PMID- 26668184 OWN - NLM STAT- MEDLINE DA - 20151215 DCOM- 20160315 LR - 20160229 IS - 1460-2105 (Electronic) IS - 0027-8874 (Linking) VI - 108 IP - 5 DP - 2016 May TI - TERT Promoter Mutations and Risk of Recurrence in Meningioma. LID - 10.1093/jnci/djv377 [doi] LID - djv377 [pii] AB - The World Health Organization (WHO) classification and grading system attempts to predict the clinical course of meningiomas based on morphological parameters. However, because of high interobserver variation of some criteria, more reliable prognostic markers are required. Here, we assessed the TERT promoter for mutations in the hotspot regions C228T and C250T in meningioma samples from 252 patients. Mutations were detected in 16 samples (6.4% across the cohort, 1.7%, 5.7%, and 20.0% of WHO grade I, II, and III cases, respectively). Data were analyzed by t test, Fisher's exact test, log-rank test, and Cox proportional hazard model. All statistical tests were two-sided. Within a mean follow-up time in surviving patients of 68.1 months, TERT promoter mutations were statistically significantly associated with shorter time to progression (P < .001). Median time to progression among mutant cases was 10.1 months compared with 179.0 months among wild-type cases. Our results indicate that the inclusion of molecular data (ie, analysis of TERT promoter status) into a histologically and genetically integrated classification and grading system for meningiomas increases prognostic power. Consequently, we propose to incorporate the assessment of TERT promoter status in upcoming grading schemes for meningioma. CI - (c) The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com. FAU - Sahm, Felix AU - Sahm F AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Schrimpf, Daniel AU - Schrimpf D AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Olar, Adriana AU - Olar A AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Koelsche, Christian AU - Koelsche C AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Reuss, David AU - Reuss D AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Bissel, Juliane AU - Bissel J AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Kratz, Annekathrin AU - Kratz A AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Capper, David AU - Capper D AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Schefzyk, Sebastian AU - Schefzyk S AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Hielscher, Thomas AU - Hielscher T AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Wang, Qianghu AU - Wang Q AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Sulman, Erik P AU - Sulman EP AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Adeberg, Sebastian AU - Adeberg S AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Koch, Arend AU - Koch A AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Okuducu, Ali Fuat AU - Okuducu AF AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Brehmer, Stefanie AU - Brehmer S AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Schittenhelm, Jens AU - Schittenhelm J AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Becker, Albert AU - Becker A AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Brokinkel, Benjamin AU - Brokinkel B AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Schmidt, Melissa AU - Schmidt M AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Ull, Theresa AU - Ull T AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Gousias, Konstantinos AU - Gousias K AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Kessler, Almuth Friederike AU - Kessler AF AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Lamszus, Katrin AU - Lamszus K AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Debus, Jurgen AU - Debus J AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Mawrin, Christian AU - Mawrin C AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Kim, Yoo-Jin AU - Kim YJ AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Simon, Matthias AU - Simon M AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Ketter, Ralf AU - Ketter R AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Paulus, Werner AU - Paulus W AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Aldape, Kenneth D AU - Aldape KD AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - Herold-Mende, Christel AU - Herold-Mende C AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T FAU - von Deimling, Andreas AU - von Deimling A AD - Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany (FS, DS, CK, DR, JB, AK, DC, SS, AvD); Clinical Cooperation Unit Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany (FS, DS, CK, DR, AK, DC, AvD); Department of Pathology (AO), Department of Genomic Medicine (QW), Department of Radiation Oncology (QW, EPS), and Department of Bioinformatics and Computational Biology (QW), The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology (SA, JD) and Department of Neurosurgery (MSc, TU, CHM), University Hospital Heidelberg, Heidelberg, Germany; Department of Neuropathology, Charite Medical University, Berlin, Germany (AK); Department of Pathology, University Hospital Nurnberg, Nurnberg, Germany (AFO): Department of Neurosurgery, Medical Faculty of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany (SB); Department of Neuropathology, Institute of Pathology and Neuropathology, University Tubingen, Tubingen, Germany (JS); Department of Neuropathology, University of Bonn, Bonn, Germany (AB); Department of Neurosurgery (BB) and Institute of Neuropathology (WP), University Hospital Munster, Munster, Germany (BB); Department of Neurosurgery, University Hospital Bonn, Bonn, Germany (KG, MSi); Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany (AFK); Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany (KL); Department of Neuropathology, Otto von Guericke University Magdeburg, Magdeburg, Germany (CM); Institute of Pathology, Saarland University, Homburg, Saarland, Germany (YJK); Department of Neurosurgery, Saarland University, Homburg, Germany (RK); MacFeeters-Hamilton Brain Tumour Centre, Princess Margaret Cancer Center, Toronto, Ontario, Canada (KDA); Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany (T LA - eng GR - 5T32CA163185/CA/NCI NIH HHS/United States GR - CA016672/CA/NCI NIH HHS/United States GR - T32 CA163185/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20151213 PL - United States TA - J Natl Cancer Inst JT - Journal of the National Cancer Institute JID - 7503089 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.7.49 (TERT protein, human) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/genetics MH - Disease Progression MH - Female MH - Follow-Up Studies MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Meningeal Neoplasms/*genetics/pathology MH - Meningioma/*genetics/pathology MH - Middle Aged MH - *Mutation MH - Neoplasm Grading MH - Neoplasm Recurrence, Local/*genetics/pathology MH - Predictive Value of Tests MH - Prognosis MH - *Promoter Regions, Genetic/genetics MH - Proportional Hazards Models MH - Telomerase/*genetics EDAT- 2015/12/17 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/12/16 06:00 PHST- 2015/05/05 [received] PHST- 2015/11/05 [accepted] PHST- 2016/05 [ppublish] AID - djv377 [pii] AID - 10.1093/jnci/djv377 [doi] PST - epublish SO - J Natl Cancer Inst. 2015 Dec 13;108(5). pii: djv377. doi: 10.1093/jnci/djv377. Print 2016 May. PMID- 26652870 OWN - NLM STAT- MEDLINE DA - 20151215 DCOM- 20160307 IS - 0028-3843 (Print) IS - 0028-3843 (Linking) VI - 49 IP - 6 DP - 2015 TI - Clinical course and management of intracranial meningiomas in neurofibromatosis type 2 patients. PG - 367-72 LID - 10.1016/j.pjnns.2015.08.007 [doi] LID - S0028-3843(15)00144-9 [pii] AB - OBJECTIVE: The aim of this study is to evaluate our surgical experience with intracranial meningiomas in NF2 patients and provide knowledge of the natural history of these lesions. METHODS: We included in the natural growth study patients with the diagnosis of NF2 who harbored intracranial meningiomas and were observed for at least 1 year. Tumors that were resected before achieving long-term follow-up were excluded from this analysis. RESULTS: We found 118 intracranial meningiomas in 34 patients in our series. 8 meningiomas in 7 patients were symptomatic. It was found that with an increase in tumor volume, brain edema and with the tumor location at the skull base, meningiomas are more likely to be symptomatic. Univariate analysis revealed that tumor growth was associated with a younger age at the onset of NF2-related symptoms, greater initial tumor volume, brain edema and with the presence of intracranial non-vestibular schwannoma. Multivariate analysis showed that the probability of tumor growth is associated with prolonged follow-up time. De novo meningiomas exhibited a significantly higher growth rate than other meningiomas. These tumors were more frequent in patients with intracranial non-vestibular schwannoma and with increasing length of meningioma observation. CONCLUSION: Meningiomas occur in about half NF2 patients. Many of them exhibit slow growth and long remain asymptomatic, however, those associated with early onset of NF2 symptoms and other features of the disease severity should be monitored in case of clinical and radiological progression that may require surgical treatment. CI - Copyright (c) 2015 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved. FAU - Nowak, Arkadiusz AU - Nowak A AD - Department of Neurosurgery, Medical University of Warsaw, Warsaw, Poland. Electronic address: arkady.n@wp.pl. FAU - Dziedzic, Tomasz AU - Dziedzic T AD - Department of Neurosurgery, Medical University of Warsaw, Warsaw, Poland. FAU - Czernicki, Tomasz AU - Czernicki T AD - Department of Neurosurgery, Medical University of Warsaw, Warsaw, Poland. FAU - Kunert, Przemyslaw AU - Kunert P AD - Department of Neurosurgery, Medical University of Warsaw, Warsaw, Poland. FAU - Marchel, Andrzej AU - Marchel A AD - Department of Neurosurgery, Medical University of Warsaw, Warsaw, Poland. LA - eng PT - Journal Article DEP - 20150911 PL - Poland TA - Neurol Neurochir Pol JT - Neurologia i neurochirurgia polska JID - 0101265 SB - IM MH - Adult MH - Age of Onset MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Meningeal Neoplasms/*pathology/surgery MH - Meningioma/*pathology/surgery MH - Neurofibromatosis 2/*pathology MH - Severity of Illness Index MH - Skull Base Neoplasms/*pathology/surgery MH - Young Adult OTO - NOTNLM OT - Meningioma OT - Natural history OT - Neurofibromatosis type 2 EDAT- 2015/12/15 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/12/15 06:00 PHST- 2015/05/10 [received] PHST- 2015/07/24 [revised] PHST- 2015/08/31 [accepted] PHST- 2015/09/11 [aheadofprint] AID - S0028-3843(15)00144-9 [pii] AID - 10.1016/j.pjnns.2015.08.007 [doi] PST - ppublish SO - Neurol Neurochir Pol. 2015;49(6):367-72. doi: 10.1016/j.pjnns.2015.08.007. Epub 2015 Sep 11. PMID- 26595685 OWN - NLM STAT- MEDLINE DA - 20151124 DCOM- 20160229 IS - 1537-453X (Electronic) IS - 0277-3732 (Linking) VI - 38 IP - 6 DP - 2015 Dec TI - Dose-Response Relationships for Meningioma Radiosurgery. PG - 600-4 LID - 10.1097/COC.0000000000000008 [doi] AB - OBJECTIVE: Dose-response relationships for meningioma radiosurgery are poorly characterized. We evaluated determinants of local recurrence for meningiomas treated with Gamma Knife radiosurgery (GKRS), to guide future treatment approaches to optimize tumor control. MATERIALS AND METHODS: A total of 101 consecutive patients (108 tumors) who underwent GKRS for benign, atypical, or malignant meningiomas between 1998 and 2011 were studied. Local recurrence was assessed. Cox proportional hazards and logistic regression analyses were used to determine the association of patient-related, tumor-related, and treatment-related characteristics with local recurrence. Acute and late toxicity was evaluated. RESULTS: World Health Organization (2007 classification) tumor grade was I (82%), II (11%), or III (7%). Median dose was 14 Gy (range, 10 to 18 Gy) for grade I tumors and 16 Gy (range, 12 to 20 Gy) for grade II and III tumors. Median follow-up was 25 months (maximum, 17 y). Two- /5-year actuarial local control rates were 100%/98% for grade I tumors and 76%/56% for grade II/III tumors. Higher tumor grade and lower GKRS dose were associated with local failure. In this cohort, there was a 42% relative reduction in local recurrence for each 1 Gy of dose escalation. CONCLUSIONS: Treatment was well tolerated with no moderate or severe toxicity. Tumor control was excellent in benign tumors and suboptimal in higher grade tumors. Because the main determinant of local recurrence was GKRS dose, we recommend dose escalation for atypical or malignant tumors to doses between 16 and 20 Gy where critical structures allow. FAU - Sethi, Rajni A AU - Sethi RA AD - *Department of Radiation Oncology, University of California San Francisco, San Francisco, CA Departments of daggerRadiation Oncology double daggerNeurosurgery, New York University School of Medicine, New York parallelDepartment of Radiation Oncology, Maimonides Medical Center, Brooklyn, NY section signDepartment of Environmental Science, Alaska Pacific University, Anchorage, AK. FAU - Rush, Stephen C AU - Rush SC FAU - Liu, Shian AU - Liu S FAU - Sethi, Suresh A AU - Sethi SA FAU - Parker, Erik AU - Parker E FAU - Donahue, Bernadine AU - Donahue B FAU - Narayana, Ashwatha AU - Narayana A FAU - Silverman, Joshua AU - Silverman J FAU - Kondziolka, Douglas AU - Kondziolka D FAU - Golfinos, John G AU - Golfinos JG LA - eng PT - Clinical Study PT - Journal Article PL - United States TA - Am J Clin Oncol JT - American journal of clinical oncology JID - 8207754 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Edema/etiology MH - Cohort Studies MH - Dose-Response Relationship, Radiation MH - Female MH - Headache/etiology MH - Humans MH - Hypesthesia/etiology MH - Logistic Models MH - Male MH - Meningeal Neoplasms/pathology/*surgery MH - Meningioma/pathology/*surgery MH - Middle Aged MH - *Neoplasm Recurrence, Local MH - Proportional Hazards Models MH - Radiosurgery/adverse effects/*methods MH - Retrospective Studies MH - Scalp MH - Tumor Burden MH - Vision Disorders/etiology EDAT- 2015/11/26 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/11/24 06:00 AID - 10.1097/COC.0000000000000008 [doi] AID - 00000421-201512000-00011 [pii] PST - ppublish SO - Am J Clin Oncol. 2015 Dec;38(6):600-4. doi: 10.1097/COC.0000000000000008. PMID- 26527781 OWN - NLM STAT- MEDLINE DA - 20151126 DCOM- 20160308 IS - 1527-7755 (Electronic) IS - 0732-183X (Linking) VI - 33 IP - 34 DP - 2015 Dec 1 TI - Double-Blind Phase III Randomized Trial of the Antiprogestin Agent Mifepristone in the Treatment of Unresectable Meningioma: SWOG S9005. PG - 4093-8 LID - 10.1200/JCO.2015.61.6490 [doi] AB - PURPOSE: Progesterone receptors are expressed in approximately 70% of meningiomas. Mifepristone is an oral antiprogestational agent reported to have modest activity in a phase II study. This multicenter, prospective, randomized, placebo-controlled phase III trial conducted by SWOG was planned to define the role of mifepristone in the treatment of unresectable meningioma. PATIENTS AND METHODS: Eligible patients were randomly assigned to receive either mifepristone or placebo for 2 years unless disease progressed. Patients who were stable or responding to protocol therapy after 2 years had the option to continue with the same blinded therapy. Serial follow-up allowed assessment of efficacy and toxicity. Time to treatment failure and overall survival were ascertained for all randomly assigned patients. On progression, patients receiving placebo could cross over and receive active drug. RESULTS: Among 164 eligible patients, 80 were randomly assigned to mifepristone and 84 to placebo. Twenty-four patients (30%) were able to complete 2 years of mifepristone without disease progression, adverse effects, or other reasons for discontinuation. Twenty-eight patients (33%) in the placebo arm completed the 2-year study. There was no statistical difference between the arms in terms of failure-free or overall survival. CONCLUSION: Long-term administration of mifepristone was well tolerated but had no impact on patients with unresectable meningioma. CI - (c) 2015 by American Society of Clinical Oncology. FAU - Ji, Yongli AU - Ji Y AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Rankin, Cathryn AU - Rankin C AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Grunberg, Steven AU - Grunberg S AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Sherrod, Andy E AU - Sherrod AE AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Ahmadi, Jamshid AU - Ahmadi J AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Townsend, Jeannette J AU - Townsend JJ AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Feun, Lynn G AU - Feun LG AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Fredericks, Ruth K AU - Fredericks RK AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Russell, Christy A AU - Russell CA AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Kabbinavar, Fairooz F AU - Kabbinavar FF AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Stelzer, Keith J AU - Stelzer KJ AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Schott, Anne AU - Schott A AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. FAU - Verschraegen, Claire AU - Verschraegen C AD - Yongli Ji, Steven Grunberg, and Claire Verschraegen, University of Vermont Cancer Center, Burlington, VT; Cathryn Rankin, SWOG Statistical Center, Seattle, WA; Andy E. Sherrod, Jamshid Ahmadi, and Christy A. Russell, University of Southern California; Fairooz F. Kabbinavar, University of California Los Angeles, Los Angeles, CA; Jeannette J. Townsend, University of Utah Medical Center, Salt Lake City, UT; Lynn G. Feun, University of Miami, Miami, FL; Ruth K. Fredericks, University of Mississippi Medical Center, Jackson, MS; Keith J. Stelzer, Celilo Cancer Center, the Dalles, OR; and Anne Schott, University of Michigan, Ann Arbor, MI. claire.verschraegen@uvmhealth.org. LA - eng GR - CA02115/CA/NCI NIH HHS/United States GR - CA13612/CA/NCI NIH HHS/United States GR - CA180801/CA/NCI NIH HHS/United States GR - CA180818/CA/NCI NIH HHS/United States GR - CA180819/CA/NCI NIH HHS/United States GR - CA180820/CA/NCI NIH HHS/United States GR - CA180830/CA/NCI NIH HHS/United States GR - CA180834/CA/NCI NIH HHS/United States GR - CA180835/CA/NCI NIH HHS/United States GR - CA180846/CA/NCI NIH HHS/United States GR - CA180858/CA/NCI NIH HHS/United States GR - CA180888/CA/NCI NIH HHS/United States GR - CA20319/CA/NCI NIH HHS/United States GR - CA35119/CA/NCI NIH HHS/United States GR - CA35176/CA/NCI NIH HHS/United States GR - CA35192/CA/NCI NIH HHS/United States GR - CA35431/CA/NCI NIH HHS/United States GR - CA45461/CA/NCI NIH HHS/United States GR - CA45560/CA/NCI NIH HHS/United States GR - CA46282/CA/NCI NIH HHS/United States GR - CA58882/CA/NCI NIH HHS/United States GR - CA67663/CA/NCI NIH HHS/United States GR - CA73590/CA/NCI NIH HHS/United States PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural DEP - 20151102 PL - United States TA - J Clin Oncol JT - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JID - 8309333 RN - 0 (Hormone Antagonists) RN - 0 (Progestins) RN - 320T6RNW1F (Mifepristone) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Double-Blind Method MH - Female MH - Follow-Up Studies MH - Hormone Antagonists/*therapeutic use MH - Humans MH - Male MH - Meningeal Neoplasms/*drug therapy/mortality/pathology MH - Meningioma/*drug therapy/mortality/pathology MH - Middle Aged MH - Mifepristone/*therapeutic use MH - Neoplasm Staging MH - Progestins/*antagonists & inhibitors MH - Prognosis MH - Prospective Studies MH - Survival Rate MH - Young Adult PMC - PMC4669593 EDAT- 2015/11/04 06:00 MHDA- 2016/03/10 06:00 CRDT- 2015/11/04 06:00 PMCR- 2016/12/01 00:00 PHST- 2015/11/02 [aheadofprint] AID - JCO.2015.61.6490 [pii] AID - 10.1200/JCO.2015.61.6490 [doi] PST - ppublish SO - J Clin Oncol. 2015 Dec 1;33(34):4093-8. doi: 10.1200/JCO.2015.61.6490. Epub 2015 Nov 2. PMID- 26490452 OWN - NLM STAT- MEDLINE DA - 20160210 DCOM- 20160321 IS - 1439-099X (Electronic) IS - 0179-7158 (Linking) VI - 191 IP - 12 DP - 2015 Dec TI - Long-term outcome of moderate hypofractionated stereotactic radiotherapy for meningiomas. PG - 953-60 LID - 10.1007/s00066-015-0915-2 [doi] AB - PURPOSE: The aim of this work was to evaluate long-term results of moderate hypofractionated stereotactic radiotherapy (hFSRT) for intracranial meningiomas. PATIENTS AND METHODS: In all, 77 consecutive patients with 80 lesions were included. Median age was 65 years (range 23-82 years), male/female ratio was 21/56, and the median Karnofsky performance status was 90 (range 60-100). In 31 lesions (39 %), diagnosis was based upon clinical and radiological data; 37 lesions were histologically proven as World Health Organization (WHO) grade I and 12 grade II meningiomas. Median treatment volume was 23 cc. Prescribed doses were 45 Gy in 15 fractions of 3 Gy (15 x 3 Gy) or 42 Gy in 14 fractions of 3 Gy (14 x 3 Gy). RESULTS: After a median follow-up of 56 months, 49 (61 %) lesions received 14 x 3 Gy and 31 (39 %) 15 x 3 Gy. Local control (LC) rate remained unchanged at 84 % at 5 and 10 years. Overall survival and disease-specific survival (DSS) were 76 and 93 % at 5 years, 72 and 89 % at 10 years, respectively. With univariate analysis, previous surgery and WHO grade II tumor were negative prognostic factors for LC and DSS. With multivariate analysis only tumor grade was an independent prognostic factor for LC. No clinically significant acute and/or late toxicities were observed. CONCLUSION: Moderate hFSRT was effective and safe with an excellent tolerance profile. It can be an alternative treatment option for patients with recurrent or inoperable large meningiomas. The low number of fractions administered with hFSRT led to reduce treatment-related discomfort for patients. Grade II tumor and previous surgery were negative prognosis factors. FAU - Maranzano, Ernesto AU - Maranzano E AD - Radiotherapy Oncology Centre, "S. Maria" Hospital, Via T. di Joannuccio, 1, 05100, Terni, Italy. e.maranzano@aospterni.it. FAU - Draghini, Lorena AU - Draghini L AD - Radiotherapy Oncology Centre, "S. Maria" Hospital, Via T. di Joannuccio, 1, 05100, Terni, Italy. FAU - Casale, Michelina AU - Casale M AD - Radiotherapy Oncology Centre, "S. Maria" Hospital, Via T. di Joannuccio, 1, 05100, Terni, Italy. FAU - Arcidiacono, Fabio AU - Arcidiacono F AD - Radiotherapy Oncology Centre, "S. Maria" Hospital, Via T. di Joannuccio, 1, 05100, Terni, Italy. FAU - Anselmo, Paola AU - Anselmo P AD - Radiotherapy Oncology Centre, "S. Maria" Hospital, Via T. di Joannuccio, 1, 05100, Terni, Italy. FAU - Trippa, Fabio AU - Trippa F AD - Radiotherapy Oncology Centre, "S. Maria" Hospital, Via T. di Joannuccio, 1, 05100, Terni, Italy. FAU - Giorgi, Cesare AU - Giorgi C AD - Radiotherapy Oncology Centre, "S. Maria" Hospital, Via T. di Joannuccio, 1, 05100, Terni, Italy. LA - eng PT - Clinical Study PT - Journal Article DEP - 20151021 PL - Germany TA - Strahlenther Onkol JT - Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] JID - 8603469 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Disease-Free Survival MH - *Dose Hypofractionation MH - Female MH - Follow-Up Studies MH - Humans MH - Meningeal Neoplasms/mortality/pathology/*surgery MH - Meningioma/mortality/pathology/*surgery MH - Middle Aged MH - Neoplasm Grading MH - Prognosis MH - Radiosurgery/*methods OTO - NOTNLM OT - Hypofractionated radiotherapy OT - Neoplasms, nerve tissue OT - Prognosis OT - Stereotactic radiotherapy OT - Survival EDAT- 2015/10/23 06:00 MHDA- 2016/03/22 06:00 CRDT- 2015/10/23 06:00 PHST- 2015/05/29 [received] PHST- 2015/10/07 [accepted] PHST- 2015/10/21 [aheadofprint] AID - 10.1007/s00066-015-0915-2 [doi] AID - 10.1007/s00066-015-0915-2 [pii] PST - ppublish SO - Strahlenther Onkol. 2015 Dec;191(12):953-60. doi: 10.1007/s00066-015-0915-2. Epub 2015 Oct 21. PMID- 26454767 OWN - NLM STAT- MEDLINE DA - 20151129 DCOM- 20160310 IS - 1532-2157 (Electronic) IS - 0748-7983 (Linking) VI - 41 IP - 12 DP - 2015 Dec TI - BRAF mutation and anaplasia may be predictive factors of progression-free survival in adult pleomorphic xanthoastrocytoma. PG - 1685-90 LID - 10.1016/j.ejso.2015.09.012 [doi] LID - S0748-7983(15)00779-9 [pii] AB - BACKGROUND: Pleomorphic xanthoastrocytoma (PXA) is a rare, low-grade glioma that frequently occurs in pediatric patients. OBJECTIVE: To analyze adult patients diagnosed with PXA and to search for pathological and molecular markers of diagnosis and prognosis. METHODS: We retrospectively included patients older than 16 years with PXA who were referred to our institution between October 2003 and September 2013. All pathological diagnoses were reviewed by a neuropathologist. Histological characteristics and immunostaining of GFAP, OLIG2, neurofilament, CD34, Ki67, p53, p16, and IDH1 R132H were analyzed. The following molecular alterations were analyzed: mutations of IDH1/2, BRAF and the histone H3.3 and the EGFR amplification. Clinical data, treatment modalities, and patient outcome were recorded. RESULTS: We identified 16 adult patients with reviewed PXA diagnosis. No IDH neither histone H3.3 mutations were found; BRAF V600E mutation was recorded in six patients. Ten patients presented with anaplastic features. BRAF mutations were associated with lower Ki67, OLIG2 expression, and lack of p16 expression. Median PFS and OS were 41.5 months (95% CI: 11.4-71.6) and 71.4 months (95% CI: 15.5-127.3), respectively. BRAF mutation tended to be associated with greater PFS (p = 0.051), whereas anaplastic features were associated with minimal PFS (p = 0.042). CONCLUSION: PXA in adults PXA may present features distinct from pediatric PXA. Anaplastic features and BRAF mutation may potentially identify specific subgroups with distinct prognoses. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Tabouret, E AU - Tabouret E AD - Aix-Marseille University, 13005, Marseille, France; APHM, Hopital de la Timone, Service d'anatomopathologie, 13005, Marseille, France; APHM, Hopital de la Timone, Service de Neuro-Oncologie, 13005, Marseille, France. FAU - Bequet, C AU - Bequet C AD - APHM, Hopital de la Timone, Service de Neuro-Oncologie, 13005, Marseille, France. FAU - Denicolai, E AU - Denicolai E AD - Aix-Marseille University, 13005, Marseille, France. FAU - Barrie, M AU - Barrie M AD - APHM, Hopital de la Timone, Service de Neuro-Oncologie, 13005, Marseille, France. FAU - Nanni, I AU - Nanni I AD - APHM, Hopital Nord, Laboratoire de transfert, 13015, Marseille, France. FAU - Metellus, P AU - Metellus P AD - APHM, Hopital de la Timone, Service de Neuro-Chirurgie, 13005, Marseille, France. FAU - Dufour, Henri AU - Dufour H AD - APHM, Hopital de la Timone, Service de Neuro-Chirurgie, 13005, Marseille, France. FAU - Chinot, O AU - Chinot O AD - Aix-Marseille University, 13005, Marseille, France; APHM, Hopital de la Timone, Service de Neuro-Oncologie, 13005, Marseille, France. FAU - Figarella-Branger, D AU - Figarella-Branger D AD - Aix-Marseille University, 13005, Marseille, France; APHM, Hopital de la Timone, Service d'anatomopathologie, 13005, Marseille, France. Electronic address: Dominique.figarella-branger@ap-hm.fr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150930 PL - England TA - Eur J Surg Oncol JT - European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology JID - 8504356 RN - 0 (DNA, Neoplasm) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Astrocytoma/*genetics/metabolism/pathology MH - Brain Neoplasms/*genetics/metabolism/pathology MH - DNA Mutational Analysis MH - DNA, Neoplasm/*genetics MH - Disease-Free Survival MH - Female MH - Follow-Up Studies MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - *Mutation MH - Prognosis MH - Proto-Oncogene Proteins B-raf/*genetics/metabolism MH - Retrospective Studies MH - Young Adult OTO - NOTNLM OT - BRAF mutation OT - Glioma OT - Histone H3.3 mutation OT - IDH1/2 mutation OT - Pleomorphic xantho-astrocytoma EDAT- 2015/10/12 06:00 MHDA- 2016/03/11 06:00 CRDT- 2015/10/12 06:00 PHST- 2015/08/12 [received] PHST- 2015/09/15 [accepted] PHST- 2015/09/30 [aheadofprint] AID - S0748-7983(15)00779-9 [pii] AID - 10.1016/j.ejso.2015.09.012 [doi] PST - ppublish SO - Eur J Surg Oncol. 2015 Dec;41(12):1685-90. doi: 10.1016/j.ejso.2015.09.012. Epub 2015 Sep 30. PMID- 26376741 OWN - NLM STAT- MEDLINE DA - 20150917 DCOM- 20160310 IS - 2296-1887 (Electronic) VI - 42 DP - 2015 TI - Immunotherapy of Brain Tumors. PG - 11-21 LID - 10.1159/000436986 [doi] AB - Glioma is one of the most devastating cancers, affecting children and young adults, and associated with a very high morbidity and poor prognosis. The propensity of glioma cells to invade normal brain structures makes current treatments poorly efficient and new therapeutic strategies an urgent need. We now know that many of the rules governing immune responses in other tissues are also valid for the brain, providing solid scientific background for developing new strategies exploiting the immune system to fight brain tumors. Some vaccines use tumor-specific mutated peptides (EGFRvIII, IDH1 or personalized peptides), but most are tumor-associated or undefined tumor-derived peptides (tumor-eluted peptides, peptides predicted from tumor-associated proteins or bound to HSPPC-96 complexes), in some cases pulsed on dendritic cells. Cell therapy is less advanced but the first clinical trials exploring the safety of T cells with chimeric antigen receptors incorporating antibodies to EGFRvIII, IL-13Ralpha2 or Her2 are ongoing. Finally, various strategies designed at reshaping the glioma microenvironment are being tested, including TGFbeta inhibition, Treg depletion and immune checkpoint blockade. Altogether, combining vaccines, cell therapy and reshaping of the tumor microenvironment will be the foundation for a new era of therapeutics for brain tumors. CI - (c) 2015 S. Karger AG, Basel. FAU - Dutoit, Valerie AU - Dutoit V FAU - Migliorini, Denis AU - Migliorini D FAU - Walker, Paul R AU - Walker PR FAU - Dietrich, Pierre-Yves AU - Dietrich PY LA - eng PT - Journal Article PT - Review DEP - 20150904 PL - Switzerland TA - Prog Tumor Res JT - Progress in tumor research JID - 101630076 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, Neoplasm) RN - 0 (Antineoplastic Agents) RN - 0 (Cancer Vaccines) SB - IM MH - Adult MH - Antibodies, Monoclonal/*therapeutic use MH - Antigens, Neoplasm/*immunology MH - Antineoplastic Agents/*therapeutic use MH - Brain Neoplasms/*drug therapy/immunology MH - Cancer Vaccines/*therapeutic use MH - Humans MH - *Immunotherapy EDAT- 2015/09/18 06:00 MHDA- 2016/03/11 06:00 CRDT- 2015/09/18 06:00 PHST- 2015/09/04 [aheadofprint] AID - 000436986 [pii] AID - 10.1159/000436986 [doi] PST - ppublish SO - Prog Tumor Res. 2015;42:11-21. doi: 10.1159/000436986. Epub 2015 Sep 4. PMID- 26372146 OWN - NLM STAT- MEDLINE DA - 20151202 DCOM- 20160322 IS - 1097-0142 (Electronic) IS - 0008-543X (Linking) VI - 121 IP - 23 DP - 2015 Dec 1 TI - Cost-effectiveness analysis of neurocognitive-sparing treatments for brain metastases. PG - 4231-9 LID - 10.1002/cncr.29642 [doi] AB - BACKGROUND: Decisions regarding how to treat patients who have 1 to 3 brain metastases require important tradeoffs between controlling recurrences, side effects, and costs. In this analysis, the authors compared novel treatments versus usual care to determine the incremental cost-effectiveness ratio from a payer's (Medicare) perspective. METHODS: Cost-effectiveness was evaluated using a microsimulation of a Markov model for 60 one-month cycles. The model used 4 simulated cohorts of patients aged 65 years with 1 to 3 brain metastases. The 4 cohorts had a median survival of 3, 6, 12, and 24 months to test the sensitivity of the model to different prognoses. The treatment alternatives evaluated included stereotactic radiosurgery (SRS) with 3 variants of salvage after recurrence (whole-brain radiotherapy [WBRT], hippocampal avoidance WBRT [HA-WBRT], SRS plus WBRT, and SRS plus HA-WBRT). The findings were tested for robustness using probabilistic and deterministic sensitivity analyses. RESULTS: Traditional radiation therapies remained cost-effective for patients in the 3-month and 6-month cohorts. In the cohorts with longer median survival, HA-WBRT and SRS plus HA-WBRT became cost-effective relative to traditional treatments. When the treatments that involved HA-WBRT were excluded, either SRS alone or SRS plus WBRT was cost-effective relative to WBRT alone. The deterministic and probabilistic sensitivity analyses confirmed the robustness of these results. CONCLUSIONS: HA-WBRT and SRS plus HA-WBRT were cost-effective for 2 of the 4 cohorts, demonstrating the value of controlling late brain toxicity with this novel therapy. Cost-effectiveness depended on patient life expectancy. SRS was cost-effective in the cohorts with short prognoses (3 and 6 months), whereas HA-WBRT and SRS plus HA-WBRT were cost-effective in the cohorts with longer prognoses (12 and 24 months). CI - (c) 2015 American Cancer Society. FAU - Savitz, Samuel T AU - Savitz ST AD - Department of Health Policy and Management, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina. FAU - Chen, Ronald C AU - Chen RC AD - Department of Radiation Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. AD - Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. AD - Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. FAU - Sher, David J AU - Sher DJ AD - Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas. LA - eng PT - Journal Article DEP - 20150915 PL - United States TA - Cancer JT - Cancer JID - 0374236 SB - AIM SB - IM MH - Aged MH - Brain Neoplasms/economics/*secondary/*therapy MH - Computer Simulation MH - Cost-Benefit Analysis MH - Hippocampus/radiation effects MH - Humans MH - Markov Chains MH - Models, Economic MH - Radiosurgery/*economics MH - Survival Analysis MH - Treatment Outcome MH - Whole-Body Irradiation/*economics OTO - NOTNLM OT - cognition disorders OT - computer-assisted radiotherapy OT - cost-effectiveness analysis OT - image-guided radiotherapy OT - secondary brain neoplasm EDAT- 2015/09/16 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/09/16 06:00 PHST- 2015/06/23 [received] PHST- 2015/07/27 [accepted] PHST- 2015/09/15 [aheadofprint] AID - 10.1002/cncr.29642 [doi] PST - ppublish SO - Cancer. 2015 Dec 1;121(23):4231-9. doi: 10.1002/cncr.29642. Epub 2015 Sep 15. PMID- 26371133 OWN - NLM STAT- MEDLINE DA - 20151126 DCOM- 20160302 IS - 1527-7755 (Electronic) IS - 0732-183X (Linking) VI - 33 IP - 34 DP - 2015 Dec 1 TI - Cognitive Impairment in Survivors of Irradiated Brain Tumors Is Multifactorial: Implications of Polypharmacy With Antiepileptics? PG - 4122 LID - 10.1200/JCO.2015.62.5350 [doi] FAU - Hiley, Crispin T AU - Hiley CT AD - Crick Institute and University College London Hospitals National Health Service Foundation Trust, London, United Kingdom crispinhiley@nhs.net. LA - eng PT - Comment PT - Letter DEP - 20150914 PL - United States TA - J Clin Oncol JT - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JID - 8309333 RN - 0 (Indans) RN - 0 (Piperidines) SB - IM CON - J Clin Oncol. 2015 May 20;33(15):1653-9. PMID: 25897156 CIN - J Clin Oncol. 2015 Dec 1;33(34):4122-3. PMID: 26371132 MH - Brain Neoplasms/*drug therapy/*radiotherapy MH - Cognition Disorders/*drug therapy MH - Female MH - Humans MH - Indans/*therapeutic use MH - Male MH - Piperidines/*therapeutic use EDAT- 2015/09/16 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/09/16 06:00 PHST- 2015/09/14 [aheadofprint] AID - JCO.2015.62.5350 [pii] AID - 10.1200/JCO.2015.62.5350 [doi] PST - ppublish SO - J Clin Oncol. 2015 Dec 1;33(34):4122. doi: 10.1200/JCO.2015.62.5350. Epub 2015 Sep 14. PMID- 26371132 OWN - NLM STAT- MEDLINE DA - 20151126 DCOM- 20160302 IS - 1527-7755 (Electronic) IS - 0732-183X (Linking) VI - 33 IP - 34 DP - 2015 Dec 1 TI - Reply to C.T. Hiley. PG - 4122-3 LID - 10.1200/JCO.2015.63.2166 [doi] FAU - Kleinberg, Lawrence R AU - Kleinberg LR AD - Johns Hopkins University, Baltimore, MD kleinla@jhmi.edu. LA - eng PT - Comment PT - Letter DEP - 20150914 PL - United States TA - J Clin Oncol JT - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JID - 8309333 RN - 0 (Indans) RN - 0 (Piperidines) SB - IM CON - J Clin Oncol. 2015 May 20;33(15):1653-9. PMID: 25897156 CON - J Clin Oncol. 2015 Dec 1;33(34):4122. PMID: 26371133 MH - Brain Neoplasms/*drug therapy/*radiotherapy MH - Cognition Disorders/*drug therapy MH - Female MH - Humans MH - Indans/*therapeutic use MH - Male MH - Piperidines/*therapeutic use EDAT- 2015/09/16 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/09/16 06:00 PHST- 2015/09/14 [aheadofprint] AID - JCO.2015.63.2166 [pii] AID - 10.1200/JCO.2015.63.2166 [doi] PST - ppublish SO - J Clin Oncol. 2015 Dec 1;33(34):4122-3. doi: 10.1200/JCO.2015.63.2166. Epub 2015 Sep 14. PMID- 26348445 OWN - NLM STAT- MEDLINE DA - 20151202 DCOM- 20160318 LR - 20160128 IS - 1532-1827 (Electronic) IS - 0007-0920 (Linking) VI - 113 IP - 11 DP - 2015 Dec 1 TI - Comment on 'Dexamethasone exerts profound immunologic interference on treatment efficacy for recurrent glioblastoma'. PG - 1632-3 LID - 10.1038/bjc.2015.317 [doi] FAU - Ellsworth, Susannah AU - Ellsworth S AD - Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN, USA. FAU - Grossman, Stuart A AU - Grossman SA AD - Department of Oncology, Medicine, & Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. LA - eng PT - Comment PT - Letter DEP - 20150908 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 7S5I7G3JQL (Dexamethasone) SB - IM CON - Br J Cancer. 2015 Jul 14;113(2):232-41. PMID: 26125449 CIN - Br J Cancer. 2015 Dec 1;113(11):1633-4. PMID: 26348442 MH - Brain Neoplasms/*drug therapy MH - Dexamethasone/*pharmacology MH - Female MH - Glioblastoma/*drug therapy MH - Humans MH - Male MH - Neoplasm Recurrence, Local/*drug therapy PMC - PMC4705875 OID - NLM: PMC4705875 EDAT- 2015/09/09 06:00 MHDA- 2016/03/19 06:00 CRDT- 2015/09/09 06:00 PHST- 2015/09/08 [aheadofprint] AID - bjc2015317 [pii] AID - 10.1038/bjc.2015.317 [doi] PST - ppublish SO - Br J Cancer. 2015 Dec 1;113(11):1632-3. doi: 10.1038/bjc.2015.317. Epub 2015 Sep 8. PMID- 26348442 OWN - NLM STAT- MEDLINE DA - 20151202 DCOM- 20160318 LR - 20160128 IS - 1532-1827 (Electronic) IS - 0007-0920 (Linking) VI - 113 IP - 11 DP - 2015 Dec 1 TI - Response to: Comment on 'Dexamethasone exerts profound immunologic interference on treatment efficacy for recurrent glioblastoma'. PG - 1633-4 LID - 10.1038/bjc.2015.320 [doi] FAU - Wong, Eric T AU - Wong ET AD - Brain Tumor Center & Neuro-Oncology Unit, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. FAU - Swanson, Kenneth D AU - Swanson KD AD - Brain Tumor Center & Neuro-Oncology Unit, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. LA - eng PT - Comment PT - Letter DEP - 20150908 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 7S5I7G3JQL (Dexamethasone) SB - IM CON - Br J Cancer. 2015 Dec 1;113(11):1632-3. PMID: 26348445 CON - Br J Cancer. 2015 Jul 14;113(2):232-41. PMID: 26125449 MH - Brain Neoplasms/*drug therapy MH - Dexamethasone/*pharmacology MH - Female MH - Glioblastoma/*drug therapy MH - Humans MH - Male MH - Neoplasm Recurrence, Local/*drug therapy PMC - PMC4705876 OID - NLM: PMC4705876 EDAT- 2015/09/09 06:00 MHDA- 2016/03/19 06:00 CRDT- 2015/09/09 06:00 PHST- 2015/09/08 [aheadofprint] AID - bjc2015320 [pii] AID - 10.1038/bjc.2015.320 [doi] PST - ppublish SO - Br J Cancer. 2015 Dec 1;113(11):1633-4. doi: 10.1038/bjc.2015.320. Epub 2015 Sep 8. PMID- 26340939 OWN - NLM STAT- MEDLINE DA - 20151124 DCOM- 20160321 IS - 1439-099X (Electronic) IS - 0179-7158 (Linking) VI - 191 IP - 12 DP - 2015 Dec TI - Simultaneous integrated vs. sequential boost in VMAT radiotherapy of high-grade gliomas. PG - 945-52 LID - 10.1007/s00066-015-0888-1 [doi] AB - BACKGROUND: In 20 patients with high-grade gliomas, we compared two methods of planning for volumetric-modulated arc therapy (VMAT): simultaneous integrated boost (SIB) vs. sequential boost (SEB). The investigation focused on the analysis of dose distributions in the target volumes and the organs at risk (OARs). METHOD: After contouring the target volumes [planning target volumes (PTVs) and boost volumes (BVs)] and OARs, SIB planning and SEB planning were performed. The SEB method consisted of two plans: in the first plan the PTV received 50 Gy in 25 fractions with a 2-Gy dose per fraction. In the second plan the BV received 10 Gy in 5 fractions with a dose per fraction of 2 Gy. The doses of both plans were summed up to show the total doses delivered. In the SIB method the PTV received 54 Gy in 30 fractions with a dose per fraction of 1.8 Gy, while the BV received 60 Gy in the same fraction number but with a dose per fraction of 2 Gy. RESULTS: All of the OARs showed higher doses (Dmax and Dmean) in the SEB method when compared with the SIB technique. The differences between the two methods were statistically significant in almost all of the OARs. Analysing the total doses of the target volumes we found dose distributions with similar homogeneities and comparable total doses. CONCLUSION: Our analysis shows that the SIB method offers advantages over the SEB method in terms of sparing OARs. FAU - Farzin, Mostafa AU - Farzin M AD - Department of Radiation Oncology, Klinikum rechts der Isar, Technische Universitat Munchen, Ismaninger Strasse 22, 81675, Munich, Germany. mfarzin1355@yahoo.com. AD - Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran. mfarzin1355@yahoo.com. FAU - Molls, Michael AU - Molls M AD - Department of Radiation Oncology, Klinikum rechts der Isar, Technische Universitat Munchen, Ismaninger Strasse 22, 81675, Munich, Germany. michael.molls@lrz.tum.de. FAU - Astner, Sabrina AU - Astner S AD - Department of Radiation Oncology, Klinikum rechts der Isar, Technische Universitat Munchen, Ismaninger Strasse 22, 81675, Munich, Germany. Sabrina.Astner@gmx.de. FAU - Rondak, Ina-Christine AU - Rondak IC AD - Institut fur Medizinische Statistik und Epidemiologie, Klinikum rechts der Isar, Technische Universitat Munchen, Munich, Germany. ina.rondak@tum.de. FAU - Oechsner, Markus AU - Oechsner M AD - Department of Radiation Oncology, Klinikum rechts der Isar, Technische Universitat Munchen, Ismaninger Strasse 22, 81675, Munich, Germany. markus.oechsner@lrz.tu-muenchen.de. LA - eng PT - Clinical Study PT - Comparative Study PT - Journal Article DEP - 20150904 PL - Germany TA - Strahlenther Onkol JT - Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] JID - 8603469 SB - IM MH - Adult MH - Aged MH - Astrocytoma/pathology/*radiotherapy MH - Brain Neoplasms/pathology/*radiotherapy MH - Combined Modality Therapy MH - *Dose Fractionation MH - Female MH - Glioblastoma/pathology/*radiotherapy MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Organs at Risk/radiation effects MH - Radiation Injuries/prevention & control MH - Radiotherapy Dosage MH - *Radiotherapy Planning, Computer-Assisted MH - Radiotherapy, Adjuvant MH - Radiotherapy, Intensity-Modulated/*methods OTO - NOTNLM OT - High-grade glioma OT - Organs at risk OT - Sequential boost OT - Simultaneous integrated boost OT - Volumetric-modulated arc therapy EDAT- 2015/09/06 06:00 MHDA- 2016/03/22 06:00 CRDT- 2015/09/06 06:00 PHST- 2014/12/08 [received] PHST- 2015/08/07 [accepted] PHST- 2015/09/04 [aheadofprint] AID - 10.1007/s00066-015-0888-1 [doi] AID - 10.1007/s00066-015-0888-1 [pii] PST - ppublish SO - Strahlenther Onkol. 2015 Dec;191(12):945-52. doi: 10.1007/s00066-015-0888-1. Epub 2015 Sep 4. PMID- 26329695 OWN - NLM STAT- MEDLINE DA - 20151124 DCOM- 20160321 IS - 1439-099X (Electronic) IS - 0179-7158 (Linking) VI - 191 IP - 12 DP - 2015 Dec TI - Metformin influences progression in diabetic glioblastoma patients. PG - 928-35 LID - 10.1007/s00066-015-0884-5 [doi] AB - PURPOSE: Changes in metabolism, including high glucose serum levels, seem to influence the initiation of malignancy as well as recurrence. Therefore, limiting the energy supply in tumor cells with the antidiabetic drug metformin might be a useful approach to inhibit glioma cell progression. However, little is known about the effects of endocrine disorders (e.g., diabetes mellitus, corticosteroid therapy, and metformin therapy) on progression and survival in primary glioblastoma patients. PATIENTS AND METHODS: Between 2006 and 2013, 276 patients with primary glioblastoma underwent radiation therapy at Heidelberg University Hospital and German Cancer Research Center. Clinical records as well as pretherapeutic and follow-up magnetic resonance (MR) images were assessed. Forty patients (14.5 %) were identified with a pretherapeutic history of diabetes, and 20 (50 %) of them were treated with metformin. Survival and correlations were calculated using t-test and log-rank, univariate and multivariate Cox proportional hazards ratio analyses. RESULTS: Persistent mild and excessive hyperglycemia were correlated with decreased survival. Corticosteroid therapy was associated with decreased progression-free and overall survival in the multivariate analysis. No negative influence of diabetes on progression and survival could be detected. Interestingly, diabetic patients with metformin therapy demonstrated prolonged progression-free intervals. CONCLUSION: Corticosteroid therapy and hyperglycemia were strongly associated with impaired survival rates and serves as negative prognostic factors. Diabetes did not influence survival. Interestingly, our findings showed an association of metformin therapy and prolonged progression-free survival in glioblastoma patients with diabetes and therefore serve as a foundation for further preclinical and clinical investigations. FAU - Adeberg, Sebastian AU - Adeberg S AD - Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. Sebastian.adeberg@med.uni-heidelberg.de. AD - Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. Sebastian.adeberg@med.uni-heidelberg.de. FAU - Bernhardt, Denise AU - Bernhardt D AD - Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. FAU - Ben Harrabi, Semi AU - Ben Harrabi S AD - Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. AD - Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. FAU - Bostel, Tilman AU - Bostel T AD - Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. AD - Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. FAU - Mohr, Angela AU - Mohr A AD - Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. AD - Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. FAU - Koelsche, Christian AU - Koelsche C AD - Department of Neuropathology, University Hospital of Heidelberg, Im Neuenheimer Feld 224, 69120, Heidelberg, Germany. AD - Clinical Cooperation Unit Neuropathology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. FAU - Diehl, Christian AU - Diehl C AD - Technische Universitat Munchen, Department of Radiation Oncology, Ismaninger Strasse 22, 81675, Munchen, Germany. AD - Department of Neurosurgery, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. FAU - Rieken, Stefan AU - Rieken S AD - Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. AD - Heidelberg Ion-Beam Therapy Center (HIT), Im Neuenheimer Feld 450, 69120, Heidelberg, Germany. FAU - Debus, Juergen AU - Debus J AD - Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. AD - Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. AD - Heidelberg Ion-Beam Therapy Center (HIT), Im Neuenheimer Feld 450, 69120, Heidelberg, Germany. LA - eng PT - Clinical Study PT - Comparative Study PT - Journal Article DEP - 20150902 PL - Germany TA - Strahlenther Onkol JT - Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] JID - 8603469 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) RN - 9100L32L2N (Metformin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents, Alkylating/adverse effects/therapeutic use MH - Blood Glucose/*metabolism MH - Brain/pathology MH - Brain Neoplasms/*blood/mortality/pathology/*therapy MH - *Chemoradiotherapy MH - Combined Modality Therapy MH - Dacarbazine/adverse effects/analogs & derivatives/therapeutic use MH - Diabetes Complications/blood/mortality/pathology/*therapy MH - Disease Progression MH - Disease-Free Survival MH - Female MH - Follow-Up Studies MH - Glioblastoma/*blood/mortality/pathology/*therapy MH - Humans MH - Hyperglycemia/blood/*complications/mortality/*therapy MH - Hypoglycemic Agents/adverse effects/*therapeutic use MH - Magnetic Resonance Imaging MH - Male MH - Metformin/adverse effects/*therapeutic use MH - Middle Aged MH - Retrospective Studies MH - Young Adult OTO - NOTNLM OT - Corticosteroids OT - Hyperglycemia OT - Prognosis OT - Progression OT - Survival EDAT- 2015/09/04 06:00 MHDA- 2016/03/22 06:00 CRDT- 2015/09/03 06:00 PHST- 2015/03/17 [received] PHST- 2015/07/28 [accepted] PHST- 2015/09/02 [aheadofprint] AID - 10.1007/s00066-015-0884-5 [doi] AID - 10.1007/s00066-015-0884-5 [pii] PST - ppublish SO - Strahlenther Onkol. 