Evidence map›Paper›PMID 41768792›Full record

ArticleBrain communications2026

Voxel-based spatial distribution of intracranial meningioma subtypes and their relationship to radiogenomic maps.

Georgios Naros, Aldo Spolaore, Sophie Wang, Mykola Gorbachuk, Kathrin Machetanz, Benjamin Bender, Felix Behling, Jens Schittenhelm, Marcos Tatagiba

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Article in Brain communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Georgios NarosDepartment of Neurosurgery and Neurotechnology, Eberhard Karls University, 72076 Tuebingen, Germany.ORCID https://orcid.org/0000-0003-4807-6234
Aldo SpolaoreDepartment of Neurosurgery and Neurotechnology, Eberhard Karls University, 72076 Tuebingen, Germany.ORCID https://orcid.org/0009-0002-9858-8377
Sophie WangDepartment of Neurosurgery and Neurotechnology, Eberhard Karls University, 72076 Tuebingen, Germany.
Mykola GorbachukDepartment of Neurosurgery and Neurotechnology, Eberhard Karls University, 72076 Tuebingen, Germany.
Kathrin MachetanzDepartment of Neurosurgery and Neurotechnology, Eberhard Karls University, 72076 Tuebingen, Germany.
Benjamin BenderDepartment of Neuroradiology, Eberhard Karls University, 72076 Tuebingen, Germany.
Felix BehlingDepartment of Neurosurgery and Neurotechnology, Eberhard Karls University, 72076 Tuebingen, Germany.
Jens SchittenhelmCenter for CNS Tumors, Comprehensive Cancer Center Tuebingen-Stuttgart, 72076 Tuebingen, Germany.ORCID https://orcid.org/0000-0002-9168-6209
Marcos TatagibaDepartment of Neurosurgery and Neurotechnology, Eberhard Karls University, 72076 Tuebingen, Germany.ORCID https://orcid.org/0000-0002-1627-9937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meningiomas are histologically and genetically heterogeneous tumors with varying anatomical distributions. While distinct genetic mutations have been associated with specific tumor locations, the spatial distribution of histological subtypes and their relationship to radiogenomic profiles remains poorly defined. Moreover, the predictive value of spatial information for histopathological classification and tumor grading has not yet been systematically explored. This study aimed to systematically analyze the anatomical predilection of histological meningioma subtypes and their concordance with known mutation-specific spatial patterns, and the predictive potential of voxel-based spatial features. We retrospectively analyzed 737 patients undergoing surgical resection of intracranial meningiomas. Preoperative magnetic resonance images were normalized to a common stereotactic space, and tumors were semi-automatically segmented. Voxel-based lesion-symptom mapping (VLSM) was performed to identify subtype-specific spatial clustering. Spatial distributions were compared with mutation maps from current literature using receiver operating characteristic analysis (AUC-ROC). Additionally, multinomial logistic regression models were applied to evaluate whether tumor localization could predict histological subtype and World Health Organization (WHO) grading. Histological subtypes showed distinct spatial preferences. Meningothelial meningiomas clustered in the anterior and middle skull base; fibrous and transitional types predominated in the convexity, falx, and tentorium; secretory tumors localized to the sphenoid wing and petroclival region; and atypical meningiomas were common in the anterior falx and frontal convexity. Psammomatous meningiomas displayed a broader distribution with involvement of the petrous bone and foramen magnum. AUC analysis revealed strong concordance between histological subtypes and mutation maps, confirming known histogenomic associations (e.g.

Indexed as

histological subtypemeningiomaradiogenomicsspatial distributionvoxel-based lesion symptom mapping

Identifiers

PMID41768792
PMCPMC12947794

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