Evidence map›Paper›PMID 40960507›Full record

ArticleClinical neuroradiology2026

Non-invasive Prediction of Meningioma Tumor Grade by Quantification of Shape-based Radiomics Features and Surface Regularity.

Martin Diebold, Lucas Becker, Theo Demerath, Marco Reisert, Daniel Erny, Andreas Braun, Till-Karsten Hauser, Jürgen Grauvogel, Marc Hohenhaus, Horst Urbach and 2 more

Abstract read
In one paragraph

Article in Clinical neuroradiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

12 authors.

Martin DieboldInstitute of Neuropathology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79106, Freiburg, Germany.
Lucas BeckerDepartment of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 64, 79106, Freiburg, Germany.
Theo DemerathDepartment of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 64, 79106, Freiburg, Germany.
Marco ReisertDepartment of Stereotactic and Functional Neurosurgery, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79106, Freiburg, Germany.
Daniel ErnyInstitute of Neuropathology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79106, Freiburg, Germany.
Andreas BraunDepartment of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 64, 79106, Freiburg, Germany.
Till-Karsten HauserDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Tuebingen, 72076, Tuebingen, Germany.
Jürgen GrauvogelDepartment of Neurosurgery, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Marc HohenhausDepartment of Neurosurgery, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Horst UrbachDepartment of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 64, 79106, Freiburg, Germany.
Alexander RauDepartment of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 64, 79106, Freiburg, Germany.
Urs WürtembergerDepartment of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 64, 79106, Freiburg, Germany. urs.wuertemberger@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0002-2507-9160

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrognosis and therapeutic approaches to meningiomas are determined by their proliferative activity and tumor grade. The early identification of aggressive phenotypes is hence essential to improving outcomes. Here, we investigated the potential of shape-based radiomics features and surface regularity (SR) as non-invasive biomarkers of atypical (grade 2) and anaplastic (grade 3) meningiomas.

methodsIn this retrospective single-center study, we assessed individuals with treatment-naive meningiomas in a comprehensive analysis of MR imaging with histopathological grading and quantification of mitotic activity. Radiomics (sphericity, elongation, flatness) and SR measures were calculated on segmented contrast-enhancing tumor components and tested for association with WHO grade (n = 62 grade 1, n = 71 grade 2, and n = 19 grade 3) and proliferation.

resultsAll tumor grades were significantly different in characteristics of sphericity and SR with decreasing values at higher tumor grades as an expression of a more irregular shape. Additionally, radiomics features of tumor elongation and flatness discriminated grade 3 cases from grade 1 (p = 0.0008 and p = 0.0003) and grade 2 meningiomas (p = 0.0008 and p = 0.0013). Mitotic activity exhibited a significant negative correlation with the four imaging markers assessed (p < 0.003).

conclusionShape-based radiomics features of sphericity and SR can serve as preoperative grading biomarkers of meningiomas in routine contrast-enhanced T1w MRI.

Indexed as

Magnetic Resonance ImagingMeningeal NeoplasmsMeningiomaAdultAgedAged, 80 and overFemaleHumansImage Interpretation, Computer-AssistedMaleMiddle AgedNeoplasm GradingRadiomicsRetrospective StudiesMeningioma gradingMRINon-invasive biomarkerRadiomicsTumor shape

Identifiers

PMID40960507
PMCPMC13009051

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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.