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Cited by 299

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

Relationship between Tumor Enhancement, Edema,IDH1 Mutational Status,MGMT Promoter Methylation, and Survival in Glioblastoma

Open access
Carrillo, J.A., Lai, A., Nghiemphu, P.L., Kim, H.J., Phillips, H.S., Kharbanda, S., Moftakhar, P., Lalaezari, S., Yong, W., Ellingson, B.M., Cloughesy, T.F., Pope, W.B.·2012·American Journal of Neuroradiology

Abstract

BACKGROUND AND PURPOSE: Both IDH1 mutation and MGMT promoter methylation are associated with longer survival. We investigated the ability of imaging correlates to serve as noninvasive biomarkers for these molecularly defined GBM subtypes. MATERIALS AND METHODS: MR imaging from 202 patients with GBM was retrospectively assessed for nonenhancing tumor and edema among other imaging features. IDH1 mutational and MGMT promoter methylation status were determined by DNA sequencing and methylation-specific PCR, respectively. Overall survival was determined by using a multivariate Cox model and the Kaplan-Meier method with a log rank test. A logistic regression model followed by ROC analysis was used to classify the IDH1 mutation and methylation status by using imaging features. RESULTS: MGMT promoter methylation and IDH1 mutation were associated with longer median survival. Edema levels stratified survival for methylated but not unmethylated tumors. Median survival for methylated tumors with little/no edema was 2476 days (95% CI, 795), compared with 586 days (95% CI, 507-654) for unmethylated tumors or tumors with edema. All IDH1 mutant tumors were nCET positive, and most (11/14, 79%) were located in the frontal lobe. Imaging features including larger tumor size and nCET could be used to determine IDH1 mutational status with 97.5% accuracy, but poorly predicted MGMT promoter methylation. CONCLUSIONS: Imaging features are potentially predictive of IDH1 mutational status but were poorly correlated with MGMT promoter methylation. Edema stratifies survival in MGMT promoter methylated but not in unmethylated tumors; patients with methylated tumors with little or no edema have particularly long survival.

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Metadata

Authors
Carrillo, J. A., Lai, A., Nghiemphu, P. L., Kim, H. J., Phillips, H. S., Kharbanda, S., Moftakhar, P., Lalaezari, S., Yong, W., Ellingson, B. M., Cloughesy, T. F., & Pope, W. B.
Venue
American Journal of Neuroradiology
Published
2012-02-09
Volume
33
Issue
7
Pages
1349-1355
ISSN
  • 0195-6108 (ISSN-L)
  • 1936-959X
OpenAlex
W2165274879
Cited by
299
References
43
FWCI
7.63
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Relationship between Tumor Enhancement, Edema,IDH1 Mutational Status,MGMT Promoter Methylation, and Survival in Glioblastoma. https://app.cochat.ai/papers/10.3174/ajnr.a2950
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Carrillo, J. A., Lai, A., Nghiemphu, P. L., Kim, H. J., Phillips, H. S., Kharbanda, S., Moftakhar, P., Lalaezari, S., Yong, W., Ellingson, B. M., Cloughesy, T. F., & Pope, W. B. (2012). Relationship between Tumor Enhancement, Edema,IDH1 Mutational Status,MGMT Promoter Methylation, and Survival in Glioblastoma. American Journal of Neuroradiology. https://doi.org/10.3174/ajnr.a2950

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.