Skip to main content

Use Case II: Imaging Biomarkers and New Trends for Integrated Glioblastoma Management

  • Chapter
  • First Online:
Imaging Biomarkers

Abstract

Glioblastoma (GB) implies a devastating prognosis with an average survival of 14–16 months using the current standard of care treatment [1]. GB is the most frequent malignant tumour originating from the brain parenchyma, and it is characterised by a marked intratumoural heterogeneity, proneness to infiltrate throughout the brain parenchyma, robust angiogenesis and necrosis as well as intense resistance to apoptosis and genomic instability.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Abbreviations

ADC:

Apparent diffusion coefficient

CHTH:

Chemotherapy

DCE:

Dynamic contrast-enhanced MRI

DSC:

Dynamic susceptibility contrast

DSS:

Decision support system

DWI:

Diffusion-weighted imaging

EHR:

Electronic health record

GB:

Glioblastoma

GUI:

Graphical user interface

Kep:

Contrast extraction coefficient

Ktrans:

Volume transfer coefficient

MR:

Magnetic resonance

MRI:

Magnetic resonance imaging

MRSI:

Magnetic resonance spectroscopy imaging

NGS:

Next-generation sequencing

PET:

Positron emission tomography

PWI:

Perfusion-weighted imaging

RCBV:

Relative cerebral blood volume

RT:

Radiotherapy

TMZ:

Temozolomide

UX:

User experience

WHO:

World Health Organization

References

  1. Huang RY, Neagu MR, Reardon DA, Wen PY. Pitfalls in the neuroimaging of glioblastoma in the era of antiangiogenic and immuno/targeted therapy – detecting illusive disease, defining response. Front Neurol. 2015;6:33. doi:10.3389/fneur.2015.00033

  2. Inda M-M, Bonavia R, Seoane J. Glioblastoma Multiforme: A Look Inside Its Heterogeneous Nature. Cancers. 2014;6(1):226–239. doi:10.3390/cancers6010226.

    Google Scholar 

  3. Verhaak RG, Hoadley KA, Purdom E, Wang V, Qi Y, Wilkerson MD, Miller CR, Ding L, Golub T, Mesirov JP, Alexe G, Lawrence M, O’Kelly M, Tamayo P, Weir BA, Gabriel S, Winckler W, Gupta S, Jakkula L, Feiler HS, Hodgson JG, James CD, Sarkaria JN, Brennan C, Kahn A, Spellman PT, Wilson RK, Speed TP, Gray JW, Meyerson M, Getz G, Perou CM, Hayes DN, Cancer Genome Atlas Research Network. Integrated genomic analysis identifies clinically relevant subtypes of glioblastoma characterized by abnormalities in PDGFRA, IDH1, EGFR, and NF1. Cancer Cell. 2010;17(1):98–110.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Mang A, Schnabel JA, Crum WR, Modat M, Camara-Rey O, Palm C, Brasil Caseiras G, Rolf Jäger H, Ourselin S, Buzug TM, Hawkes DJ. Consistency of parametric registration in serial MRI studies of brain tumor progression. Int J Comput Assist Radiol Surg. 2008;3(3 – 4):201–11.

    Article  Google Scholar 

  5. Brem SS, Bierman PJ, Brem H, Butowski N, Chamberlain MC, Chiocca EA, DeAngelis LM, Fenstermaker RA, Friedman A, Gilbert MR, et al. Central nervous system cancers. J Natl Compr Canc Netw. 2011;9(4):352–400.

    PubMed  Google Scholar 

  6. Kesari S. Understanding glioblastoma tumor biology: the potential to improve current diagnosis and treatments. Semin Oncol. 2011;38 Suppl 4:S2–10.

    Article  PubMed  Google Scholar 

  7. Purdy JA. Current ICRU definitions of volumes: limitations and future directions. Semin Radiat Oncol. 2004;14(1):27–40.

    Article  PubMed  Google Scholar 

  8. Du J, Teng RJ, Guan T, Eis A, Kaul S, Konduri GG, Shi Y. Role of autophagy in angiogenesis in aortic endothelial cells. Am J Physiol Cell Physiol. 2012;302(2):C383–91.

