Brain connectomics applied to oncological neuroscience: from a traditional surgical strategy focusing on glioma topography to a meta-network approach
Abstract
The classical way for surgical selection and planning in cerebral glioma mainly focused on tumor topography. The emerging science of connectomics, which aims of mapping brain connectivity, resulted in a paradigmatic shift from a modular account of cerebral organization to a meta-network perspective. Adaptive behavior is actually mediated by constant changes in interactions within and across large-scale delocalized neural systems underlying conation, cognition, and emotion. Here, to optimize the onco-functional balance of glioma surgery, the purpose is to switch toward a connectome-based resection taking account of both relationships between the tumor and critical distributed circuits (especially subcortical pathways) as well as the perpetual instability of the meta-network. Such dynamic in the neural spatiotemporal integration permits functional reallocation leading to neurological recovery after massive resection in structures traditionally thought as "inoperable." This better understanding of connectome increases benefit/risk ratio of surgery (i) by selecting resection in areas deemed "eloquent" according to a localizationist dogma; (ii), conversely, by refining intraoperative awake cognitive mapping and monitoring in so-called non-eloquent areas; (iii) by improving preoperative information, enabling an optimal selection of intrasurgical tasks tailored to the patient's wishes; (iv) by developing an "oncological disconnection surgery"; (v) by defining a personalized multiste…
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The brain connectomic concept benefits traditional surgical strategy by enabling a potential shift from local topography to network-guided "oncological disconnection surgery".
“The brain connectomic concept benefits traditional surgical strategy by a potential shift from focusing on local topography to a network-guided “oncological disconnection surgery” (Duffau, 2021; Hart et al., 2020).”
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Duffau, 2021
Prior structural and functional skeleton atlases provide a whole-brain knowledge map of essential brain sub-networks that may help inform resection of certain neuronal circuits during tumor surgery.
“Such prior “structural and functional skeletons” provide a whole brain knowledge map of essential brain sub-networks, which may be helpful in informing the resection of certain neuronal circuits during tumor surgery (Duffau, 2021).”
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Duffau, 2021
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Preserved metacognitive ability despite unilateral or bilateral anterior prefrontal resection
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Transient immediate postoperative homotopic functional disconnectivity in low-grade glioma patients
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Self-citationAwake Craniotomy and Bedside Cognitive Mapping in Neurosurgery
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Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
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“forming the resection of certain neuronal circuits during tumor surgery [128].”
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Self-citationThe complexities underlying epilepsy in people with glioblastoma
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Self-citationDuffau, H. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.947933 · Cited by 20 · see citing works
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Alternations and Applications of the Structural and Functional Connectome in Gliomas: A Mini-Review
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Oncological and functional neurosurgery: Perspectives for the decade regarding diffuse gliomas.
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The Case for Neurosurgical Intervention in Cancer Neuroscience
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The Evolution of Laser-Induced Thermal Therapy for the Treatment of Gliomas
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Editorial: Awake surgery for brain tumors and brain connectomics
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Cancer Neuroscience: Linking Neuronal Plasticity with Brain Tumor Growth and Resistance
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Self-citationConnectomic Networks and Their Impact on Clinical Outcomes in Glioma Treatment: A Review
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Intraoperative electrophysiological principles in neurooncological practice
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Naso-Ethmoidal Schwannoma: From Pathology to Surgical Strategies
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Left-hemisphere glioma drives systematic patterns of contralesional functional connectivity
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Neurosurgery Advancements: From Technical Innovation to Patient-Centered Outcomes—A Narrative Review
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Self-citationClinical cases in neuro-oncology
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Introduction to the special issue on cognitive neurosurgery
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Self-citationThe Neuro-Oncological Balance in the Modern Era
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Eloquent glioma resection assisted by brain connectomics: A new tool for awake neurosurgery
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Bibliometric Insights into Connectomics: Chemistry and Neuroscience Perspectives
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The onco-functional reorganization of language network underlying metaplasticity induced by gliomas
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Imaging-based network connectivity and survival outcomes in glioblastoma: a systematic review
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Digital MULTIMAP: a standardization of objects and actions naming task in a french population
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- Authors
- Duffau, H.
- Affiliations
- Inserm (FR)
- Corresponding author
- Duffau, Hugues
- ORCID
- Duffau, Hugues
- Venue
- Acta Neurochirurgica
- Published
- 2021-02-09
- Volume
- 163
- Issue
- 4
- Pages
- 905-917
- ISSN
- 0001-6268 (ISSN-L)
- 0942-0940
- OpenAlex
- W3127476180
- Cited by
- 69
- References
- 123
- Citations by year
- 2026: 14 · 2025: 8 · 2024: 13 · 2023: 16 · 2022: 14 · 2021: 4
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Neurochirurgica (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Keywords
- connectomics, brain glioma, glioma surgery, meta-network, subcortical pathways, tumor topography
- MeSH terms
- Brain Neoplasms, Glioma, Humans, Neurosurgical Procedures, Connectome
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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