NIH HHS P41EB018783NIBIB NIH HHS R01 EB026439NIBIB NIH HHS R01EB026439NINDS NIH HHS U01 NS108916NINDS NIH HHS U24 NS109103NINDS NIH HHS U24NS109103
6 · The paper itself

Abstract

purposeGlioblastoma (GBM) is the most common and aggressive malignant glioma, with an overall median survival of less than two years. The ability to predict survival before treatment in GBM patients would lead to improved disease management, clinical trial enrollment, and patient care.

methodsGBM patients (N = 133, mean age 60.8 years, median survival 14.1 months, 57.9% male) were retrospectively recruited from the neurosurgery brain tumor service at Washington University Medical Center. All patients completed structural neuroimaging and resting state functional MRI (RS-fMRI) before surgery. Demographics, measures of cortical thickness (CT), and resting state functional network connectivity (FC) were used to train a deep neural network to classify patients based on survival (< 1y, 1-2y, >2y). Permutation feature importance identified the strongest predictors of survival based on the trained models.

resultsThe models achieved a combined cross-validation and hold out accuracy of 90.6% in classifying survival (< 1y, 1-2y, >2y). The strongest demographic predictors were age at diagnosis and sex. The strongest CT predictors of survival included the superior temporal sulcus, parahippocampal gyrus, pericalcarine, pars triangularis, and middle temporal regions. The strongest FC features primarily involved dorsal and inferior somatomotor, visual, and cingulo-opercular networks.

conclusionWe demonstrate that machine learning can accurately classify survival in GBM patients based on multimodal neuroimaging before any surgical or medical intervention. These results were achieved without information regarding presentation symptoms, treatments, postsurgical outcomes, or tumor genomic information. Our results suggest GBMs have a global effect on the brain's structural and functional organization, which is predictive of survival.

Indexed as

GlioblastomaFemaleHumansMachine LearningMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingRetrospective StudiesCortical thicknessDeep learningFunctional MRIGlioblastomaSurvival

Identifiers

PMID37668941
PMCPMC10522528
OpenAlexW4386439082

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.