Evidence map›Paper›PMID 39960860›Full record

ArticleNeuro-oncology2025

Multi-site retrospective analysis of diffusion and perfusion magnetic resonance imaging correlates to glioma characteristics derived from radio-pathomic maps.

Samuel A Bobholz, Daniel Aaronsen, Aleksandra Winiarz, Savannah R Duenweg, Allison K Lowman, Michael Flatley, Fitzgerald Kyereme, Jennifer Connelly, E Kelly S Mrachek, Max O Krucoff and 2 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Samuel A BobholzDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0003-1525-7418
Daniel AaronsenDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Aleksandra WiniarzDepartment of Biophysics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Savannah R DuenwegDepartment of Biophysics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Allison K LowmanDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Michael FlatleyDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Fitzgerald KyeremeDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Jennifer ConnellyDepartment of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
E Kelly S MrachekDepartment of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Max O KrucoffDepartment of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Anjishnu BanerjeeDepartment of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Peter S LaVioletteDepartment of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0002-9602-6891

Funding

Prostate Cancer Radio-Pathomics for Differentiating Clinically Significant DiseaseR01CA249882 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI LAVIOLETTE, PETER S · 2021 to 2025
$3.0M
Brain Cancer Radio-Pathomics for Predicting Heterogeneous CytologyR01CA218144 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI LAVIOLETTE, PETER S · 2017 to 2021
$1.9M
Radiopathomic Modeling of Glioma Heterogeneity Throughout a Patient's Disease TrajectoryR01CA290631 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Peter S LaViolette, Janine Marie Lupo · 2025 to 2026
$1.3M
Bayesian learning algorithms for identifying and classifying heterogeneity of cell types in variety of solid tumorsR21CA231892 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI BANERJEE, ANJISHNU · 2018 to 2019
$362k
Advancing a Healthier Wisconsin R01CA290631, R01CA218144, R01CA218144-02S1, R21CA231892, and R01CA249882American Brain Tumor Association DG160004NCI NIH HHS R01 CA218144NCI NIH HHS R01 CA249882NCI NIH HHS R01 CA290631NCI NIH HHS R21 CA231892
6 · The paper itself

Abstract

backgroundThis study determines the relationship between diffusion and perfusion-based magnetic resonance imaging signatures and radio-pathomic maps of tumor pathology in a large, multi-site cohort.

methodsThis study included perfusion imaging from presurgical relative cerebral blood volume (rCBV) images from the UPenn-GBM dataset and presurgical arterial spin labeling (ASL) imaging from the UCSF-PDGM dataset. Diffusion imaging included fractional anisotropy (FA) estimates derived from diffusion tensor imaging for each subject from each institution. A previously validated autopsy-based model was applied to the structural images from each patient to generate quantitative radio-pathomic maps of cell density and extracellular fluid (ECF). Mean cell density, ECF density, FA, rCBV calculated from dynamic susceptibility contrast imaging, and rCBF calculated from ASL were computed for each patient and statistically compared within contrast-enhancement (CE) and the non-enhancing peritumor FLAIR hyperintensity (FH).

resultsBoth rCBV and ASL showed a positive correlation with cell density within CE (rCBV: R = 0.280, P < .001; ASL: R = 0.117, P = .023). However, both perfusion metrics also showed no association with cell density within the FH region at the group level (rCBV: R = 0.0162, P = .731; ASL: R = -0.020, P = .652). Negative correlations were observed between FA and ECF density across both CE and FH in both the UPenn-GBM (CE: r = -.204, P < .001, FH: r = -.332, P < .001) and the UCSF-PDGM (CE:r = -.179, P < .001, FH:-0.355, P < .001). Additionally, a positive ASL-cell density association per subject within FH was associated with a worse survival prognosis (HR = 5.58, P = .022).

conclusionsThese results suggest that radio-pathomic maps of tumor pathology provide complementary information to other MR signatures that reveal prognostically valuable signatures of the non-enhancing tumor margin.

Indexed as

Brain NeoplasmsDiffusion Magnetic Resonance ImagingGliomaMagnetic Resonance AngiographyAdultAgedCerebrovascular CirculationFemaleFollow-Up StudiesHumansMaleMiddle AgedPerfusion Magnetic Resonance ImagingPrognosisRetrospective Studies

Identifiers

PMID39960860
PMCPMC12417833

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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.