ArticleNeuro-oncology advances
Prediction of treatment failure in patients with glioblastoma with perfusion MRI and molecular biomarkers.
Article in Neuro-oncology advances. 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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Abstract
Background: Predicting early treatment failure in glioblastoma remains challenging. Given the median survival of 13.5 months, better prognostic biomarkers are needed. This study aimed to identify predictors of early treatment failure and their association with overall survival (OS). Methods: We performed a retrospective analysis of consecutive patients with newly diagnosed glioblastoma who underwent DSC- and DCE-MRI before surgery and radiochemotherapy. Treatment failure was defined as tumor progression per RANO 2.0 criteria within 6 months of surgery. Factors independently associated with outcome among clinical, MRI perfusion at the diagnosis and molecular parameters were identified using multivariable logistic regression models. OS was evaluated using a 180-day landmark analysis to avoid time-dependent bias. Results: Among 62 patients diagnosed between 01/2017 and 12/2021, 44 patients (71%) were non-responders and 18 patients (29%) responders. Elevated pretreatment rCBV and Ktrans were associated with treatment response ( Conclusion: Pretreatment MRI perfusion metrics may predict short-term treatment failure and may guide early experimental therapy, while the
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