    Article  CAS  PubMed  Google Scholar 

  9. Petit I, Jin D, Rafii S. The SDF-1-CXCR4 signaling pathway: a molecular hub modulating neo-angiogenesis. Trends Immunol. 2007;28(7):299–307.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Mantovani A, Allavena P, Sica A, Balkwill F. Cancer-related inflammation. Nature. 2008;454(7203):436–44.

    Article  CAS  PubMed  Google Scholar 

  11. Revert Ventura AJ, Sanz-Requena R, Martí-Bonmatí L, Jornet J, Piquer J, Cremades A, Carot JM. [Nosological analysis of MRI tissue perfusion parameters obtained using the unicompartmental and pharmacokinetic models in cerebral glioblastomas]. Radiologia. 2010;52(5):432–41.

    Article  CAS  PubMed  Google Scholar 

  12. Bulakbasi N, Kocaoglu M, Farzaliyev A, Tayfun C, Ucoz T, Somuncu I. Assessment of diagnostic accuracy of perfusion MR imaging in primary and metastatic solitary malignant brain tumors. AJNR Am J Neuroradiol. 2005;26(9):2187–99.

    PubMed  Google Scholar 

  13. Awasthi R, Rathore RK, Soni P, Sahoo P, Awasthi A, Husain N, Behari S, Singh RK, Pandey CM, Gupta RK. Discriminant analysis to classify glioma grading using dynamic contrast-enhanced MRI and immunohistochemical markers. Neuroradiology. 2012;54(3):205–13.

    Article  PubMed  Google Scholar 

  14. Sanz-Requena R, Revert-Ventura A, Martí-Bonmatí L, Alberich-Bayarri A, García-Martí G. Quantitative MR perfusion parameters related to survival time in high-grade gliomas. Eur Radiol. 2013;23(12):3456–65.

    Article  PubMed  Google Scholar 

  15. Provenzale JM, Mukundan S, Barboriak DP. Diffusion-weighted and perfusion MR imaging for brain tumor characterization and assessment of treatment response. Radiology. 2006;239(3):632–49.

    Article  PubMed  Google Scholar 

  16. Price SJ, Jena R, Burnet NG, Hutchinson PJ, Dean AF, Peña A, Pickard JD, Carpenter TA, Gillard JH. Improved delineation of glioma margins and regions of infiltration with the use of diffusion tensor imaging: an image-guided biopsy study. AJNR Am J Neuroradiol. 2006;27(9):1969–74.

    CAS  PubMed  Google Scholar 

  17. Bulik M, Jancalek R, Vanicek J, Skoch A, Mechl M. Potential of MR spectroscopy for assessment of glioma grading. Clin Neurol Neurosurg. 2013;115(2):146–53.

    Article  PubMed  Google Scholar 

  18. Law M, Yang S, Wang H, Babb JS, Johnson G, Cha S, Knopp EA, Zagzag D. Glioma grading: sensitivity, specificity, and predictive values of perfusion MR imaging and proton MR spectroscopic imaging compared with conventional MR imaging. AJNR Am J Neuroradiol. 2003;24(10):1989–98.

    PubMed  Google Scholar 

  19. Weybright P, Sundgren PC, Maly P, Gomez Hassan D, Nan B, Rohrer S, Junck L. Differentiation between brain tumor recurrence and radiation injury using MR spectroscopy. AJR Am J Roentgenol. 2005;185(6):1471–6.

    Article  PubMed  Google Scholar 

  20. Padma MV, Said S, Jacobs M, Hwang DR, Dunigan K, Satter M, Christian B, Ruppert J, Bernstein T, Kraus G, Mantil JC. Pre-diction of pathology and survival by FDG PET in gliomas. J Neurooncol. 2003;64(3):227–37.

    Article  CAS  PubMed  Google Scholar 

  21. Singhal T, Narayanan TK, Jacobs MP, Bal C, Mantil JC. 11c-methionine PET for grading and prognostication in gliomas: a comparison study with 18f-FDG PET and contrast enhancement on MRI. J Nucl Med Off Publ Soc Nucl Med. 2012;53(11):1709–15.

