PMID- 28889246 OWN - NLM STAT- MEDLINE DCOM- 20180710 LR - 20211204 IS - 1573-7373 (Electronic) IS - 0167-594X (Linking) VI - 135 IP - 3 DP - 2017 Dec TI - The preliminary radiogenomics association between MR perfusion imaging parameters and genomic biomarkers, and their predictive performance of overall survival in patients with glioblastoma. PG - 553-560 LID - 10.1007/s11060-017-2602-x [doi] AB - The radiogenomics association of neovascularization is important for overall survival (OS) in glioblastoma patients and remains unclear. The purpose of this study is to assess the association between MR perfusion imaging derived parameters and genomic biomarkers of glioblastoma, and to evaluate their prognostic value. This retrospective study enrolled 41 patients with newly diagnosed glioblastoma. The mean and maximal relative cerebral blood volume (rCBV) ratio (rCBV(mean) and rCBV(max)), derived from MR perfusion weighted imaging, of the enhancing tumor, as well as maximal rCBV ratio of peri-enhancing tumor area (rCBV(peri-tumor)) were measured. The ki-67 labeling index, mammalian target of rapamycin (mTOR) activation, epidermal growth factor receptor (EGFR) amplification, isocitrate dehydrogenase (IDH) mutation and TP53 were assessed. There was a significant correlation between rCBV(max) and mTOR based on Pearson's correlations with Benjamini-Hochberg adjustment for controlling false discovery rate, p = 0.047. The rCBV(peri-tumor) showed significant correlation with mTOR (p = 0.0183) after adjustment of gender and EGFR status. The mean rCBV(peri-tumor) value of the patients with OS shorter than 14 months was significantly higher than patients with OS longer than 14 months, p = 0.002. The rCBV(peri-tumor) and age were the two strongest predictors of OS (hazard ratio = 1.29 and 1.063 respectively) by Cox regression analysis. This study showed that hemodynamic abnormalities of glioblastoma were associated with genomics activation status of mTOR-EGFR pathway, however, the radiogenomics associations are different in enhancing and peri-enhancing area of glioblastoma. The rCBV(peri-tumor) has better prognostic value than genomic biomarkers alone. FAU - Liu, Xiang AU - Liu X AUID- ORCID: 0000-0002-5172-9083 AD - Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642-8638, USA. Xiang_Liu@URMC.Rochester.edu. FAU - Mangla, Rajiv AU - Mangla R AD - Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642-8638, USA. FAU - Tian, Wei AU - Tian W AD - Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642-8638, USA. FAU - Qiu, Xing AU - Qiu X AD - Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY, USA. FAU - Li, Dongmei AU - Li D AD - Clinical and Translational Research and Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA. FAU - Walter, Kevin A AU - Walter KA AD - Department of Neurosurgey, University of Rochester Medical Center, Rochester, NY, USA. FAU - Ekholm, Sven AU - Ekholm S AD - Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642-8638, USA. FAU - Johnson, Mahlon D AU - Johnson MD AD - Department of Pathology, University of Rochester Medical Center, Rochester, NY, USA. LA - eng PT - Journal Article DEP - 20170909 PL - United States TA - J Neurooncol JT - Journal of neuro-oncology JID - 8309335 RN - 0 (Ki-67 Antigen) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain/*diagnostic imaging/pathology MH - Brain Neoplasms/*diagnostic imaging/*genetics/pathology/therapy MH - Cerebrovascular Circulation MH - ErbB Receptors/genetics MH - Female MH - Genetic Association Studies MH - Glioblastoma/*diagnostic imaging/*genetics/pathology/therapy MH - Humans MH - Isocitrate Dehydrogenase/genetics MH - Ki-67 Antigen/genetics MH - *Magnetic Resonance Imaging/methods MH - Male MH - Middle Aged MH - Retrospective Studies MH - Survival Analysis MH - TOR Serine-Threonine Kinases/genetics MH - Tumor Suppressor Protein p53/genetics OTO - NOTNLM OT - Brain OT - Glioblastoma OT - Perfusion weighted imaging OT - Radiogenomics OT - mTOR-EGFR pathway EDAT- 2017/09/11 06:00 MHDA- 2018/07/11 06:00 CRDT- 2017/09/11 06:00 PHST- 2017/03/17 00:00 [received] PHST- 2017/08/20 00:00 [accepted] PHST- 2017/09/11 06:00 [pubmed] PHST- 2018/07/11 06:00 [medline] PHST- 2017/09/11 06:00 [entrez] AID - 10.1007/s11060-017-2602-x [pii] AID - 10.1007/s11060-017-2602-x [doi] PST - ppublish SO - J Neurooncol. 2017 Dec;135(3):553-560. doi: 10.1007/s11060-017-2602-x. Epub 2017 Sep 9.