2015 Dec;191(12):928-35. doi: 10.1007/s00066-015-0884-5. Epub 2015 Sep 2. PMID- 26308485 OWN - NLM STAT- MEDLINE DA - 20151202 DCOM- 20160322 IS - 1097-0142 (Electronic) IS - 0008-543X (Linking) VI - 121 IP - 23 DP - 2015 Dec 1 TI - Multicenter phase 2 study of patupilone for recurrent or progressive brain metastases from non-small cell lung cancer. PG - 4165-72 LID - 10.1002/cncr.29636 [doi] AB - BACKGROUND: Treatment options for patients with non-small cell lung cancer (NSCLC) with brain metastases are limited. Patupilone (EPO906), a blood-brain barrier-penetrating, microtubule-targeting, cytotoxic agent, has shown clinical activity in phase 1/2 studies in patients with NSCLC. This study evaluates the efficacy, pharmacokinetics, and safety of patupilone in NSCLC brain metastases. METHODS: Adult patients with NSCLC and confirmed progressive brain metastases received patupilone intravenously at 10 mg/m(2) every 3 weeks. The primary endpoint of this multinomial 2-stage study combined early progression (EP; death or progression within 3 weeks) and progression-free survival at 9 weeks (PFS9w) to determine drug activity. RESULTS: Fifty patients with a median age of 60 years (range, 33-74 years) were enrolled; the majority were men (58%), and most had received prior therapy for brain metastases (98%). The PFS9w rate was 36%, and the EP rate was 26%. Patupilone blood pharmacokinetic analyses showed mean areas under the concentration-time curve from time zero to 504 hours for cycles 1 and 3 of 1544 and 1978 ng h/mL, respectively, and a mean steady state distribution volume of 755 L/m(2) . Grade 3/4 adverse events (AEs), regardless of their relation with the study drug, included diarrhea (24%), pulmonary embolisms (8%), convulsions (4%), and peripheral neuropathy (4%). All patients discontinued the study drug: 31 (62%) for disease progression and 13 (26%) for AEs. Twenty-five of 32 deaths were due to brain metastases. The median time to progression and the overall survival were 3.2 and 8.8 months, respectively. CONCLUSIONS: This is the first prospective study of chemotherapy for recurrent brain metastases from NSCLC. In this population, patupilone demonstrated activity in heavily treated patients. CI - (c) 2015 American Cancer Society. FAU - Nayak, Lakshmi AU - Nayak L AD - Center For Neuro-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - DeAngelis, Lisa M AU - DeAngelis LM AD - Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Robins, H Ian AU - Robins HI AD - Department of Human Oncology, University of Wisconsin Hospital and Clinics, Madison, Wisconsin. FAU - Govindan, Ramaswamy AU - Govindan R AD - Division of Oncology, Washington University School of Medicine in St. Louis, St. Louis, Missouri. FAU - Gadgeel, Shirish AU - Gadgeel S AD - Karmanos Cancer Institute/Wayne State University, Detroit, Michigan. FAU - Kelly, Karen AU - Kelly K AD - Division of Hematology and Oncology, Davis Comprehensive Cancer Center, University of California, Sacramento, California. FAU - Rigas, James R AU - Rigas JR AD - Norris Cotton Cancer Center/Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. FAU - Peereboom, David M AU - Peereboom DM AD - Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic, Cleveland, Ohio. FAU - Rosenfeld, Steven S AU - Rosenfeld SS AD - Department of Neurology, Columbia University Medical Center/New York Presbyterian, New York, New York. FAU - Muzikansky, Alona AU - Muzikansky A AD - Biostatistics Center, Massachusetts General Hospital, Boston, Massachusetts. FAU - Zheng, Ming AU - Zheng M AD - Novartis Pharmaceuticals Corporation, East Hanover, New Jersey. FAU - Urban, Patrick AU - Urban P AD - Novartis Pharmaceuticals Corporation, East Hanover, New Jersey. FAU - Abrey, Lauren E AU - Abrey LE AD - Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Omuro, Antonio AU - Omuro A AD - Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Wen, Patrick Y AU - Wen PY AD - Center For Neuro-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20150826 PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Antineoplastic Agents) RN - 0 (Epothilones) RN - UEC0H0URSE (epothilone B) SB - AIM SB - IM MH - Administration, Intravenous MH - Adult MH - Aged MH - Antineoplastic Agents/*administration & dosage/adverse effects MH - Brain Neoplasms/*drug therapy/mortality/*secondary MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/mortality MH - Disease Progression MH - Drug Administration Schedule MH - Epothilones/*administration & dosage/adverse effects MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy/mortality MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/*drug therapy/mortality MH - Prospective Studies MH - Survival Analysis MH - Treatment Outcome OTO - NOTNLM OT - brain metastases OT - chemotherapy OT - non-small cell lung cancer OT - patupilone OT - recurrent metastases EDAT- 2015/08/27 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/08/27 06:00 PHST- 2015/04/02 [received] PHST- 2015/07/09 [revised] PHST- 2015/07/13 [accepted] PHST- 2015/08/26 [aheadofprint] AID - 10.1002/cncr.29636 [doi] PST - ppublish SO - Cancer. 2015 Dec 1;121(23):4165-72. doi: 10.1002/cncr.29636. Epub 2015 Aug 26. PMID- 26307628 OWN - NLM STAT- MEDLINE DA - 20151124 DCOM- 20160321 IS - 1439-099X (Electronic) IS - 0179-7158 (Linking) VI - 191 IP - 12 DP - 2015 Dec TI - Stereotactic interstitial brachytherapy for the treatment of oligodendroglial brain tumors. PG - 936-44 LID - 10.1007/s00066-015-0887-2 [doi] AB - PURPOSE: We evaluated the treatment of oligodendroglial brain tumors with interstitial brachytherapy (IBT) using (125)iodine seeds ((125)I) and analyzed prognostic factors. PATIENTS AND METHODS: Between January 1991 and December 2010, 63 patients (median age 43.3 years, range 20.8-63.4 years) suffering from oligodendroglial brain tumors were treated with (125)I IBT either as primary, adjuvantly after incomplete resection, or as salvage therapy after tumor recurrence. Possible prognostic factors influencing disease progression and survival were retrospectively investigated. RESULTS: The actuarial 2-, 5-, and 10-year overall and progression-free survival rates after IBT for WHO II tumors were 96.9, 96.9, 89.8 % and 96.9, 93.8, 47.3 %; for WHO III tumors 90.3, 77, 54.9 % and 80.6, 58.4, 45.9 %, respectively. Magnetic resonance imaging demonstrated complete remission in 2 patients, partial remission in 13 patients, stable disease in 17 patients and tumor progression in 31 patients. Median time to progression for WHO II tumors was 87.6 months and for WHO III tumors 27.8 months. Neurological status improved in 10 patients and remained stable in 20 patients, while 9 patients deteriorated. There was no treatment-related mortality. Treatment-related morbidity was transient in 11 patients. WHO II, KPS >/= 90 %, frontal location, and tumor surface dose > 50 Gy were associated with increased overall survival (p /= 65) diagnosed with an intracranial meningioma were surgically treated at our department. The clinical, radiological, and follow-up data were retrospectively reviewed. Univariate and multivariate logistic analyses were performed to identify relationships between factors [age, sex, neurological condition, concomitant disease, American Society of Anesthesiology (ASA) classification, preoperative Karnofsky Performance Scale (KPS) score, tumor location and size, peritumoral edema, and Simpson resection grade] and outcome. RESULTS: One patient (1.2 %) died within 30 days of surgery. The morbidity rate was 37.2 %. Postoperative morbidities occurred more frequently in the patients with preoperative neurological deficits than in those without (p = 0.049). Univariate analysis identified significant relationships between a low KPS score (70 and no neurological deficits are present. Treatment decisions should be patient-specific, and additional factors should be considered when operations are performed in patients with a low preoperative KPS score or neurological deficits. FAU - Chen, Zhi-Yi AU - Chen ZY AD - Department of Neurosurgery, The First Affiliated Hospital of Guangxi Medical University, Guangxi Medical University, Nanning, Guangxi, 530021, China. FAU - Zheng, Chuan-Hua AU - Zheng CH FAU - Tang Li AU - Tang Li FAU - Su, Xiao-Yan AU - Su XY FAU - Lu, Gui-Hua AU - Lu GH FAU - Zhang, Chao-Yuan AU - Zhang CY FAU - Xiao, Shao-Wen AU - Xiao SW FAU - Tan, Yuan-Fu AU - Tan YF LA - eng PT - Journal Article DEP - 20150714 PL - Austria TA - Acta Neurochir (Wien) JT - Acta neurochirurgica JID - 0151000 SB - IM CIN - Acta Neurochir (Wien). 2015 Dec;157(12):2205-7. PMID: 26392116 MH - Age Factors MH - Aged MH - Female MH - Humans MH - Male MH - Meningeal Neoplasms/*surgery MH - Meningioma/*surgery MH - Neurosurgical Procedures/*adverse effects/statistics & numerical data MH - Survival Analysis EDAT- 2015/07/15 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/07/15 06:00 PHST- 2015/01/27 [received] PHST- 2015/06/29 [accepted] PHST- 2015/07/14 [aheadofprint] AID - 10.1007/s00701-015-2502-9 [doi] AID - 10.1007/s00701-015-2502-9 [pii] PST - ppublish SO - Acta Neurochir (Wien). 2015 Sep;157(9):1549-57; discussion 1557. doi: 10.1007/s00701-015-2502-9. Epub 2015 Jul 14. PMID- 26163256 OWN - NLM STAT- MEDLINE DA - 20150817 DCOM- 20160323 IS - 0942-0940 (Electronic) IS - 0001-6268 (Linking) VI - 157 IP - 9 DP - 2015 Sep TI - Intracranial meningiomas and seizures: a review of the literature. PG - 1541-8 LID - 10.1007/s00701-015-2495-4 [doi] AB - BACKGROUND: Seizures are a common manifestation of brain tumors, but literature on the incidence of seizures before and after surgery for meningiomas is limited, and principles for use of antiepileptic drugs (AEDs) are controversial. METHODS: This review is based on a MEDLINE search for articles from 1994 to 2014 describing intracranial meningioma and seizures or epilepsy, and AEDs treatment during and after surgery. RESULTS: Up to 40 % of patients with symptomatic meningiomas present with seizures before operation. Tumor removal usually results in seizure control, but around 20 % of patients continue to have or develop new-onset seizures after surgery. Risk factors for seizures after surgery include preoperative seizures, tumor location, and extent of tumor removal. There are no solid data to support routine pre- or postoperative AED prophylaxis in seizure-free patients, and the decision to treat and the selection of AEDs should follow the general principles of treatment of focal epilepsies. CONCLUSIONS: Seizures are a common manifestation of meningiomas, but about 80 % patients with preoperative seizures can be seizure free after tumor removal. Prospective controlled AED trials specifically on meningioma patients are much needed. FAU - Xue, Hai AU - Xue H AD - Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China, marcoxue2003@hotmail.com. FAU - Sveinsson, Olafur AU - Sveinsson O FAU - Tomson, Torbjorn AU - Tomson T FAU - Mathiesen, Tiit AU - Mathiesen T LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20150711 PL - Austria TA - Acta Neurochir (Wien) JT - Acta neurochirurgica JID - 0151000 RN - 0 (Anticonvulsants) SB - IM MH - Anticonvulsants/therapeutic use MH - Humans MH - Meningeal Neoplasms/*surgery MH - Meningioma/*surgery MH - Neurosurgical Procedures/adverse effects MH - Seizures/*drug therapy/etiology EDAT- 2015/07/15 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/07/12 06:00 PHST- 2015/06/08 [received] PHST- 2015/06/23 [accepted] PHST- 2015/07/11 [aheadofprint] AID - 10.1007/s00701-015-2495-4 [doi] AID - 10.1007/s00701-015-2495-4 [pii] PST - ppublish SO - Acta Neurochir (Wien). 2015 Sep;157(9):1541-8. doi: 10.1007/s00701-015-2495-4. Epub 2015 Jul 11. PMID- 26154148 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160303 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 22 IP - 9 DP - 2015 Sep TI - Clinical and radiological outcomes of surgical treatment for symptomatic arachnoid cysts in adults. PG - 1456-61 LID - 10.1016/j.jocn.2015.03.016 [doi] LID - S0967-5868(15)00182-4 [pii] AB - We retrospectively analyzed 63 patients (31 males and 32 females) with arachnoid cysts managed over a 15 year period at our institution. Surgical indications and modalities for the treatment of intracranial arachnoid cysts are controversial, although endoscopic fenestration is often recommended as a standard procedure. In our cohort, clinical postoperative results and radiological assessments based on the presenting symptoms, cyst location, cyst volume and surgical modalities were recorded. The most common symptoms included headaches (66.7%), dizziness (46%) and seizures (36.5%). Cyst wall excision with microsurgical craniotomy was carried out in 28 patients (44.4%), cyst fenestration in 16 (25.4%), cystoperitoneal or ventriculoperitoneal shunting in 15 (23.8%) and endoscopic fenestration in four patients (6.3%). A satisfactory clinical outcome was achieved in 51 patients (80.9%) and cyst reduction was achieved in 49 (77.8%), at the last follow-up. Clinical improvement correlated significantly with volume reduction in patients with suprasellar and infratentorial cysts (r=0.495; p=0.022) while a similar result was not found after surgery in patients with frontal and temporal cysts. Surgical complications were not correlated with surgical modalities, occurring in only seven patients (11.1%). The various surgical modalities did not influence outcomes. Patients with nonspecific symptoms such as headache may obtain favourable outcomes from surgical treatment with no severe complications, although, intracranial hypertension and neurological deficits are more definite surgical indications for arachnoid cysts. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Wang, Yongqian AU - Wang Y AD - Department of Neurosurgery, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, 725 South WanPing Road, Shanghai, China. Electronic address: sunmoonciel@163.com. FAU - Wang, Fei AU - Wang F AD - Department of Neurosurgery, Tongji Hospital, Shanghai Tongji University, Putuo District, Shanghai, China. FAU - Yu, Mingkun AU - Yu M AD - Department of Neurosurgery, Changzheng Hospital Affiliated Shanghai Second Military University, Shanghai, China. FAU - Wang, Weiping AU - Wang W AD - Department of Neurosurgery, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, 725 South WanPing Road, Shanghai, China. LA - eng PT - Journal Article DEP - 20150704 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 SB - IM MH - Adult MH - Aged MH - Arachnoid Cysts/*surgery MH - Craniotomy/methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neurosurgical Procedures/adverse effects/*methods MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Cyst fenestration OT - Cyst shunting OT - Intracranial arachnoid cyst OT - Microsurgical excision OT - Outcome OT - Surgical indications EDAT- 2015/07/15 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/07/09 06:00 PHST- 2014/11/20 [received] PHST- 2015/02/24 [revised] PHST- 2015/03/03 [accepted] PHST- 2015/07/04 [aheadofprint] AID - S0967-5868(15)00182-4 [pii] AID - 10.1016/j.jocn.2015.03.016 [doi] PST - ppublish SO - J Clin Neurosci. 2015 Sep;22(9):1456-61. doi: 10.1016/j.jocn.2015.03.016. Epub 2015 Jul 4. PMID- 26143269 OWN - NLM STAT- MEDLINE DA - 20150706 DCOM- 20160324 IS - 1534-6277 (Electronic) IS - 1534-6277 (Linking) VI - 16 IP - 8 DP - 2015 Aug TI - Current Management and Treatment Modalities for Intramedullary Spinal Cord Tumors. PG - 39 LID - 10.1007/s11864-015-0358-0 [doi] AB - OPINION STATEMENT: Intramedullary spinal cord tumors are rare central nervous system tumors with unique challenges due to the eloquence of the surrounding tissue. Their treatment and prognosis is largely dependent on tumor histology and patient functionality. The introduction and advancement of microsurgical techniques have made surgery the mainstay of treatment for intramedullary tumors. Tumors that are well demarcated (e.g., ependymomas, hemangioblastomas) can be resected for cure, while more infiltrative tumors (e.g., high-grade astrocytomas) are typically managed with biopsies or limited resections in order to minimize the significant risk of damage to the spinal cord. The use of more aggressive surgical resection for astrocytoma is controversial but may have an increasing role in select cases. The use of intraoperative neurophysiologic monitoring and intraoperative ultrasound may help guide the extent of surgery while minimizing damage to normal tissue. Advances in MRI technology have greatly aided the diagnosis and preoperative planning of intramedullary tumors. Further advances in intraoperative MRI may make this a useful tool in guiding extent of resection. Preoperative functional status is the most important predictor of neurologic outcome, while histology and extent of resection are the most important predictors of progression-free survival. The use of adjuvant radiation and chemotherapy is dependent on patient age and histology but is largely reserved for high-grade tumor histologies or systemic involvement. Children are particularly at risk of radiation-induced injury, and these cases may benefit from more focused stereotactic radiation where necessary. Further studies are needed to support new surgical strategies minimizing destabilization and to investigate new forms of adjuvant therapy to minimize toxicity. FAU - Juthani, Rupa G AU - Juthani RG AD - Department of Neurological Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. FAU - Bilsky, Mark H AU - Bilsky MH FAU - Vogelbaum, Michael A AU - Vogelbaum MA LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Treat Options Oncol JT - Current treatment options in oncology JID - 100900946 SB - IM MH - Disease Management MH - Humans MH - Prognosis MH - Spinal Cord Neoplasms/*diagnosis/mortality/*therapy EDAT- 2015/07/06 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/07/06 06:00 AID - 10.1007/s11864-015-0358-0 [doi] PST - ppublish SO - Curr Treat Options Oncol. 