    Google Scholar 

  22. Ullrich RT, Kracht LW, Jacobs AH. Neuroimaging in patients with gliomas. Semin Neurol. 2008;28(4):484–94.

    Article  PubMed  Google Scholar 

  23. Spence AM, Muzi M, Swanson KR, O’Sullivan F, Rockhill JK, Rajendran JG, Adamsen TC, Link JM, Swanson PE, Yagle KJ, Rostomily RC, Silbergeld DL, Krohn KA. Regional hypoxia in glioblastoma multiforme quantified with [18f]fluoromisonidazole positron emission tomography before radio-therapy: correlation with time to progression and survival. Clin Cancer Res Off J Am Assoc Cancer Res. 2008;14(9):2623–30.

    Article  CAS  Google Scholar 

  24. Mendichovszky I, A Jackson. Imaging Hypoxia in Gliomas. The British Journal of Radiology. 2011;84 (special_issue_2):145–58

    Google Scholar 

  25. Bauer S, Wiest R, Nolte LP, Reyes M. A survey of MRI-based medical image analysis for brain tumor studies. Phys Med Biol. 2013;58(13):R97–129.

    Article  PubMed  Google Scholar 

  26. Gordillo N, Montseny E, Sobrevilla P. State of the art survey on MRI brain tumor segmentation. Magn Reson Imaging. 2013;31(8):1426–38.

    Article  PubMed  Google Scholar 

  27. Menze B, Reyes M, van Leemput K. The multi-modal brain tumorImage segmentation benchmark (BRATS). IEEE Trans Med Imaging. 2014; 34(10):1993–2024.

    Google Scholar 

  28. Duda RO, Hart PE, Stork DG. Pattern classification. 2nd ed. New York: Wiley; 2001.

    Google Scholar 

  29. Juan-Albarracín J, Fuster-Garcia E, Manjón JV, Robles M, Aparici F, Martí-Bonmatí L, García-Gómez JM. Auto-mated glioblastoma segmentation based on a multiparametric structured unsupervised classification. PLoS One. 2015;10(5):e0125143.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Huse JT, Phillips HS, Brennan CW. Molecular subclassification of diffuse gliomas: seeing order in the chaos. Glia. 2011;59(8):1190–9.

    Article  PubMed  Google Scholar 

  31. Parsons DW, Jones S, Zhang X, Lin JC, Leary RJ, Angenendt P, Mankoo P, Carter H, Siu IM, Gallia GL, Olivi A, McLendon R, Rasheed BA, Keir S, Nikolskaya T, Nikolsky Y, Busam DA, Tekleab H, Diaz Jr LA, Hartigan J, Smith DR, Strausberg RL, Marie SK, Shinjo SM, Yan H, Riggins GJ, Bigner DD, Karchin R, Papadopoulos N, Parmigiani G, Vogelstein B, Velculescu VE, Kinzler KW. An integrated genomic analysis of human glioblastoma multiforme. Science. 2008;321(5897):1807–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. H Phillips, T Sandmann, C Li, T Francis Cloughesy, OL. Chinot, W Wick, R Nishikawa, WP. Mason, R Henriksson, F Saran, A Lai, N Moore, PS. Hegde, LE. Abrey, R Bourgon, J Gar-cia, C Bais. Correlation of molecular subtypes with survival in AVAglio (bevacizumab [Bv] and radiotherapy [RT] and temozolomide [T] for newly diagnosed glioblastoma [GB]). J Clin Oncol. 2014;32:5s(suppl; abstr 2001^).

    Google Scholar 

  33. Le Mercier M, Hastir D, Moles Lopez X, De Nève N, Maris C, Trepant AL, Rorive S, Decaestecker C, Salmon I. A simplified approach for the molecular classification of glioblastomas. PLoS One. 2012;7(9):e45475.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Bellouquid A, De Angelis E, Knopoff D. From the modeling of the immune hallmarks of cancer to a black swan in biology. Math Models Methods Appl Sci. 2012;23(05):949–78.

    Article  Google Scholar 

  35. De Angelis E. On the mathematical theory of post-Darwinian mutations, selection, and evolution. Math Models Methods Appl Sci. 2014;24(13):2723–42.

    Article  Google Scholar 

  36. Bellouquid A. Mathematical tools towards the modelling of biological systems. Nuclei Online. 2013;1(1):1–3

    Google Scholar 

  37. Wolkenhauer O, Auffray C, Brass O, Clairambault J, Deutsch A, Drasdo D, Gervasio F, Preziosi L, Maini P, Marciniak-Czochra A, Kossow C, Kuepfer L, Rateitschak K, Ramis-Conde I, Ribba B, Schuppert A, Smallwood R, Stamatakos G, Winter F, Byrne H. Enabling multiscale modeling in systems medicine. Genome Med. 2014;6(3):21.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Scianna M, Preziosi L, Wolf K. A Cellular Potts Model simulating cell migration on and in matrix environments. Math Biosci Eng MBE. 2013;10(1):235–61.

    Article  PubMed  Google Scholar 

  39. Stamatakos GS, Georgiadi EC, Graf N, Kolokotroni EA, Dionysiou DD. Exploiting clinical trial data drastically narrows the window of possible solutions to the problem of clinical adaptation of a multiscale cancer model. PLoS One. 2011;6(3):e17594.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Wright A, Sittig DF. A Four-Phase Model of the Evolution of Clinical Decision Support Architectures. International journal of medical informatics. 2008;77(10):641-649. doi:10.1016/j.ijmedinf.2008.01.004.

    Google Scholar 

  41. Kane B, Luz S. Achieving diagnosis by consensus. Comput Supported Coop Work. 2009;18(4):357–92.

    Article  Google Scholar 

  42. E McLoughlin, DO’Sullivan, M Bertolotto, DC. Wilson. MEDIC: MobilE Diagnosis for Improved care. In: Proceedings of the 2006 ACM Symposium on Applied Computing, SAC ’06, New York: ACM; 2006. p. 204–8..

    Google Scholar 

  43. T David Wang, K Wongsuphasawat, C Plaisant, and B Shneiderman. Visual information seeking in multiple electronic health records: design recommendations and a process model. In: Proceedings of the 1st ACM International Health Informatics Symposium, IHI ’10. New York: ACM; 2010. p. 46–55.

    Google Scholar 

  44. Waterson P, Glenn Y, Eason K. Preparing the ground for the ‘paperless hospital’: a case study of medical records management in a UK outpatient services department. Int J Med Inform. 2012;81(2):114–29.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This work was partially supported by project TIN2013-43457-R: Caracterización de firmas biológicas de glioblastomas mediante modelos no-supervisados de predicción estructurada basados en biomarcadores de imagen, co-funded by the Ministerio de Economía y Competitividad of Spain; the project CON-2014-001 Unsupervised glioblastoma tumour component segmentation based on perfusion multi-parametric MRI and spatial/temporal constraints, co-funded by the Global Investigator Initiated Research Committee (GIIRC) research programme by BRACCO, the Flemish Government FWO project G.0869.12 N and the project CURIAM-FDFT: Solución computacional del modelo mul-tinivel in vivo de la dinámica de la angiogénesis para la detección temprana de respuesta a tratamiento en glioblastomas primarios, co-funded by the ITACA Institute, UPV. Additionally, E. Fuster-Garcia acknowledges the financial support from the programme PAID- 10–14: Ayudas para la Contratación de Doctores para el Acceso al SECTI founded by the Universitat Politècnica de València.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elies Fuster-Garcia .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Fuster-Garcia, E. et al. (2017). Use Case II: Imaging Biomarkers and New Trends for Integrated Glioblastoma Management. In: Martí-Bonmatí, L., Alberich-Bayarri, A. (eds) Imaging Biomarkers. Springer, Cham. https://doi.org/10.1007/978-3-319-43504-6_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-43504-6_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43502-2

  • Online ISBN: 978-3-319-43504-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics