DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy Subjects

(1) Background: Glioblastoma multiforme (GBM) shows complex mechanisms of spreading of the tumor cells, up to remote areas, and little is still known of these mechanisms, thus we focused on MRI abnormalities observable in the tumor and the brain adjacent to the lesion, up to the contralateral hemisp...

Full description

Bibliographic Details
Main Authors: Youssef El Ouadih, Bruno Pereira, Julian Biau, Béatrice Claise, Rémi Chaix, Pierre Verrelle, Toufik Khalil, Xavier Durando, Jean-Jacques Lemaire
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/29/4/230
_version_ 1797436168489402368
author Youssef El Ouadih
Bruno Pereira
Julian Biau
Béatrice Claise
Rémi Chaix
Pierre Verrelle
Toufik Khalil
Xavier Durando
Jean-Jacques Lemaire
author_facet Youssef El Ouadih
Bruno Pereira
Julian Biau
Béatrice Claise
Rémi Chaix
Pierre Verrelle
Toufik Khalil
Xavier Durando
Jean-Jacques Lemaire
author_sort Youssef El Ouadih
collection DOAJ
description (1) Background: Glioblastoma multiforme (GBM) shows complex mechanisms of spreading of the tumor cells, up to remote areas, and little is still known of these mechanisms, thus we focused on MRI abnormalities observable in the tumor and the brain adjacent to the lesion, up to the contralateral hemisphere, with a special interest on tensor diffusion imaging informing on white matter architecture; (2) Material and Methods: volumes, macroscopic volume (MV), brain-adjacent-tumor (BAT) volume and abnormal color-coded DTI volume (aCCV), and region-of-interest samples (probe volumes, ipsi, and contra lateral to the lesion), with their MRI characteristics, apparent diffusion coefficient (ADC), fractional anisotropy (FA) values, and number of fibers (DTI fiber tracking) were analyzed in patients suffering GBM (<i>n</i> = 15) and metastasis (<i>n</i> = 9), and healthy subjects (<i>n</i> = 15), using ad hoc statistical methods (type I error = 5%) (3) Results: GBM volumes were larger than metastasis volumes, aCCV being larger in GBM and BAT ADC was higher in metastasis, ADC decreased centripetally in metastasis, FA increased centripetally either in GBM or metastasis, MV and BAT FA values were higher in GBM, ipsi FA values of GBM ROIs were higher than those of metastasis, and the GBM ipsi number of fibers was higher than the GBM contra number of fibers; (4) Conclusions: The MV, BAT and especially the aCCV, as well as their related water diffusion characteristics, could be useful biomarkers in oncology and functional oncology.
first_indexed 2024-03-09T10:58:41Z
format Article
id doaj.art-e58449c5d7c44606a31278c1624b7bfe
institution Directory Open Access Journal
issn 1198-0052
1718-7729
language English
last_indexed 2024-03-09T10:58:41Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Current Oncology
spelling doaj.art-e58449c5d7c44606a31278c1624b7bfe2023-12-01T01:27:53ZengMDPI AGCurrent Oncology1198-00521718-77292022-04-012942823283410.3390/curroncol29040230DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy SubjectsYoussef El Ouadih0Bruno Pereira1Julian Biau2Béatrice Claise3Rémi Chaix4Pierre Verrelle5Toufik Khalil6Xavier Durando7Jean-Jacques Lemaire8Service de Neurochirurgie, Institut Pascal, Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, F-63000 Clermont-Ferrand, FranceDelegation for Clinical Research and Innovation, Université Clermont Auvergne, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, FranceDepartment of Radiation Oncology, Université Clermont Auvergne, Centre Jean Perrin, F-63000 Clermont-Ferrand, FranceService de Neurochirurgie, Institut Pascal, Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, F-63000 Clermont-Ferrand, FranceService de Neurochirurgie, Institut Pascal, Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, F-63000 Clermont-Ferrand, FranceDepartment of Radiation Oncology, Université Clermont Auvergne, Centre Jean Perrin, F-63000 Clermont-Ferrand, FranceService de Neurochirurgie, Institut Pascal, Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, F-63000 Clermont-Ferrand, FranceDepartment of Radiation Oncology, Université Clermont Auvergne, Centre Jean Perrin, F-63000 Clermont-Ferrand, FranceService de Neurochirurgie, Institut Pascal, Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, F-63000 Clermont-Ferrand, France(1) Background: Glioblastoma multiforme (GBM) shows complex mechanisms of spreading of the tumor cells, up to remote areas, and little is still known of these mechanisms, thus we focused on MRI abnormalities observable in the tumor and the brain adjacent to the lesion, up to the contralateral hemisphere, with a special interest on tensor diffusion imaging informing on white matter architecture; (2) Material and Methods: volumes, macroscopic volume (MV), brain-adjacent-tumor (BAT) volume and abnormal color-coded DTI volume (aCCV), and region-of-interest samples (probe volumes, ipsi, and contra lateral to the lesion), with their MRI characteristics, apparent diffusion coefficient (ADC), fractional anisotropy (FA) values, and number of fibers (DTI fiber tracking) were analyzed in patients suffering GBM (<i>n</i> = 15) and metastasis (<i>n</i> = 9), and healthy subjects (<i>n</i> = 15), using ad hoc statistical methods (type I error = 5%) (3) Results: GBM volumes were larger than metastasis volumes, aCCV being larger in GBM and BAT ADC was higher in metastasis, ADC decreased centripetally in metastasis, FA increased centripetally either in GBM or metastasis, MV and BAT FA values were higher in GBM, ipsi FA values of GBM ROIs were higher than those of metastasis, and the GBM ipsi number of fibers was higher than the GBM contra number of fibers; (4) Conclusions: The MV, BAT and especially the aCCV, as well as their related water diffusion characteristics, could be useful biomarkers in oncology and functional oncology.https://www.mdpi.com/1718-7729/29/4/230glioblastomametastasisinfiltrationMRIDTItractography
spellingShingle Youssef El Ouadih
Bruno Pereira
Julian Biau
Béatrice Claise
Rémi Chaix
Pierre Verrelle
Toufik Khalil
Xavier Durando
Jean-Jacques Lemaire
DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy Subjects
Current Oncology
glioblastoma
metastasis
infiltration
MRI
DTI
tractography
title DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy Subjects
title_full DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy Subjects
title_fullStr DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy Subjects
title_full_unstemmed DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy Subjects
title_short DTI Abnormalities Related to Glioblastoma: A Prospective Comparative Study with Metastasis and Healthy Subjects
title_sort dti abnormalities related to glioblastoma a prospective comparative study with metastasis and healthy subjects
topic glioblastoma
metastasis
infiltration
MRI
DTI
tractography
url https://www.mdpi.com/1718-7729/29/4/230
work_keys_str_mv AT youssefelouadih dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT brunopereira dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT julianbiau dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT beatriceclaise dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT remichaix dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT pierreverrelle dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT toufikkhalil dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT xavierdurando dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects
AT jeanjacqueslemaire dtiabnormalitiesrelatedtoglioblastomaaprospectivecomparativestudywithmetastasisandhealthysubjects