Evidence map›Paper›PMID 41699959›Full record

ArticleMedical physics2026

Biomechanical mapping of tumor growth: A novel method to quantify glioma infiltration and mass effect.

Carles López-Mateu, Maria Gómez-Mahiques, F Javier Gil-Terrón, Víctor Montosa-I-Micó, Donatas Sederevičius, Kyrre E Emblem, Juan M García-Gómez, Elies Fuster-García

Abstract read
In one paragraph

Article in Medical physics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Carles López-MateuBiomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Valencia, Spain.
Maria Gómez-MahiquesBiomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Valencia, Spain.
F Javier Gil-TerrónBiomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Valencia, Spain.
Víctor Montosa-I-MicóBiomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Valencia, Spain.
Donatas SederevičiusDepartment of Physics and Computational Radiology, Division of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Kyrre E EmblemDepartment of Physics and Computational Radiology, Division of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Juan M García-GómezBiomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Valencia, Spain.
Elies Fuster-GarcíaBiomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Valencia, Spain.

Funding

European Research Council 101213953-CHRONOSEuropean Research Council 758657-ImPRESSGeneralitat Valenciana CIAICO/2022/064(Lalaby-Glio)Generalitat Valenciana INNEST/2022/87(SINUÉ)Generalitat Valenciana INVEST/2022/298(ProgramaINVESTIGO)Helse Sør-Øst RHF 2017073Helse Sør-Øst RHF 2021057Helse Sør-Øst RHF 2023050MCIN/AEI (Ministerio de Ciencia, Innovación y Universidades / Agencia Estatal de Investigación) FPU23/02431MCIN/AEI (Ministerio de Ciencia, Innovación y Universidades / Agencia Estatal de Investigación) PDC2025-165365-I00MCIN/AEI (Ministerio de Ciencia, Innovación y Universidades / Agencia Estatal de Investigación) PID2021-127110OA-I00MCIN/AEI (Ministerio de Ciencia, Innovación y Universidades / Agencia Estatal de Investigación) PID2024-156848OB-I00Norwegian Cancer Society 309012 - SAFARIResearch Council of Norway 261984Research Council of Norway 303249Research Council of Norway 32543Research Council of Norway 325971Research Council of Norway 356066Universitat Politècnica de València PAID-01-24(Subprogram1)
6 · The paper itself

Abstract

backgroundGlioblastoma (GBM) growth can alter surrounding brain tissue through location-dependent physiological changes. Two main growth phenotypes-(I) infiltrative, characterized by diffuse invasion with minimal mass effect, and (II) proliferative, characterized by pronounced tissue compression-are recognized, but their quantitative characterization and prognostic impact remain poorly explored. PURPOSE: To develop and validate a novel MRI-based biomarker, the Dynamic Infiltration Rate (DIR), that quantitatively assesses the balance between tumor volume expansion and peritumoral compression, and to evaluate its prognostic ability for stratifying patients based on overall survival (OS).

methodsThe DIR was defined as the ratio between tumor-volume enlargement and mass-effect-induced peritumoral compression. Technical validation was conducted using synthetic datasets with known ground truth spanning realistic infiltrative-proliferative spectra. Clinically, patients were dichotomized into high- and low-infiltration groups using a threshold optimized by maximizing the log-rank statistic for OS. Prognostic evaluation included multivariate Cox regression adjusted for age, sex, and MGMT methylation status.

resultsThe synthetic dataset validation demonstrated high concordance with ground truth (

conclusionsThe DIR is a novel and robust quantitative MRI biomarker capable of distinguishing between proliferative and infiltrative GBM phenotypes, independently predicting OS. Early phenotype identification could facilitate personalized treatment strategies and individualized follow-up scheduling.

Indexed as

Brain NeoplasmsGliomaImage Processing, Computer-AssistedMagnetic Resonance ImagingMechanical PhenomenaBiomechanical PhenomenaFemaleGlioblastomaHumansMaleMiddle AgedNeoplasm InvasivenessPrognosisTumor Burdenglioblastomainfiltrationmass effect

Identifiers

PMID41699959
PMCPMC12910259

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.