2015 Aug;16(8):39. doi: 10.1007/s11864-015-0358-0. PMID- 26143265 OWN - NLM STAT- MEDLINE DA - 20150706 DCOM- 20160324 LR - 20150709 IS - 1534-6277 (Electronic) IS - 1534-6277 (Linking) VI - 16 IP - 8 DP - 2015 Aug TI - An Evidence-Based Review of Alternating Electric Fields Therapy for Malignant Gliomas. PG - 40 LID - 10.1007/s11864-015-0353-5 [doi] AB - OPINION STATEMENT: Glioblastoma is a deadly disease and even aggressive neurosurgical resection followed by radiation and chemotherapy only extends patient survival to a median of 1.5 years. The challenge in treating this type of tumor stems from the rapid proliferation of the malignant glioma cells, the diffuse infiltrative nature of the disease, multiple activated signal transduction pathways within the tumor, development of resistant clones during treatment, the blood brain barrier that limits the delivery of drugs into the central nervous system, and the sensitivity of the brain to treatment effect. Therefore, new therapies that possess a unique mechanism of action are needed to treat this tumor. Recently, alternating electric fields, also known as tumor treating fields (TTFields), have been developed for the treatment of glioblastoma. TTFields use electromagnetic energy at an intermediate frequency of 200 kHz as a locoregional intervention and act to disrupt tumor cells as they undergo mitosis. In a phase III clinical trial for recurrent glioblastoma, TTFields were shown to have equivalent efficacy when compared to conventional chemotherapies, while lacking the typical side effects associated with chemotherapies. Furthermore, an interim analysis of a recent clinical trial in the upfront setting demonstrated superiority to standard of care cytotoxic chemotherapy, most likely because the subjects' tumors were at an earlier stage of clonal evolution, possessed less tumor-induced immunosuppression, or both. Therefore, it is likely that the efficacy of TTFields can be increased by combining it with other anti-cancer treatment modalities. FAU - Wong, Eric T AU - Wong ET AD - Brain Tumor Center and Neuro-Oncology Unit, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02215, USA, ewong@bidmc.harvard.edu. FAU - Lok, Edwin AU - Lok E FAU - Swanson, Kenneth D AU - Swanson KD LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Treat Options Oncol JT - Current treatment options in oncology JID - 100900946 SB - IM MH - Brain Neoplasms/diagnosis/mortality/*therapy MH - *Electromagnetic Radiation MH - Glioma/diagnosis/mortality/*therapy MH - Humans MH - Neoplasm Recurrence, Local MH - Treatment Outcome PMC - PMC4491358 OID - NLM: PMC4491358 EDAT- 2015/07/06 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/07/06 06:00 AID - 10.1007/s11864-015-0353-5 [doi] PST - ppublish SO - Curr Treat Options Oncol. 2015 Aug;16(8):40. doi: 10.1007/s11864-015-0353-5. PMID- 26142442 OWN - NLM STAT- MEDLINE DA - 20150704 DCOM- 20160324 LR - 20150708 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 8 DP - 2015 Aug TI - MMP2 and MMP9 as candidate biomarkers to monitor bevacizumab therapy in high-grade glioma. PG - 1174-6 LID - 10.1093/neuonc/nov094 [doi] FAU - Tabouret, Emeline AU - Tabouret E AD - Assistance Publique Hopitaux de Marseille, Timone Hospital, Department of Neuro-Oncology, Marseille, France (E.T., P.F., M.B., C.B., O.C.); Aix-Marseille Universite, CRO2, Marseille, France (E.T., F.B., O.C.); Sorbonne Universites, UMPC Univ Paris 06, Centre de Recherche de L'Institut du Cerveau et de la Moelle epiniere, INSERM U1127, CNRS UMR 7225, Paris, France (M.S.); AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de Neurologie 2, Paris, France (M.S.). FAU - Boudouresque, Francoise AU - Boudouresque F AD - Assistance Publique Hopitaux de Marseille, Timone Hospital, Department of Neuro-Oncology, Marseille, France (E.T., P.F., M.B., C.B., O.C.); Aix-Marseille Universite, CRO2, Marseille, France (E.T., F.B., O.C.); Sorbonne Universites, UMPC Univ Paris 06, Centre de Recherche de L'Institut du Cerveau et de la Moelle epiniere, INSERM U1127, CNRS UMR 7225, Paris, France (M.S.); AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de Neurologie 2, Paris, France (M.S.). FAU - Farina, Patrizia AU - Farina P AD - Assistance Publique Hopitaux de Marseille, Timone Hospital, Department of Neuro-Oncology, Marseille, France (E.T., P.F., M.B., C.B., O.C.); Aix-Marseille Universite, CRO2, Marseille, France (E.T., F.B., O.C.); Sorbonne Universites, UMPC Univ Paris 06, Centre de Recherche de L'Institut du Cerveau et de la Moelle epiniere, INSERM U1127, CNRS UMR 7225, Paris, France (M.S.); AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de Neurologie 2, Paris, France (M.S.). FAU - Barrie, Maryline AU - Barrie M AD - Assistance Publique Hopitaux de Marseille, Timone Hospital, Department of Neuro-Oncology, Marseille, France (E.T., P.F., M.B., C.B., O.C.); Aix-Marseille Universite, CRO2, Marseille, France (E.T., F.B., O.C.); Sorbonne Universites, UMPC Univ Paris 06, Centre de Recherche de L'Institut du Cerveau et de la Moelle epiniere, INSERM U1127, CNRS UMR 7225, Paris, France (M.S.); AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de Neurologie 2, Paris, France (M.S.). FAU - Bequet, Celine AU - Bequet C AD - Assistance Publique Hopitaux de Marseille, Timone Hospital, Department of Neuro-Oncology, Marseille, France (E.T., P.F., M.B., C.B., O.C.); Aix-Marseille Universite, CRO2, Marseille, France (E.T., F.B., O.C.); Sorbonne Universites, UMPC Univ Paris 06, Centre de Recherche de L'Institut du Cerveau et de la Moelle epiniere, INSERM U1127, CNRS UMR 7225, Paris, France (M.S.); AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de Neurologie 2, Paris, France (M.S.). FAU - Sanson, Marc AU - Sanson M AD - Assistance Publique Hopitaux de Marseille, Timone Hospital, Department of Neuro-Oncology, Marseille, France (E.T., P.F., M.B., C.B., O.C.); Aix-Marseille Universite, CRO2, Marseille, France (E.T., F.B., O.C.); Sorbonne Universites, UMPC Univ Paris 06, Centre de Recherche de L'Institut du Cerveau et de la Moelle epiniere, INSERM U1127, CNRS UMR 7225, Paris, France (M.S.); AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de Neurologie 2, Paris, France (M.S.). FAU - Chinot, Olivier AU - Chinot O AD - Assistance Publique Hopitaux de Marseille, Timone Hospital, Department of Neuro-Oncology, Marseille, France (E.T., P.F., M.B., C.B., O.C.); Aix-Marseille Universite, CRO2, Marseille, France (E.T., F.B., O.C.); Sorbonne Universites, UMPC Univ Paris 06, Centre de Recherche de L'Institut du Cerveau et de la Moelle epiniere, INSERM U1127, CNRS UMR 7225, Paris, France (M.S.); AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de Neurologie 2, Paris, France (M.S.). LA - eng PT - Letter PT - Research Support, Non-U.S. Gov't PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Biomarkers, Tumor) RN - 2S9ZZM9Q9V (Bevacizumab) RN - EC 3.4.24.24 (MMP2 protein, human) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) RN - EC 3.4.24.35 (MMP9 protein, human) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Adult MH - Aged MH - Angiogenesis Inhibitors/*therapeutic use MH - Bevacizumab/blood/*therapeutic use MH - Biomarkers, Tumor/blood MH - Brain Neoplasms/blood/diagnosis/*drug therapy MH - Disease Progression MH - Female MH - Glioblastoma/blood/diagnosis/*drug therapy MH - Humans MH - Male MH - Matrix Metalloproteinase 2/*blood MH - Matrix Metalloproteinase 9/*blood MH - Middle Aged MH - Retrospective Studies MH - Treatment Outcome PMC - PMC4490881 OID - NLM: PMC4490881 [Available on 08/01/16] EDAT- 2015/07/05 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/07/05 06:00 PMCR- 2016/08/01 00:00 AID - nov094 [pii] AID - 10.1093/neuonc/nov094 [doi] PST - ppublish SO - Neuro Oncol. 2015 Aug;17(8):1174-6. doi: 10.1093/neuonc/nov094. PMID- 26134973 OWN - NLM STAT- MEDLINE DA - 20150703 DCOM- 20160325 LR - 20150707 IS - 1748-717X (Electronic) IS - 1748-717X (Linking) VI - 10 DP - 2015 TI - Evaluation of variability in target volume delineation for newly diagnosed glioblastoma: a multi-institutional study from the Korean Radiation Oncology Group. PG - 137 LID - 10.1186/s13014-015-0439-z [doi] AB - BACKGROUND: This study aimed for a collaborative evaluation of variability in the target volumes for glioblastoma, determined and contoured by different radiotherapy (RT) facilities in Korea. METHODS: Fifteen panels of radiation oncologists from independent institutions contoured the gross target volumes (GTVs) and clinical target volumes (CTVs) for 3-dimensional conformal RT or intensity-modulated RT on each simulation CT images, after scrutinizing the enhanced T1-weighted and T2-weighted-fluid-attenuated inversion recovery MR images of 9 different cases of glioblastoma. Degrees of contouring agreement were analyzed by the kappa statistics. Using the algorithm of simultaneous truth and performance level estimation (STAPLE), GTVSTAPLE and CTVSTAPLE contours were derived. RESULTS: Contour agreement was moderate (mean kappa 0.58) among the GTVs and was substantial (mean kappa 0.65) among the CTVs. However, each panels' GTVs and modification of CTVs regarding anatomical structures varied. Three-fourth of contoured panels' CTVs encompassed the peritumoral areas of T2-high signal intensity (T2-HSI). Nine of nine GTVSTAPLE encompased the surgical cavity and the T1-enhanced lesions. Eight of nine CTVSTAPLE encompassed the peritumoral T2-HSI area. The median MARGIN90 and the median MARGIN95 were 1.4 cm and 1.5 cm, respectively. CONCLUSIONS: Moderate to substantial agreement existed in target volumes for 3-dimensional or intensity-modulated RT determined by radiation oncologists in Korea. According to the estimated consensus contours, the initial CTV encompassed the GTV with margin less than 2.0 cm and the whole peritumoral areas of T2-HSI. The findings of our study propose the need for further studies and modified guidelines. FAU - Wee, Chan Woo AU - Wee CW AD - Department of Radiation Oncology, Seoul National University College of Medicine, Seoul, Korea. wcw0108@hanmail.net. FAU - Sung, Wonmo AU - Sung W AD - Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Korea. s1moremore@gmail.com. FAU - Kang, Hyun-Cheol AU - Kang HC AD - Dongnam Institute of Radiological and Medical Sciences, Busan, Korea. hermes-shule@hanmail.net. FAU - Cho, Kwan Ho AU - Cho KH AD - Research Institute and Hospital, National Cancer Center, Gyeonggi-do, Korea. kwancho@ncc.re.kr. FAU - Han, Tae Jin AU - Han TJ AD - Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea. hantz@hanmail.net. FAU - Jeong, Bae-Kwon AU - Jeong BK AD - Gyeongsang National University Hospital, Gyeongsangnam-do, Korea. blue129j@hanmail.net. FAU - Jeong, Jae-Uk AU - Jeong JU AD - Chonnam National University Hwasun Hospital, Jeollanam-do, Korea. ramachka@naver.com. FAU - Kim, Haeyoung AU - Kim H AD - Hallym University Dongtan Sacred Heart Hospital, Gyeonggi-do, Korea. pumpkin0131@hanmail.net. FAU - Kim, In Ah AU - Kim IA AD - Seoul National University Bundang Hospital, Gyeonggi-do, Korea. inah228@snu.ac.kr. FAU - Kim, Jin Hee AU - Kim JH AD - Keimyung University Dongsan Medical Center, Daegu, Korea. jhkim@dsmc.or.kr. FAU - Kim, Sung Hwan AU - Kim SH AD - St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Gyeonggi-do, Korea. kimandre@catholic.ac.kr. FAU - Kim, Suzy AU - Kim S AD - Seoul National University Boramae Medical Center, Seoul, Korea. kimsuzy@hanmail.net. FAU - Lee, Dong Soo AU - Lee DS AD - Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Gyeonggi-do, Korea. dreamdoc77@catholic.ac.kr. FAU - Lee, Me Yeon AU - Lee MY AD - Hallym University Sacred Heart Hospital, Gyeonggi-do, Korea. mylee@hallym.or.kr. FAU - Lim, Do Hoon AU - Lim do H AD - Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. dh8lim@skku.edu. FAU - Park, Hye Li AU - Park HL AD - Jeonju Jesus Hospital, Jeollabuk-do, Korea. mint-berry@hanmail.net. FAU - Suh, Chang-Ok AU - Suh CO AD - Yonsei University College of Medicine, Seoul, Korea. COSUH317@yuhs.ac. FAU - Yoon, Sang Min AU - Yoon SM AD - Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. drsmyoon@amc.seoul.kr. FAU - Kim, Il Han AU - Kim IH AD - Department of Radiation Oncology, Seoul National University College of Medicine, Seoul, Korea. ihkim@snu.ac.kr. AD - Cancer Research Institute; Institute of Radiation Medicine, Seoul National University College of Medicine, 101 Daehak-ro Jongno-gu, Seoul, 110-744, Korea. ihkim@snu.ac.kr. LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20150702 PL - England TA - Radiat Oncol JT - Radiation oncology (London, England) JID - 101265111 SB - IM MH - Adult MH - Aged MH - Algorithms MH - Brain Edema/etiology/radiography MH - Brain Neoplasms/complications/epidemiology/pathology/radiography/*radiotherapy MH - Female MH - Glioblastoma/complications/epidemiology/pathology/radiography/*radiotherapy MH - Humans MH - Likelihood Functions MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Preoperative Care MH - Radiation Oncology/organization & administration MH - *Radiotherapy Planning, Computer-Assisted/methods/standards MH - *Radiotherapy, Conformal MH - *Radiotherapy, Image-Guided MH - Radiotherapy, Intensity-Modulated MH - Reproducibility of Results MH - Republic of Korea MH - Tomography, X-Ray Computed/*methods MH - Tumor Burden MH - Young Adult PMC - PMC4489390 OID - NLM: PMC4489390 EDAT- 2015/07/03 06:00 MHDA- 2016/03/26 06:00 CRDT- 2015/07/03 06:00 PHST- 2015/03/19 [received] PHST- 2015/06/16 [accepted] PHST- 2015/07/02 [aheadofprint] AID - 10.1186/s13014-015-0439-z [doi] AID - 10.1186/s13014-015-0439-z [pii] PST - epublish SO - Radiat Oncol. 2015 Jul 2;10:137. doi: 10.1186/s13014-015-0439-z. PMID- 26118437 OWN - NLM STAT- MEDLINE DA - 20150629 DCOM- 20160324 LR - 20150701 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 15 DP - 2015 TI - Multimodality therapy approaches, local and systemic treatment, compared with chemotherapy alone in recurrent glioblastoma. PG - 486 LID - 10.1186/s12885-015-1488-2 [doi] AB - BACKGROUND: Long-term local control in Glioblastoma is rarely achieved and nearly all patients relapse. In this study we evaluated the clinical effect of different treatment approaches in recurrent patients. METHODS: Forty-three patients, with median age of 51 years were evaluated for salvage treatment: re-resection and/or re-irradiation plus chemotherapy or chemotherapy alone. Response was recorded using the Response Assessment in Neuro-Oncology criteria. Hematologic and non-hematologic toxicities were graded according to Common Terminology Criteria for Adverse Events 4.0. Twenty-one patients underwent chemotherapy combined with local treatment, surgery and/or radiation therapy, and 22 underwent chemotherapy only. RESULTS: The median follow up was 7 months (range 3-28 months). The 1 and 2-years Progression Free Survival was 65 and 10 % for combined treatment and 22 and 0 % for chemotherapy alone (p < 0.01). The 1 and 2-years overall survival was 69 and 29 % for combined and 26 and 0 % for chemotherapy alone (p < 0.01). No toxicity greater than grade 2 was recorded. CONCLUSION: These data showed that in glioblastoma recurrence the combination of several approaches in a limited group of patients is more effective than a single treatment alone. This stress the importance of multimodality treatment whenever clinically feasible. FAU - Scorsetti, Marta AU - Scorsetti M AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. marta.scorsetti@humanitas.it. FAU - Navarria, Pierina AU - Navarria P AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. piera.navarria@humanitas.it. FAU - Pessina, Federico AU - Pessina F AD - Neuro-oncological Surgery Department, Humanitas Cancer Center and Universita degli Studi di Milano, Milan, Italy. federico.pessina@humanitas.it. FAU - Ascolese, Anna Maria AU - Ascolese AM AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. annamaria.ascolese@humanitas.it. FAU - D'Agostino, Giuseppe AU - D'Agostino G AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. giuseppe.dagostino@humanitas.it. FAU - Tomatis, Stefano AU - Tomatis S AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. stefano.tomatis@humanitas.it. FAU - De Rose, Fiorenza AU - De Rose F AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. fiorenza.derose@humanitas.it. FAU - Villa, Elisa AU - Villa E AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. elisa.villa@humanitas.it. FAU - Maggi, Giulia AU - Maggi G AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. giulia.maggi@humanitas.it. FAU - Simonelli, Matteo AU - Simonelli M AD - Oncology and Hematology Department, Humanitas Cancer Center, Milan, Italy. matteo.simonelli@humanitas.it. FAU - Clerici, Elena AU - Clerici E AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. elena.clerici@humanitas.it. FAU - Soffietti, Riccardo AU - Soffietti R AD - Neuroncology Department Le Molinette, Turin, Italy. riccardo.soffietti@humanitas.it. FAU - Santoro, Armando AU - Santoro A AD - Oncology and Hematology Department, Humanitas Cancer Center, Milan, Italy. armando.santoro@humanitas.it. FAU - Cozzi, Luca AU - Cozzi L AD - Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Humanitas Cancer Center, Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milano, Italy. luca.cozzi@humanitas.it. FAU - Bello, Lorenzo AU - Bello L AD - Neuro-oncological Surgery Department, Humanitas Cancer Center and Universita degli Studi di Milano, Milan, Italy. lorenzo.bello@humanitas.it. LA - eng PT - Journal Article DEP - 20150630 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Brain Neoplasms/genetics/mortality/*pathology/*therapy MH - Combined Modality Therapy MH - DNA Methylation MH - Female MH - Glioblastoma/genetics/mortality/*pathology/*therapy MH - Humans MH - Male MH - Middle Aged MH - Mutation MH - Neoplasm Recurrence, Local MH - Promoter Regions, Genetic MH - Retrospective Studies MH - Survival Analysis MH - Treatment Outcome PMC - PMC4484625 OID - NLM: PMC4484625 EDAT- 2015/06/30 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/06/30 06:00 PHST- 2014/12/19 [received] PHST- 2015/06/14 [accepted] PHST- 2015/06/30 [aheadofprint] AID - 10.1186/s12885-015-1488-2 [doi] AID - 10.1186/s12885-015-1488-2 [pii] PST - epublish SO - BMC Cancer. 2015 Jun 30;15:486. doi: 10.1186/s12885-015-1488-2. PMID- 26117358 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160303 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 22 IP - 9 DP - 2015 Sep TI - Management of glioblastoma in Victoria, Australia (2006-2008). PG - 1462-6 LID - 10.1016/j.jocn.2015.03.029 [doi] LID - S0967-5868(15)00198-8 [pii] AB - We describe the management of patients with newly diagnosed glioblastoma multiforme (GBM) in a population-based cohort and compare this to a previously studied cohort. We performed a retrospective cohort study of patients diagnosed with GBM from 2006-2008 in Victoria, Australia. Patients were identified from the population-based Victorian Cancer Registry and their treating doctors surveyed by questionnaire. Outcomes were then compared to a study of GBM patients who were diagnosed between 1998 and 2000 using an identical methodology. We reviewed 351 eligible patients. There were slightly more males (62%) and a minority had multifocal disease (13%). Total macroscopic resection, partial resection or biopsy only was performed in 32%, 37% and 24% of patients, respectively. The majority of patients were referred to a radiation oncologist and medical oncologist postoperatively. A total of 56% of patients were treated with postoperative radiotherapy with concurrent and sequential temozolomide and had a median survival of 14.4 months. This was significantly better than patients treated with postoperative radiotherapy alone in the current or earlier cohorts (2006-2008: median survival 6.2 months, p<0.0001 versus 1998-2000: 8.9 months, p<0.0001). This study demonstrates that postoperative chemoradiation has become the standard of care in this Victorian population with an associated improvement in median survival. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Gan, Hui K AU - Gan HK AD - Medical Oncology, Austin Health, 145 Studley Road, Heidelberg 3084, VIC, Australia; Olivia Newton-John Cancer Research Institute, Heidelberg, VIC, Australia; School of Cancer Medicine, La Trobe University, Heidelberg, VIC, Australia. Electronic address: hui.gan@ludwig.edu.au. FAU - Rosenthal, Mark A AU - Rosenthal MA AD - The Royal Melbourne Hospital, Parkville, VIC, Australia. FAU - Cher, Lawrence AU - Cher L AD - Medical Oncology, Austin Health, 145 Studley Road, Heidelberg 3084, VIC, Australia. FAU - Dally, Michael AU - Dally M AD - Alfred Health, Prahran, VIC, Australia. FAU - Drummond, Katharine AU - Drummond K AD - The Royal Melbourne Hospital, Parkville, VIC, Australia; Department of Surgery, The Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia. FAU - Murphy, Michael AU - Murphy M AD - St. Vincent's Hospital, Fitzroy, VIC, Australia. FAU - Thursfield, Vicky AU - Thursfield V AD - Victorian Cancer Registry, Cancer Council Victoria, Melbourne, VIC, Australia. LA - eng PT - Journal Article PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0 (Antineoplastic Agents) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) SB - IM MH - Aged MH - Antineoplastic Agents/administration & dosage MH - Brain Neoplasms/*therapy MH - Chemoradiotherapy/methods MH - Cohort Studies MH - Dacarbazine/administration & dosage/analogs & derivatives MH - Female MH - Glioblastoma/*therapy MH - Humans MH - Male MH - Middle Aged MH - Neurosurgical Procedures/methods MH - Retrospective Studies MH - Victoria OTO - NOTNLM OT - Glioblastoma multiforme OT - Radiotherapy OT - Survival OT - Temozolomide EDAT- 2015/06/29 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/06/29 06:00 PHST- 2014/11/30 [received] PHST- 2015/02/27 [revised] PHST- 2015/03/03 [accepted] AID - S0967-5868(15)00198-8 [pii] AID - 10.1016/j.jocn.2015.03.029 [doi] PST - ppublish SO - J Clin Neurosci. 2015 Sep;22(9):1462-6. doi: 10.1016/j.jocn.2015.03.029. PMID- 26115896 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160303 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 22 IP - 9 DP - 2015 Sep TI - Survival following Ommaya reservoir placement for neoplastic meningitis. PG - 1467-72 LID - 10.1016/j.jocn.2015.04.003 [doi] LID - S0967-5868(15)00197-6 [pii] AB - The objective of this study was to evaluate the outcomes of patients with neoplastic meningitis (NM) following Ommaya reservoir placement in order to determine whether any patient factors are associated with longer survival. NM is a devastating late manifestation of cancer, and given its dismal prognosis, identifying appropriate patients for Ommaya reservoir placement is difficult. The authors performed a retrospective review of 80 patients who underwent Ommaya reservoir placement at three medical centers from September 2001 through September 2012. The primary outcome was death. Differences in survival were assessed with Kaplan-Meier survival analyses. The Cox proportional hazards and logistic regression modeling were performed to identify factors associated with survival. The primary diagnoses were solid organ, hematologic, and primary central nervous system tumors in 53.8%, 41.3%, and 5%, respectively. The median overall survival was 72.5 days (95% confidence interval 36-122) with 30% expiring within 30 days and only 13.8% surviving more than 1 year. There were no differences in median overall survival between sites (p=0.37) despite differences in time from diagnosis of NM to Ommaya reservoir placement (p<0.001). Diagnosis of hematologic malignancy was inversely associated with death within 90 days (p=0.04; odds ratio 0.34), older age was associated with death within 90 days (p=0.05; odds ratio 1.5, per 10 year increase in age). The prognosis of NM remains poor despite the available treatment with intraventricular chemotherapy. There exists significant variability in treatment algorithms among medical centers and consideration of this variability is crucial when interpreting existing series of Ommaya reservoir use in the treatment of patients with NM. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Roguski, Marie AU - Roguski M AD - Department of Neurosurgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA. FAU - Rughani, Anand AU - Rughani A AD - Neuroscience Institute, Maine Medical Center, Portland, ME, USA. FAU - Lin, Chih-Ta AU - Lin CT AD - Division of Neurosurgery, University of Vermont, Medical Center, Burlington, VT, USA. FAU - Cushing, Deborah A AU - Cushing DA AD - Neuroscience Institute, Maine Medical Center, Portland, ME, USA. FAU - Florman, Jeffrey E AU - Florman JE AD - Neuroscience Institute, Maine Medical Center, Portland, ME, USA. FAU - Wu, Julian K AU - Wu JK AD - Department of Neurosurgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA. Electronic address: jwu3@tuftsmedicalcenter.org. LA - eng PT - Journal Article DEP - 20150623 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0 (Antineoplastic Agents) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/*administration & dosage MH - *Drug Delivery Systems MH - Female MH - Humans MH - *Infusions, Intraventricular MH - Kaplan-Meier Estimate MH - Male MH - Meningeal Carcinomatosis/mortality/*surgery MH - Middle Aged MH - Prognosis MH - Proportional Hazards Models MH - Prostheses and Implants MH - Retrospective Studies OTO - NOTNLM OT - Carcinomatous meningitis OT - Intraventricular chemotherapy OT - Neoplastic meningitis OT - Ommaya reservoir EDAT- 2015/06/28 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/06/28 06:00 PHST- 2015/03/29 [received] PHST- 2015/04/05 [accepted] PHST- 2015/06/23 [aheadofprint] AID - S0967-5868(15)00197-6 [pii] AID - 10.1016/j.jocn.2015.04.003 [doi] PST - ppublish SO - J Clin Neurosci. 2015 Sep;22(9):1467-72. doi: 10.1016/j.jocn.2015.04.003. Epub 2015 Jun 23. PMID- 26113003 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160303 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 22 IP - 9 DP - 2015 Sep TI - Hypofractionated stereotactic radiotherapy for benign intracranial tumours of the cavernous sinus. PG - 1450-5 LID - 10.1016/j.jocn.2015.03.026 [doi] LID - S0967-5868(15)00193-9 [pii] AB - We present our experience with hypofractionated stereotactic radiotherapy (HSRT) using 15 fractions to treat benign conditions of the cavernous sinus (CS) and emphasise the outcome in terms of cranial nerve (CN) function and toxicity for long term safety and efficacy. We performed a retrospective review of prospectively collected data on 112 patients with benign tumours of the CS treated with HSRT between 1 January 1998 and 31 December 2009. While all tumours involved the CS, a separate analysis was undertaken for meningiomas and pituitary adenomas. The median follow-up was 77 months (range: 2.3-177). Fifty-seven patients (51%) had a diagnosis of meningioma and 55 (49%) had pituitary adenomas. Prior to HSRT, 82 patients (73%) underwent microsurgery. The median tumour volume was 6.6 cm(3) for meningiomas and 3.4 cm(3) for pituitary adenomas (interquartile range: 2.8-7.9), and the mean prescribed dose was 38 Gy (range: 37.5-40.0) to the tumour margin, delivered in 15 fractions. After HSRT, 57% of all preexisting cranial neuropathies either resolved or improved and 38% remained stable, whereas 5% deteriorated. The diagnosis of meningioma was the only variable associated with recovery of cranial neuropathy (p<0.001). Permanent CN complications occurred in three patients (3%). The 5 and 10 year actuarial freedom from progression for patients with meningiomas was 98% and 93%, respectively, and for patients with pituitary adenomas this was 96% and 96%, respectively. We demonstrate low rates of CN morbidity after HSRT and the possibility of resolution or improvement in CN function for common histologies involving the CS. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Haghighi, Neda AU - Haghighi N AD - Radiation Oncology, Epworth Healthcare, Richmond, VIC 3121, Australia. Electronic address: neda.haghighi@epworth.org.au. FAU - Seely, Anna AU - Seely A AD - William Buckland Radiotherapy Centre, The Alfred Hospital, Post Office Box 3150, Prahran, VIC 3181, Australia. FAU - Paul, Eldho AU - Paul E AD - Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Clinical Haematology, Alfred Hospital, Melbourne, Australia. FAU - Dally, Michael AU - Dally M AD - Radiation Oncology, Epworth Healthcare, Richmond, VIC 3121, Australia; William Buckland Radiotherapy Centre, The Alfred Hospital, Post Office Box 3150, Prahran, VIC 3181, Australia. LA - eng PT - Journal Article DEP - 20150622 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 SB - IM MH - Adult MH - Aged MH - Brain Neoplasms/*surgery MH - Cavernous Sinus/*surgery MH - Cranial Nerve Diseases/epidemiology/etiology MH - Cranial Nerve Injuries/epidemiology MH - Disease Progression MH - Female MH - Humans MH - Imaging, Three-Dimensional MH - Male MH - Microsurgery/adverse effects/methods MH - Middle Aged MH - Radiosurgery/adverse effects/*methods MH - Radiotherapy Dosage MH - Retrospective Studies OTO - NOTNLM OT - Cavernous sinus OT - Hypofractionated OT - Meningioma OT - Pituitary adenoma OT - Stereotactic radiotherapy EDAT- 2015/06/27 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/06/27 06:00 PHST- 2014/11/24 [received] PHST- 2015/02/22 [revised] PHST- 2015/03/03 [accepted] PHST- 2015/06/22 [aheadofprint] AID - S0967-5868(15)00193-9 [pii] AID - 10.1016/j.jocn.2015.03.026 [doi] PST - ppublish SO - J Clin Neurosci. 2015 Sep;22(9):1450-5. doi: 10.1016/j.jocn.2015.03.026. Epub 2015 Jun 22. PMID- 26112811 OWN - NLM STAT- MEDLINE DA - 20150626 DCOM- 20160316 IS - 2304-3873 (Electronic) IS - 2304-3865 (Linking) VI - 4 IP - 2 DP - 2015 Jun TI - Systemic therapies for melanoma brain metastases: which drug for whom and when? PG - 25 LID - 10.3978/j.issn.2304-3865.2015.06.06 [doi] AB - Melanoma brain metastases are common, difficult to treat, and are associated with a poor prognosis. Historically, due to the poor activity of chemotherapeutic agents in melanoma, the management of brain metastases was centred on local treatments such as surgery, stereotactic radiosurgery (SRS) or whole brain radiotherapy (WBRT) depending on the clinical presentation. New systemic therapies have now evolved; kinase inhibitors targeting BRAF mutated melanoma cells and activating checkpoint inhibitors that activate an immune anti-tumour response, resulting in significantly improved survival and quality of life for patients with metastatic melanoma and these drugs have demonstrated activity in melanoma brain metastases. As the landscape shifts to incorporate these new systemic agents with the available local therapies, further research into using appropriate combinations or sequences of various treatments, especially for active or progressing melanoma brain metastasis, is required. This review will examine the evidence for systemic therapies in patients with active melanoma brain metastasis (untreated or treated and progressed) and highlight active and evolving clinical trials in this challenging field. FAU - Ramanujam, Sangeetha AU - Ramanujam S AD - Melanoma Institute Australia, Sydney, Australia. FAU - Schadendorf, Dirk AU - Schadendorf D AD - University Hospital Essen, Essen, Germany. FAU - Long, Georgina V AU - Long GV AD - Melanoma Institute Australia and The University of Sydney, 40 Rocklands Rd, North Sydney, NSW 2060, Australia. georgina.long@sydney.edu.au. LA - eng PT - Journal Article PT - Review PL - China TA - Chin Clin Oncol JT - Chinese clinical oncology JID - 101608375 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) SB - IM MH - Antineoplastic Agents/*administration & dosage MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage MH - Biomarkers, Tumor/genetics/metabolism MH - Brain Neoplasms/*drug therapy/enzymology/genetics/immunology/*secondary MH - Genetic Predisposition to Disease MH - Humans MH - Immunotherapy/*methods MH - Melanoma/*drug therapy/enzymology/genetics/immunology/*secondary MH - Molecular Diagnostic Techniques MH - Molecular Targeted Therapy MH - Mutation MH - Patient Selection MH - Phenotype MH - Precision Medicine MH - Predictive Value of Tests MH - Signal Transduction/drug effects MH - Skin Neoplasms/*pathology MH - Treatment Outcome OTO - NOTNLM OT - BRAF OT - Melanoma OT - brain metastases OT - drug OT - systemic therapy EDAT- 2015/06/27 06:00 MHDA- 2016/03/17 06:00 CRDT- 2015/06/27 06:00 PHST- 2015/04/07 [received] PHST- 2015/05/21 [accepted] AID - 10.3978/j.issn.2304-3865.2015.06.06 [doi] PST - ppublish SO - Chin Clin Oncol. 2015 Jun;4(2):25. doi: 10.3978/j.issn.2304-3865.2015.06.06. PMID- 26112810 OWN - NLM STAT- MEDLINE DA - 20150626 DCOM- 20160316 IS - 2304-3873 (Electronic) IS - 2304-3865 (Linking) VI - 4 IP - 2 DP - 2015 Jun TI - Strategies for preservation of memory function in patients with brain metastases. PG - 24 LID - 10.3978/j.issn.2304-3865.2015.05.05 [doi] AB - BACKGROUND: Cognitive decline, particularly in memory, is a side effect seen in patients with brain metastases and when severe, can have a significant impact on their quality of life. It is most often the result of multiple intersecting etiologic factors, including the use of whole brain radiation therapy, effects of which, in part, are mediated by damage within the hippocampus. A variety of clinical factors and comorbidities may impact the likelihood and severity of this cognitive decline, and affected patients should be considered for evaluation in a comprehensive neuro-rehabilitation or "brain fitness" program. PREVENTION STRATEGIES OF NEUROCOGNITIVE DECLINE DUE TO WHOLE BRAIN RADIOTHERAPY (WBRT): Avoiding WBRT is warranted for some patients with brain metastases; particularly those <50 years old. However, when WBRT is clinically indicated, hippocampal avoidance WBRT (HA-WBRT) has been shown to significantly reduce memory decline compared to historical controls without compromising treatment efficacy. Additionally, the NMDA receptor antagonist memantine and renin-angiotensin-aldosterone system (RAAS) blockers have shown promise as neuroprotective agents that could be used prophylactically with radiation. TREATMENT OF PATIENTS WITH NEUROCOGNITIVE DECLINE: After the onset of neurocognitive decline the treatment is largely symptom-driven, however simply screening for and treating depression, fatigue, anxiety, cognitive slowing, and other processes may alleviate some impairment. Stimulants such as methylphenidate may be useful in treating symptoms of fatigue and cognitive slowing. Other treatments including donepezil and cognitive rehabilitation have been extensively tested in the population at risk for dementia, although they have not been adequately studied in patients following cranial radiotherapy. An innovative hypothetical approach is the use of intranasal metabolic stimulants such as low dose insulin, which could be valuable in improving cognition and memory, by reversing impaired brain metabolic activity. CONCLUSIONS: Prevention of neurocognitive decline in patients with brain metastases requires a multimodal approach tailored to each patient's need, avoiding WBRT in some, altering the WBRT plan in others, and/or using neuroprotective prophylaxis in those in whom avoidance cannot be utilized. Likewise treatment will require a personalized combination of strategies optimized to address the patient's symptoms. FAU - Dye, Nicholas B AU - Dye NB AD - University of Maryland School of Medicine, Baltimore, MD, USA. FAU - Gondi, Vinai AU - Gondi V AD - Northwestern Medicine Chicago Proton Center and CDH Brain Tumor Center, Warrenville, IL, USA. FAU - Mehta, Minesh P AU - Mehta MP AD - University of Maryland School of Medicine, 655W. Baltimore Street, Baltimore, MD 21201, USA. mmehta@umm.edu. LA - eng PT - Journal Article PT - Review PL - China TA - Chin Clin Oncol JT - Chinese clinical oncology JID - 101608375 RN - 0 (Central Nervous System Agents) RN - 0 (Neuroprotective Agents) RN - 0 (Nootropic Agents) SB - IM MH - Brain/*drug effects/pathology/physiopathology/radiation effects MH - Brain Neoplasms/complications/psychology/*secondary/*therapy MH - Central Nervous System Agents/*therapeutic use MH - Cognition/*drug effects MH - Cognition Disorders/etiology/*prevention & control/psychology MH - Cranial Irradiation/adverse effects MH - Humans MH - Memory/*drug effects MH - Memory Disorders/etiology/*prevention & control/psychology MH - Neuroprotective Agents/therapeutic use MH - Neurosurgical Procedures/adverse effects MH - Nootropic Agents/therapeutic use MH - Recovery of Function MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - Cancer OT - brain radiotherapy OT - hippocampus OT - memantine OT - memory OT - metastases EDAT- 2015/06/27 06:00 MHDA- 2016/03/17 06:00 CRDT- 2015/06/27 06:00 PHST- 2015/04/01 [received] PHST- 2015/04/29 [accepted] AID - 10.3978/j.issn.2304-3865.2015.05.05 [doi] PST - ppublish SO - Chin Clin Oncol. 2015 Jun;4(2):24. doi: 10.3978/j.issn.2304-3865.2015.05.05. PMID- 26112805 OWN - NLM STAT- MEDLINE DA - 20150626 DCOM- 20160316 IS - 2304-3873 (Electronic) IS - 2304-3865 (Linking) VI - 4 IP - 2 DP - 2015 Jun TI - Neurosurgical and radiosurgical decision making in brain metastasis patients in the area of targeted therapies? PG - 19 LID - 10.3978/j.issn.2304-3865.2015.06.02 [doi] AB - The incidence of brain metastases (BM) is increasing to date, mostly due to the actual improvement of cancer patient overall survival (OS) with the advent of targeted therapies. BM management has dramatically evolved over the last 15 years and uses varying strategies including more or less aggressive local treatments, sometimes combined with systemic therapies that led to an improvement of patient's survival and quality of life. The therapeutic decision is still a matter of debates among experts during multidisciplinary staff, taking into account established prognostic factors including patient's general condition (clinical and functional status of the patient), extra-cerebral disease status, characteristic of intracranial metastases and clinical and radiological presentation of BM. In this article, we reviewed evidence based data available in the literature on the local treatment of BM. FAU - Metellus, Philippe AU - Metellus P AD - Professor of Neurosurgery, Department of Neurosurgery, Clairval Hospital Center, 317, Boulevard du Redon, 13009 Marseille, France. philippe.metellus@outlook.fr. FAU - Bialecki, Emilie AU - Bialecki E AD - Department of Neurosurgery, Clairval Hospital Center, Generale de Sante, Marseille 13009, France. FAU - Le Rhun, Emilie AU - Le Rhun E AD - Department of Neuro-oncology, Roger Salengro Hospital, University Hospital, 59037 Lille, France; Department of Medical Oncology, Oscar Lambret Center, 59020 Lille, France; Laboratoire PRISM, INSERM U-1192, Lille 1 University, 59655 Villeneuve D'Ascq, France. FAU - Dhermain, Frederic AU - Dhermain F AD - Department of Radiotherapy, Gustave Roussy University Hospital, Villejuif 94800, France. LA - eng PT - Journal Article PT - Review PL - China TA - Chin Clin Oncol JT - Chinese clinical oncology JID - 101608375 SB - IM MH - Brain Neoplasms/mortality/*secondary/*surgery MH - Decision Support Techniques MH - Health Status MH - Health Status Indicators MH - Humans MH - *Neurosurgical Procedures/adverse effects/mortality MH - Patient Selection MH - Predictive Value of Tests MH - *Radiosurgery/adverse effects/mortality MH - Risk Assessment MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - Brain metastases (BM) OT - radiosurgery OT - stereotactic radiotherapy (SRT) OT - surgery OT - tumor biology EDAT- 2015/06/27 06:00 MHDA- 2016/03/17 06:00 CRDT- 2015/06/27 06:00 PHST- 2015/05/20 [received] PHST- 2015/06/03 [accepted] AID - 10.3978/j.issn.2304-3865.2015.06.02 [doi] PST - ppublish SO - Chin Clin Oncol. 2015 Jun;4(2):19. doi: 10.3978/j.issn.2304-3865.2015.06.02. PMID- 26112804 OWN - NLM STAT- MEDLINE DA - 20150626 DCOM- 20160316 IS - 2304-3873 (Electronic) IS - 2304-3865 (Linking) VI - 4 IP - 2 DP - 2015 Jun TI - Prognostic scores for brain metastasis patients: use in clinical practice and trial design. PG - 18 LID - 10.3978/j.issn.2304-3865.2015.06.01 [doi] AB - Brain metastases (BM) are the most serious neurological complication of cancer that results in significant morbidity and mortality in these patients. The most common primary malignancies that lead to BM include lung, breast and melanoma. Until recently the outcomes of patients with BM has been dismal. The current therapeutic options include surgery, whole brain radiation therapy (WBRT), stereotactic radiation (SRS), systemic therapy and symptom management only. Prognostic scores, a useful tool for BM patients, as an estimation of a patient's prognosis can guide tailored treatment for these patients. It is appropriate to recommend more aggressive approaches in patients with good performance status and limited disease and focus on symptom control and palliative measures when the disease is more advanced, or comorbidity preclude aggressive therapy. Due to vastly different outcomes, prognostic scores are important to stratify patients in clinical trials. A number of prognostic scoring systems for BM patients have been proposed that include Recursive Partitioning Analysis (RPA), the Score Index For Radiosurgery (SIR), the Basic Score for Brain Metastases (BSBM), the Rotterdam system (ROTTERDAM), the Golden Grading System (GGS), 2 Rades classification (RADES), the Graded Prognostic Assessment (GPA) and the disease specific Graded Prognostic Assessment (ds-GPA). In this article, we will review the important prognostic scoring systems and their utility in clinical decision making and trial design. FAU - Venur, Vyshak Alva AU - Venur VA AD - The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Neurological Institute, Cleveland Clinic, Cleveland, USA. FAU - Ahluwalia, Manmeet S AU - Ahluwalia MS AD - The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Ave, S73, Cleveland, OH 44195, USA. ahluwam@ccf.org. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - China TA - Chin Clin Oncol JT - Chinese clinical oncology JID - 101608375 SB - IM MH - Brain Neoplasms/mortality/*secondary/therapy MH - Clinical Trials as Topic/*methods MH - *Decision Support Techniques MH - *Health Status Indicators MH - Humans MH - Patient Selection MH - Predictive Value of Tests MH - Prognosis MH - *Research Design MH - Risk Assessment MH - Risk Factors OTO - NOTNLM OT - Brain metastasis (BM) OT - clinical trials OT - prognosis OT - prognostic index EDAT- 2015/06/27 06:00 MHDA- 2016/03/17 06:00 CRDT- 2015/06/27 06:00 PHST- 2015/05/19 [received] PHST- 2015/06/05 [accepted] AID - 10.3978/j.issn.2304-3865.2015.06.01 [doi] PST - ppublish SO - Chin Clin Oncol. 2015 Jun;4(2):18. doi: 10.3978/j.issn.2304-3865.2015.06.01. PMID- 26101778 OWN - NLM STAT- MEDLINE DA - 20150623 DCOM- 20160310 LR - 20150625 IS - 2314-6141 (Electronic) VI - 2015 DP - 2015 TI - Outcome of Elderly Patients with Meningioma after Image-Guided Stereotactic Radiotherapy: A Study of 100 Cases. PG - 868401 LID - 10.1155/2015/868401 [doi] AB - Introduction. Incidence of meningioma increases with age. Surgery has been the mainstay treatment. Elderly patients, however, are at risk of severe morbidity. Therefore, we conducted this study to analyze long-term outcomes of linac-based fractionated stereotactic radiotherapy (FSRT) for older adults (aged >/=65 years) with meningioma and determine prognostic factors. Materials and Methods. Between October 1998 and March 2009, 100 patients (>/=65, median age, 71 years) were treated with FSRT for meningioma. Two patients were lost to follow-up. Eight patients each had grade I and grade II meningiomas, and five patients had grade III meningiomas. The histology was unknown in 77 cases (grade 0). Results. The median follow-up was 37 months, and 3-year, 5-year, and 10-year progression-free survival (PFS) rates were 93.7%, 91.1%, and 82%. Patients with grade 0/I meningioma showed 3- and 5-year PFS rates of 98.4% and 95.6%. Patients with grade II or III meningiomas showed 3-year PFS rates of 36%. 93.8% of patients showed local tumor control. Multivariate analysis did not indicate any significant prognostic factors. Conclusion. FSRT may play an important role as a noninvasive and safe method in the clinical management of older patients with meningioma. FAU - Kaul, David AU - Kaul D AUID- ORCID: 0000-0002-7906-5629 AD - Department for Radiation Oncology, Charite School of Medicine and University Hospital Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. FAU - Budach, Volker AU - Budach V AD - Department for Radiation Oncology, Charite School of Medicine and University Hospital Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. FAU - Graaf, Lukas AU - Graaf L AD - Department for Radiation Oncology, Charite School of Medicine and University Hospital Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. FAU - Gollrad, Johannes AU - Gollrad J AD - Department for Radiation Oncology, Charite School of Medicine and University Hospital Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. FAU - Badakhshi, Harun AU - Badakhshi H AD - Department for Radiation Oncology, Charite School of Medicine and University Hospital Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. LA - eng PT - Journal Article DEP - 20150526 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 SB - IM MH - Aged MH - Aged, 80 and over MH - Disease-Free Survival MH - Dose Fractionation MH - Female MH - Humans MH - Male MH - Meningioma/pathology/*radiotherapy MH - Prognosis MH - Radiosurgery/*adverse effects MH - Radiotherapy, Image-Guided/*adverse effects MH - Treatment Outcome PMC - PMC4460196 OID - NLM: PMC4460196 EDAT- 2015/06/24 06:00 MHDA- 2016/03/11 06:00 CRDT- 2015/06/24 06:00 PHST- 2014/11/24 [received] PHST- 2014/12/22 [accepted] PHST- 2015/05/26 [epublish] AID - 10.1155/2015/868401 [doi] PST - ppublish SO - Biomed Res Int. 2015;2015:868401. doi: 10.1155/2015/868401. Epub 2015 May 26. PMID- 26101774 OWN - NLM STAT- MEDLINE DA - 20150623 DCOM- 20160318 LR - 20150625 IS - 2314-6141 (Electronic) VI - 2015 DP - 2015 TI - Epigenetics of Meningiomas. PG - 532451 LID - 10.1155/2015/532451 [doi] AB - Meningiomas account for one-third of all adult central nervous system tumours and are divided into three WHO grades. In contrast to the relatively well characterized genetic alterations, our current understanding of epigenetic modifications involved in the meningioma-genesis and progression is rather incomplete. Contrary to genetic alterations, epigenetic changes do not alter the primary DNA sequence and their reversible nature serves as an excellent basis for prevention and development of novel personalised tumour therapies. Indeed, growing body of evidence suggests that disturbed epigenetic regulation plays a key role in the pathogenesis of meningiomas. Altered DNA methylation, microRNA expression, histone, and chromatin modifications are frequently noted in meningiomas bearing prognostic and therapeutic relevance. In this review we provide an overview on recently identified epigenetic alterations in meningiomas and discuss their role in tumour initiation, progression, and recurrence. FAU - Murnyak, Balazs AU - Murnyak B AD - Division of Neuropathology, Institute of Pathology, Faculty of Medicine, University of Debrecen, 98 Nagyerdei Korut, Debrecen 4032, Hungary. FAU - Bognar, Laszlo AU - Bognar L AD - Department of Neurosurgery, Faculty of Medicine, University of Debrecen, 98 Nagyerdei Korut, Debrecen 4032, Hungary. FAU - Klekner, Almos AU - Klekner A AD - Department of Neurosurgery, Faculty of Medicine, University of Debrecen, 98 Nagyerdei Korut, Debrecen 4032, Hungary. FAU - Hortobagyi, Tibor AU - Hortobagyi T AD - Division of Neuropathology, Institute of Pathology, Faculty of Medicine, University of Debrecen, 98 Nagyerdei Korut, Debrecen 4032, Hungary. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150525 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (MicroRNAs) SB - IM MH - Cell Transformation, Neoplastic/genetics MH - DNA Methylation/*genetics MH - *Epigenesis, Genetic MH - Humans MH - Meningioma/*genetics/pathology MH - MicroRNAs/genetics MH - Neoplasm Recurrence, Local/*genetics PMC - PMC4458517 OID - NLM: PMC4458517 EDAT- 2015/06/24 06:00 MHDA- 2016/03/19 06:00 CRDT- 2015/06/24 06:00 PHST- 2014/11/25 [received] PHST- 2014/12/14 [accepted] PHST- 2015/05/25 [epublish] AID - 10.1155/2015/532451 [doi] PST - ppublish SO - Biomed Res Int. 2015;2015:532451. doi: 10.1155/2015/532451. Epub 2015 May 25. PMID- 26092878 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - The controversy surrounding the use of whole-brain radiotherapy in brain metastases patients. PG - 919-23 LID - 10.1093/neuonc/nov089 [doi] FAU - Mehta, Minesh P AU - Mehta MP AD - University of Maryland School of Medicine, Baltimore, Maryland. LA - eng PT - Journal Article PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 SB - IM MH - Brain/radiation effects MH - Brain Neoplasms/mortality/psychology/*radiotherapy/*secondary MH - Cognition/radiation effects MH - Cranial Irradiation/*adverse effects MH - Disease Progression MH - Humans MH - Randomized Controlled Trials as Topic MH - Treatment Outcome OTO - NOTNLM OT - brain radiotherapy OT - cancer OT - memory OT - metastasis EDAT- 2015/06/21 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/06/21 06:00 AID - nov089 [pii] AID - 10.1093/neuonc/nov089 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):919-23. doi: 10.1093/neuonc/nov089. PMID- 26092877 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Point/Counterpoint: Stereotactic radiosurgery without whole-brain radiation for patients with a limited number of brain metastases: the current standard of care? PG - 916-8 LID - 10.1093/neuonc/nov087 [doi] FAU - Sahgal, Arjun AU - Sahgal A AD - Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada. LA - eng PT - Journal Article PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 SB - IM MH - Brain/radiation effects MH - Brain Neoplasms/*radiotherapy/*secondary MH - *Cranial Irradiation MH - Humans MH - Radiosurgery MH - Randomized Controlled Trials as Topic MH - Treatment Outcome EDAT- 2015/06/21 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/06/21 06:00 AID - nov087 [pii] AID - 10.1093/neuonc/nov087 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):916-8. doi: 10.1093/neuonc/nov087. PMID- 26092876 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Controversies in neuro-oncology: role of whole-brain radiation therapy in the treatment of newly diagnosed brain metastases. PG - 915 LID - 10.1093/neuonc/nov102 [doi] FAU - Wen, Patrick Y AU - Wen PY AD - Center For Neuro-Oncology, Dana-Farber/Brigham and Women's Cancer Center and Harvard Medical School. LA - eng PT - Introductory Journal Article PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 SB - IM MH - Brain/radiation effects MH - Brain Neoplasms/*radiotherapy/*secondary MH - Clinical Trials, Phase III as Topic MH - *Cranial Irradiation MH - Humans MH - Treatment Outcome EDAT- 2015/06/21 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/06/21 06:00 AID - nov102 [pii] AID - 10.1093/neuonc/nov102 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):915. doi: 10.1093/neuonc/nov102. PMID- 26092602 OWN - NLM STAT- MEDLINE DA - 20150625 DCOM- 20160321 IS - 1744-8360 (Electronic) IS - 1473-7175 (Linking) VI - 15 IP - 7 DP - 2015 TI - The current management of brain metastasis in melanoma: a focus on riluzole. PG - 779-92 LID - 10.1586/14737175.2015.1055321 [doi] AB - Brain metastasis is a common endpoint in human malignant melanoma, and the prognosis for patients remains poor despite advancements in therapy. Current treatment for melanoma metastatic to the brain is grouped into those providing symptomatic relief such as corticosteroids and antiepileptic agents, to those that are disease modifying. Related to the latter group, recent studies have demonstrated that aberrant glutamate signaling plays a role in the transformation and maintenance of various cancer types, including melanoma. Glutamate secretion from these and surrounding cells have been found to stimulate regulatory pathways that control tumor growth, proliferation and survival in vitro and in vivo. The antiglutamatergic actions of an inhibitor of glutamate release, riluzole, have been detected by its ability to clear glutamate from the synapse, and it has been shown to inhibit glutamate release rather than directly inhibiting glutamate receptors. Preclinical studies have demonstrated the ability of riluzole to act as a radiosensitizing agent in melanoma. The effect of riluzole on downstream glutamatergic signaling has pointed to cross talk between the metabotropic G-protein-coupled glutamate receptors implicated in a subset of human melanomas with other signaling pathways, including apoptotic, angiogenic, ROS and cell invasion mechanisms, thus establishing its potential to be further explored in combination therapy regimens for both primary human melanoma and melanoma metastatic to the brain. FAU - Yu, Lumeng J AU - Yu LJ AD - Susan Lehman Cullman Laboratory for Cancer Research, Ernest Mario School of Pharmacy, Rutgers, the State University, Piscataway, NJ, 08854, USA. FAU - Wall, Brian A AU - Wall BA FAU - Chen, Suzie AU - Chen S LA - eng PT - Journal Article PT - Review DEP - 20150619 PL - England TA - Expert Rev Neurother JT - Expert review of neurotherapeutics JID - 101129944 RN - 0 (Neuroprotective Agents) RN - 7LJ087RS6F (Riluzole) SB - IM MH - Brain Neoplasms/*drug therapy/*secondary MH - Humans MH - Melanoma/*pathology MH - Neuroprotective Agents/*therapeutic use MH - Riluzole/*therapeutic use OTO - NOTNLM OT - GPCR OT - brain OT - glutamate OT - melanoma OT - metastasis OT - radiation OT - riluzole EDAT- 2015/06/21 06:00 MHDA- 2016/03/22 06:00 CRDT- 2015/06/21 06:00 PHST- 2015/06/19 [aheadofprint] AID - 10.1586/14737175.2015.1055321 [doi] PST - ppublish SO - Expert Rev Neurother. 2015;15(7):779-92. doi: 10.1586/14737175.2015.1055321. Epub 2015 Jun 19. PMID- 26082890 OWN - NLM STAT- MEDLINE DA - 20150617 DCOM- 20160317 LR - 20150917 IS - 2213-1582 (Electronic) IS - 2213-1582 (Linking) VI - 7 DP - 2015 TI - Reconstruction of the arcuate fasciculus for surgical planning in the setting of peritumoral edema using two-tensor unscented Kalman filter tractography. PG - 815-22 LID - 10.1016/j.nicl.2015.03.009 [doi] AB - BACKGROUND: Diffusion imaging tractography is increasingly used to trace critical fiber tracts in brain tumor patients to reduce the risk of post-operative neurological deficit. However, the effects of peritumoral edema pose a challenge to conventional tractography using the standard diffusion tensor model. The aim of this study was to present a novel technique using a two-tensor unscented Kalman filter (UKF) algorithm to track the arcuate fasciculus (AF) in brain tumor patients with peritumoral edema. METHODS: Ten right-handed patients with left-sided brain tumors in the vicinity of language-related cortex and evidence of significant peritumoral edema were retrospectively selected for the study. All patients underwent 3-Tesla magnetic resonance imaging (MRI) including a diffusion-weighted dataset with 31 directions. Fiber tractography was performed using both single-tensor streamline and two-tensor UKF tractography. A two-regions-of-interest approach was applied to perform the delineation of the AF. Results from the two different tractography algorithms were compared visually and quantitatively. RESULTS: Using single-tensor streamline tractography, the AF appeared disrupted in four patients and contained few fibers in the remaining six patients. Two-tensor UKF tractography delineated an AF that traversed edematous brain areas in all patients. The volume of the AF was significantly larger on two-tensor UKF than on single-tensor streamline tractography (p < 0.01). CONCLUSIONS: Two-tensor UKF tractography provides the ability to trace a larger volume AF than single-tensor streamline tractography in the setting of peritumoral edema in brain tumor patients. FAU - Chen, Zhenrui AU - Chen Z AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ; Department of Neurosurgery, Jinling Hospital, Southern Medical University, Nanjing, Jiangsu 210002, China. FAU - Tie, Yanmei AU - Tie Y AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Olubiyi, Olutayo AU - Olubiyi O AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Rigolo, Laura AU - Rigolo L AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Mehrtash, Alireza AU - Mehrtash A AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Norton, Isaiah AU - Norton I AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Pasternak, Ofer AU - Pasternak O AD - Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ; Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Rathi, Yogesh AU - Rathi Y AD - Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Golby, Alexandra J AU - Golby AJ AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - O'Donnell, Lauren J AU - O'Donnell LJ AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. LA - eng GR - P41 EB015898/EB/NIBIB NIH HHS/United States GR - P41EB015898/EB/NIBIB NIH HHS/United States GR - P41EB015902/EB/NIBIB NIH HHS/United States GR - R01 MH097979/MH/NIMH NIH HHS/United States GR - R01MH074794/MH/NIMH NIH HHS/United States GR - R01MH092862/MH/NIMH NIH HHS/United States GR - R01MH097979/MH/NIMH NIH HHS/United States GR - R21 CA156943/CA/NCI NIH HHS/United States GR - R21CA156943/CA/NCI NIH HHS/United States GR - R21NS075728/NS/NINDS NIH HHS/United States GR - U01NS083223/NS/NINDS NIH HHS/United States PT - Clinical Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150320 PL - Netherlands TA - Neuroimage Clin JT - NeuroImage. Clinical JID - 101597070 SB - IM MH - Adult MH - Aged MH - Algorithms MH - Brain Edema/etiology/*pathology MH - Brain Neoplasms/complications/*surgery MH - Cerebral Cortex/*pathology MH - Diffusion Tensor Imaging MH - Female MH - Frontal Lobe/pathology MH - Glioblastoma/pathology/*surgery MH - Humans MH - Image Processing, Computer-Assisted/methods MH - Imaging, Three-Dimensional/methods MH - Magnetic Resonance Imaging MH - Male MH - Meningioma/pathology/*surgery MH - Middle Aged MH - Nerve Fibers/*pathology MH - Neural Pathways/*pathology MH - Neurosurgical Procedures MH - Oligodendroglioma/pathology/*surgery MH - Organ Size MH - Parietal Lobe/pathology MH - Retrospective Studies MH - Surgery, Computer-Assisted/*methods MH - Temporal Lobe/pathology PMC - PMC4459040 OID - NLM: PMC4459040 OTO - NOTNLM OT - Arcuate fasciculus OT - Diffusion tensor imaging OT - Neurosurgical planning OT - Peritumoral edema OT - Tractography EDAT- 2015/06/18 06:00 MHDA- 2016/03/18 06:00 CRDT- 2015/06/18 06:00 PHST- 2015 [ecollection] PHST- 2014/10/30 [received] PHST- 2015/02/19 [revised] PHST- 2015/03/13 [accepted] PHST- 2015/03/20 [epublish] AID - 10.1016/j.nicl.2015.03.009 [doi] AID - S2213-1582(15)00051-0 [pii] PST - epublish SO - Neuroimage Clin. 2015 Mar 20;7:815-22. doi: 10.1016/j.nicl.2015.03.009. eCollection 2015. PMID- 26075446 OWN - NLM STAT- MEDLINE DA - 20150616 DCOM- 20160317 IS - 1744-8301 (Electronic) IS - 1479-6694 (Linking) VI - 11 IP - 12 DP - 2015 TI - Chemotherapy options for patients suffering from heavily pretreated metastatic breast cancer. PG - 1775-89 LID - 10.2217/fon.15.80 [doi] AB - The identification of additional chemotherapy agents for anthracycline- and taxane-pretreated advanced breast cancer (ABC) is an urgent medical need. Single agent chemotherapy is most times administered because combined therapy is only associated with modest, if any, improvement in median progression-free survival. Randomized trials failed to show overall survival benefit compared with single agent chemotherapy. We hope to modify the natural history of ABC by the consecutive use of treatments with documented activity in heavily pretreated patients. Quality of life remains an important end point as cure is in general not possible. We first review the activity of the approved and the most frequently used agents in heavily pretreated ABC. Thereafter, the potential role and safety profile of etirinotecan pegol is discussed given the results recently released of a Phase III trial comparing this agent to Treatment of Physician's Choice. FAU - Jerusalem, Guy AU - Jerusalem G AD - Medical Oncology CHU Sart Tilman Liege & Liege University, Domaine Universitaire du Sart Tilman, B35, 4000 Liege, Belgium. FAU - Rorive, Andree AU - Rorive A AD - Medical Oncology CHU Sart Tilman Liege, Domaine Universitaire du Sart Tilman, B35, 4000 Liege, Belgium. FAU - Collignon, Joelle AU - Collignon J AD - Medical Oncology CHU Sart Tilman Liege, Domaine Universitaire du Sart Tilman, B35, 4000 Liege, Belgium. LA - eng PT - Journal Article PT - Review PL - England TA - Future Oncol JT - Future oncology (London, England) JID - 101256629 RN - 0 (Antineoplastic Agents) SB - IM MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - Brain Neoplasms/*drug therapy/secondary MH - Breast Neoplasms/*drug therapy/pathology MH - Clinical Trials as Topic MH - Female MH - Humans OTO - NOTNLM OT - capecitabine OT - chemotherapy OT - eribulin OT - etirinotecan pegol OT - gemcitabine OT - irinotecan OT - ixabepilone OT - metastatic breast cancer OT - randomized trial OT - vinorelbine EDAT- 2015/06/16 06:00 MHDA- 2016/03/18 06:00 CRDT- 2015/06/16 06:00 AID - 10.2217/fon.15.80 [doi] PST - ppublish SO - Future Oncol. 2015;11(12):1775-89. doi: 10.2217/fon.15.80. PMID- 26073371 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160311 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 22 IP - 9 DP - 2015 Sep TI - Preoperative steroid use and the incidence of perioperative complications in patients undergoing craniotomy for definitive resection of a malignant brain tumor. PG - 1413-9 LID - 10.1016/j.jocn.2015.03.009 [doi] LID - S0967-5868(15)00175-7 [pii] AB - We studied the impact of preoperative steroids on 30 day morbidity and mortality of craniotomy for definitive resection of malignant brain tumors. Glucocorticoids are used to treat peritumoral edema in patients with malignant brain tumors, however, prolonged ( 10 days) use of preoperative steroids as a risk factor for perioperative complications following resection of brain tumors has not been studied comprehensively. Therefore, we identified 4407 patients who underwent craniotomy to resect a malignant brain tumor between 2007 and 2012, who were reported in the National Surgical Quality Improvement Program, a prospectively collected clinical database. Metastatic brain tumors constituted 37.5% (n=1611) and primary malignant gliomas 62.5% (n=2796) of the study population. We used logistic regression to assess the association between preoperative steroid use and perioperative complications before and after 1:1 propensity score matching. Patients who received steroids constituted 22.8% of the population (n=1009). In the unmatched cohort, steroid use was associated with decreased length of hospitalization (odds ratio [OR] 0.7; 95% confidence interval [CI] 0.6-0.8), however, the risk for readmission (OR 1.5; 95% CI 1.2-1.8) was increased. In the propensity score matched cohort (n=465), steroid use was not statistically associated with any adverse outcomes. Patients who received steroids were less likely to stay hospitalized for a protracted period of time, but were more likely to be readmitted after discharge following craniotomy. As an independent risk factor, preoperative steroid use was not associated with any observed perioperative complications. The findings of this study suggest that preoperative steroids do not independently compromise the short term outcome of craniotomy for resection of malignant brain tumors. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Alan, Nima AU - Alan N AD - School of Medicine, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address: nima.alan@gmail.com. FAU - Seicean, Andreea AU - Seicean A AD - School of Medicine, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH 44195, USA; Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA. FAU - Seicean, Sinziana AU - Seicean S AD - Department of Pulmonary, Critical Care and Sleep Medicine, University Hospitals, Cleveland, OH, USA; Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA. FAU - Neuhauser, Duncan AU - Neuhauser D AD - Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA. FAU - Benzel, Edward C AU - Benzel EC AD - Department of Neurosurgery, The Neurological Institute, Cleveland Clinic, Cleveland, OH, USA. FAU - Weil, Robert J AU - Weil RJ AD - The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Department of Neurosurgery, The Neurological Institute, Cleveland Clinic, Cleveland, OH, USA; Department of Neurosurgery, Geisinger Health System, Danville, PA, USA. LA - eng PT - Journal Article DEP - 20150612 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0 (Steroids) SB - IM MH - Adult MH - Brain Neoplasms/epidemiology/*surgery MH - Craniotomy/*adverse effects/mortality/statistics & numerical data MH - Female MH - Glioma/epidemiology/surgery MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Outcome Assessment (Health Care)/*statistics & numerical data MH - Postoperative Complications/*chemically induced/epidemiology/mortality MH - Preoperative Care/*standards/statistics & numerical data MH - Risk Factors MH - Steroids/administration & dosage/*adverse effects OTO - NOTNLM OT - Brain metastasis OT - Malignant gliomas OT - Morbidity OT - Mortality OT - Outcomes OT - Propensity matching OT - Surgical resection EDAT- 2015/06/16 06:00 MHDA- 2016/03/12 06:00 CRDT- 2015/06/16 06:00 PHST- 2015/03/09 [received] PHST- 2015/03/21 [accepted] PHST- 2015/06/12 [aheadofprint] AID - S0967-5868(15)00175-7 [pii] AID - 10.1016/j.jocn.2015.03.009 [doi] PST - ppublish SO - J Clin Neurosci. 2015 Sep;22(9):1413-9. doi: 10.1016/j.jocn.2015.03.009. Epub 2015 Jun 12. PMID- 26068765 OWN - NLM STAT- MEDLINE DA - 20150613 DCOM- 20160309 IS - 1526-2359 (Electronic) IS - 1073-2748 (Linking) VI - 22 IP - 2 DP - 2015 Apr TI - Impending Impact of Molecular Pathology on Classifying Adult Diffuse Gliomas. PG - 200-5 AB - BACKGROUND: Progress in molecular oncology during the last decade has enabled investigators to more precisely define and group gliomas. The impacts of isocitrate dehydrogenase (IDH) mutation (mut) status and other molecular markers on the classification, prognostication, and management of diffuse gliomas are likely to be far-reaching. METHODS: Clinical experience and the medical literature were used to assess the current status of glioma categorization and the likely impact of the pending revision of the classification scheme of the World Health Organization (WHO). RESULTS: IDH-mut is a defining event in most adult fibrillary astrocytomas (FAs) and nearly all oligodendrogliomas (ODs). The IDH-mut status of most gliomas can be established by immunohistochemistry for the most common mutant of IDH1 (R132H). IDH wild-type (wt) diffuse gliomas include several familiar entities -- in particular, glioblastoma (GBM) and most pediatric gliomas -- as well as an assortment of less well-defined entities. The codeletion of 1p/19q distinguishes OD from FA, which, by contrast, shows frequent loss of the alpha thalassemia/mental retardation syndrome X-linked protein. Mixed oligoastrocytomas are typically classifiable as either OD or FA using molecular testing. CONCLUSIONS: The current practice of designating IDH-mut WHO grade 4 astrocytoma as secondary GBM will likely be discouraged, and primary or de novo GBM, which is always IDH-wt, may lose this qualification. Histologically, low- or intermediate-grade IDH-wt gliomas with molecular changes characteristic of GBM might justify the designation of GBM WHO grade 3. Mixed oligoastrocytoma is losing popularity as a diagnostic term because most cases will fall into either the FA or OD category. Distinguishing IDH-mut from IDH-wt tumors in clinical trials is likely to clarify sensitivity rates or tumor resistance among subgroups, thus suggesting opportunities for targeted therapy. FAU - Macaulay, Robert J AU - Macaulay RJ AD - Department of Anatomic Pathology, Moffitt Cancer Center, Tampa, FL 33612, USA. Robert.Macaulay@Moffitt.org. LA - eng PT - Journal Article PT - Review PL - United States TA - Cancer Control JT - Cancer control : journal of the Moffitt Cancer Center JID - 9438457 RN - 0 (Biomarkers, Tumor) RN - 0 (Glutarates) RN - 0 (Nuclear Proteins) RN - 2889-31-8 (alpha-hydroxyglutarate) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 3.6.4.- (DNA Helicases) RN - EC 3.6.4.12 (ATRX protein, human) SB - IM MH - Astrocytoma/genetics MH - Biomarkers, Tumor MH - Brain Neoplasms/*genetics/*pathology MH - DNA Helicases/genetics MH - Genes, p53 MH - Glioma/*genetics/*pathology MH - Glutarates/metabolism MH - Humans MH - Immunohistochemistry MH - Isocitrate Dehydrogenase/*genetics MH - Mutation MH - Nuclear Proteins/genetics MH - Oligodendroglioma/genetics MH - Prognosis EDAT- 2015/06/13 06:00 MHDA- 2016/03/10 06:00 CRDT- 2015/06/13 06:00 PST - ppublish SO - Cancer Control. 2015 Apr;22(2):200-5. PMID- 26068201 OWN - NLM STAT- MEDLINE DA - 20150613 DCOM- 20160323 LR - 20150720 IS - 2041-1723 (Electronic) IS - 2041-1723 (Linking) VI - 6 DP - 2015 TI - TCF12 is mutated in anaplastic oligodendroglioma. PG - 7207 LID - 10.1038/ncomms8207 [doi] AB - