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Abstract #3850

Epilepsy and NANO scale are associated with pre-treatment glioblastoma lesion size and distinct brain regions

Yeong Chul Yun1,2,3, Sabine Wolf2,3, Freya Garhöfer2,3, Katharina Holz2,3, Philipp Vollmuth2, Martin Bendszus2, Heinz-Peter Schlemmer1, Sabine Heiland2, Wolfgang Wick4, Varun Venkataramani4,5, and Felix T. Kurz1,2
1Radiology, German Cancer Research Center, Heidelberg, Germany, 2Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany, 3Faculty of Medicine, Heidelberg University, Heidelberg, Germany, 4Neurology, Heidelberg University Hospital, Heidelberg, Germany, 5Functional Neuroanatomy, Heidelberg University, Heidelberg, Germany

Synopsis

Keywords: Tumors (Pre-Treatment), Brain

Motivation: Identifying brain regions where glioblastoma is associated with epilepsy or neurological deficits could help recognize patients with a higher risk of developing neurological symptoms based on MRI.

Goal(s): We aim to correlate clinical and radiological findings to improve diagnostic evaluation of pre-treatment glioblastoma patients.

Approach: MRIs from 557 patients with de-novo glioblastoma were analyzed retrospectively. We used NANO scale to report neurological deficits and analyzed lesion-frequency-maps for identifying deficits-associated regions.

Results: There was a significant correlation between the NANO scale and lesion volume. For each investigated domain with the NANO scale, radiologically correlated brain regions could be identified.

Impact: We showed that MRI examinations of pre-treatment glioblastoma patients can provide clinicians and patients valuable information regarding risk of developing certain neurological deficits and symptoms. Furthermore, NANO scale and epilepsy-status can provide information regarding the characteristics of the tumor lesion.

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