The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical Data

Diffuse low-grade gliomas are slowly growing tumors that always recur after treatment. In this paper, we revisit the modeling of the evolution of the tumor radius before and after the radiotherapy process and propose a novel model that is simple yet biologically motivated and that remedies some shor...

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Main Authors: Léo Adenis, Stéphane Plaszczynski, Basile Grammaticos, Johan Pallud, Mathilde Badoual
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/8/818
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author Léo Adenis
Stéphane Plaszczynski
Basile Grammaticos
Johan Pallud
Mathilde Badoual
author_facet Léo Adenis
Stéphane Plaszczynski
Basile Grammaticos
Johan Pallud
Mathilde Badoual
author_sort Léo Adenis
collection DOAJ
description Diffuse low-grade gliomas are slowly growing tumors that always recur after treatment. In this paper, we revisit the modeling of the evolution of the tumor radius before and after the radiotherapy process and propose a novel model that is simple yet biologically motivated and that remedies some shortcomings of previously proposed ones. We confront this with clinical data consisting of time series of tumor radii from 43 patient records by using a stochastic optimization technique and obtain very good fits in all cases. Since our model describes the evolution of a tumor from the very first glioma cell, it gives access to the possible age of the tumor. Using the technique of profile likelihood to extract all of the information from the data, we build confidence intervals for the tumor birth age and confirm the fact that low-grade gliomas seem to appear in the late teenage years. Moreover, an approximate analytical expression of the temporal evolution of the tumor radius allows us to explain the correlations observed in the data.
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spelling doaj.art-8e99de347bc4440abbdca7755fc0abfd2023-11-22T08:19:51ZengMDPI AGJournal of Personalized Medicine2075-44262021-08-0111881810.3390/jpm11080818The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical DataLéo Adenis0Stéphane Plaszczynski1Basile Grammaticos2Johan Pallud3Mathilde Badoual4CNRS/IN2P3, IJCLab, Université Paris-Saclay, 91405 Orsay, FranceCNRS/IN2P3, IJCLab, Université Paris-Saclay, 91405 Orsay, FranceCNRS/IN2P3, IJCLab, Université Paris-Saclay, 91405 Orsay, FranceDepartment of Neurosurgery, GHU Paris, Sainte-Anne Hospital, 75014 Paris, FranceCNRS/IN2P3, IJCLab, Université Paris-Saclay, 91405 Orsay, FranceDiffuse low-grade gliomas are slowly growing tumors that always recur after treatment. In this paper, we revisit the modeling of the evolution of the tumor radius before and after the radiotherapy process and propose a novel model that is simple yet biologically motivated and that remedies some shortcomings of previously proposed ones. We confront this with clinical data consisting of time series of tumor radii from 43 patient records by using a stochastic optimization technique and obtain very good fits in all cases. Since our model describes the evolution of a tumor from the very first glioma cell, it gives access to the possible age of the tumor. Using the technique of profile likelihood to extract all of the information from the data, we build confidence intervals for the tumor birth age and confirm the fact that low-grade gliomas seem to appear in the late teenage years. Moreover, an approximate analytical expression of the temporal evolution of the tumor radius allows us to explain the correlations observed in the data.https://www.mdpi.com/2075-4426/11/8/818mathematical modelinggliomasradiotherapyoptimizationdata analysis
spellingShingle Léo Adenis
Stéphane Plaszczynski
Basile Grammaticos
Johan Pallud
Mathilde Badoual
The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical Data
Journal of Personalized Medicine
mathematical modeling
gliomas
radiotherapy
optimization
data analysis
title The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical Data
title_full The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical Data
title_fullStr The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical Data
title_full_unstemmed The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical Data
title_short The Effect of Radiotherapy on Diffuse Low-Grade Gliomas Evolution: Confronting Theory with Clinical Data
title_sort effect of radiotherapy on diffuse low grade gliomas evolution confronting theory with clinical data
topic mathematical modeling
gliomas
radiotherapy
optimization
data analysis
url https://www.mdpi.com/2075-4426/11/8/818
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