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@ARTICLE{Eckert:278806,
author = {F. Eckert$^*$ and K. Ganser and B. Bender and J.
Schittenhelm and M. Skardelly and F. Behling and G.
Tabatabai and N. Stransky and E. Hoffmann$^*$ and D.
Zips$^*$ and S. M. Huber and F. Paulsen},
title = {{P}otential of pre-operative {MRI} features in glioblastoma
to predict for molecular stem cell subtype and patient
overall survival.},
journal = {Radiotherapy and oncology},
volume = {188},
issn = {0167-8140},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {DKFZ-2023-01716},
pages = {109865},
year = {2023},
note = {Volume 188, November 2023, 109865},
abstract = {of the study. A molecular signature based on 10 mRNA
abundances that characterizes the mesenchymal-to-proneural
phenotype of glioblastoma stem(like) cells (GSCs) enriched
in primary culture has been previously established. As this
phenotype has been proposed to be prognostic for disease
outcome the present study aims to identify features of the
preoperative MR imaging that may predict the GSC phenotype
of individual tumors.Molecular mesenchymal-to-proneural mRNA
signatures and intrinsic radioresistance (SF4, survival
fraction at 4 Gy) of primary GSC-enriched cultures were
associated with survival data and pre-operative MR imaging
of the corresponding glioblastoma patients of a prospective
cohort (n = 24). The analyzed imaging parameters comprised
linear vectors derived from tumor volume, necrotic volume
and edema as contoured manually.A necrosis/tumor vector
ratio and to a weaker extent the product of this ratio and
the edema vector were identified to correlate with the
mesenchymal-to-proneural mRNA signature and the SF4 of the
patient-derived GSC cultures. Importantly, both parameter
combinations were predictive for overall survival of the
whole patient cohort. Moreover, the combination of
necrosis/tumor vector ratio and edema vector differed
significantly between uni- and multifocally recurring
tumors.Features of the preoperative MR images may reflect
the molecular signature of the GSC population and might be
used in the future as a prognostic factor and for treatment
stratification especially in the MGMT promotor-unmethylated
sub-cohort of glioblastoma patients.},
keywords = {Glioblastoma (Other) / MGMT promoter methylation (Other) /
MRI (Other) / mesenchymal (Other) / proneural (Other) / stem
cells (Other)},
cin = {TU01},
ddc = {610},
cid = {I:(DE-He78)TU01-20160331},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37619660},
doi = {10.1016/j.radonc.2023.109865},
url = {https://inrepo02.dkfz.de/record/278806},
}