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magnetic resonance imaging month download article/chapter multi-parameter mri combined aliasgar moiyadi mch imaging feature extraction central tumor location long-term tumor control central nervous system 5‑year kaplan–meier estimates ayushi sahay md kaplan–meier curves demonstrating wnt/shh medulloblastoma tumours relapse-free survival full article pdf sridhar epari md ostrom qt related subjects privacy choices/manage cookies article dasgupta radiogenomics—guiding principles risk-stratified adjuvant radio amit janu dnb girish chinnaswamy dm molecularly subtyped medulloblastoma treatment-related death sastri goda semantic mri features neelam shirsat phd sona pungavkar dnb vijay patil dm abhishek chatterjee md rahul krishnatry md kaplan–meier curves tejpal gupta md brain tumor foundation babusha kalra md spanish paediatric medulloblastomas madan maitre md tata memorial centre contrast enhancement pattern significantly worse rfs brain tumor patients ethics declarations conflict check access instant access t2-weighted mri author information authors article log european economic area postcontrast t1-weighted

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         headline:Prognostic impact of semantic MRI features on survival outcomes in molecularly subtyped medulloblastoma
         description:Imaging features are known to reflect inherent disease biology in various cancers including brain tumors. We report on the prognostic impact of magnetic resonance imaging (MRI) features on survival in patients with medulloblastoma treated between 2007 and 2018 at our institute. Sixteen semantic imaging features (with predefined categories) were extracted from pre- and postcontrast T1-weighted and T2-weighted MRI by consensus. Univariate analysis and multivariate Cox regression analysis were performed to assess the correlation of semantic features with relapse-free survival (RFS) and overall survival (OS). The study cohort comprised 171 medulloblastoma patients (median age 9 years) treated with maximal safe resection followed by risk-stratified adjuvant radio(chemo)therapy. A total of 55 patients experienced recurrent/progressive disease (commonly neuraxial metastases) resulting in 44 deaths, including one treatment-related death. At a median follow-up of 45 months (interquartile range 19–65 months), 5‑year Kaplan–Meier estimates of RFS and OS were 64% and 71%, respectively. Semantic MRI features such as non-central tumor location on vertical axis, absence of brainstem involvement, ≤ 80% solid tumor area with contrast uptake, heterogenous pattern of contrast enhancement, necrosis, calcification, and T2-weighted heterogeneity were associated with significantly worse RFS and/or OS in univariate analysis. Cox regression analysis identified tumor location on the vertical axis, brainstem involvement, and calcification as independent prognostic factors impacting outcomes. Distinctive MRI features correlated with survival even within individual molecular subgroups of medulloblastoma. Distinctive semantic MRI features correlate significantly with survival outcomes in medulloblastoma, also within individual molecular subgroups, reflecting their prognostic impact.
         datePublished:2022-01-21T00:00:00Z
         dateModified:2022-01-21T00:00:00Z
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            Radiogenomics
            CNS tumor
            Biomarker
            Relapse
            Radiotherapy
            Oncology
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      headline:Prognostic impact of semantic MRI features on survival outcomes in molecularly subtyped medulloblastoma
      description:Imaging features are known to reflect inherent disease biology in various cancers including brain tumors. We report on the prognostic impact of magnetic resonance imaging (MRI) features on survival in patients with medulloblastoma treated between 2007 and 2018 at our institute. Sixteen semantic imaging features (with predefined categories) were extracted from pre- and postcontrast T1-weighted and T2-weighted MRI by consensus. Univariate analysis and multivariate Cox regression analysis were performed to assess the correlation of semantic features with relapse-free survival (RFS) and overall survival (OS). The study cohort comprised 171 medulloblastoma patients (median age 9 years) treated with maximal safe resection followed by risk-stratified adjuvant radio(chemo)therapy. A total of 55 patients experienced recurrent/progressive disease (commonly neuraxial metastases) resulting in 44 deaths, including one treatment-related death. At a median follow-up of 45 months (interquartile range 19–65 months), 5‑year Kaplan–Meier estimates of RFS and OS were 64% and 71%, respectively. Semantic MRI features such as non-central tumor location on vertical axis, absence of brainstem involvement, ≤ 80% solid tumor area with contrast uptake, heterogenous pattern of contrast enhancement, necrosis, calcification, and T2-weighted heterogeneity were associated with significantly worse RFS and/or OS in univariate analysis. Cox regression analysis identified tumor location on the vertical axis, brainstem involvement, and calcification as independent prognostic factors impacting outcomes. Distinctive MRI features correlated with survival even within individual molecular subgroups of medulloblastoma. Distinctive semantic MRI features correlate significantly with survival outcomes in medulloblastoma, also within individual molecular subgroups, reflecting their prognostic impact.
      datePublished:2022-01-21T00:00:00Z
      dateModified:2022-01-21T00:00:00Z
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         Imaging
         Radiogenomics
         CNS tumor
         Biomarker
         Relapse
         Radiotherapy
         Oncology
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      author:
            name:Archya Dasgupta
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            name:Abhishek Chatterjee
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                     name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
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            name:Jayant Sastri Goda
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                     name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
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            name:Neelam Shirsat
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                  name:ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI)
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                     name:Neuro-oncology Lab, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
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            name:Sridhar Epari
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                     name:Department of Pathology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
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            address:
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      affiliation:
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            address:
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      affiliation:
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            address:
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            address:
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      affiliation:
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            address:
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      affiliation:
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            address:
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            address:
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               type:PostalAddress
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      name:Ayushi Sahay
      affiliation:
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            address:
               name:Department of Pathology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
               type:PostalAddress
            type:Organization
      name:Amit Janu
      affiliation:
            name:ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI)
            address:
               name:Department of Radio-diagnosis, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
               type:PostalAddress
            type:Organization
      name:Sona Pungavkar
      affiliation:
            name:Global Hospitals
            address:
               name:Department of Radio-diagnosis and Imaging, Global Hospitals, Mumbai, India
               type:PostalAddress
            type:Organization
      name:Girish Chinnaswamy
      affiliation:
            name:ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI)
            address:
               name:Department of Pediatric Oncology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
               type:PostalAddress
            type:Organization
      name:Vijay Patil
      affiliation:
            name:ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI)
            address:
               name:Department of Medical Oncology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
               type:PostalAddress
            type:Organization
      name:Aliasgar Moiyadi
      affiliation:
            name:ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI)
            address:
               name:Department of Neurosurgery, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
               type:PostalAddress
            type:Organization
      name:Prakash Shetty
      affiliation:
            name:ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI)
            address:
               name:Department of Neurosurgery, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
               type:PostalAddress
            type:Organization
      name:Rakesh Jalali
      affiliation:
            name:ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI)
            address:
               name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
               type:PostalAddress
            type:Organization
PostalAddress:
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
      name:Neuro-oncology Lab, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Pathology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Pathology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Radio-diagnosis, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Radio-diagnosis and Imaging, Global Hospitals, Mumbai, India
      name:Department of Pediatric Oncology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Medical Oncology, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Neurosurgery, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Neurosurgery, ACTREC/TMH, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India
      name:Department of Radiation Oncology, ACTREC/TMH Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Navi Mumbai, India
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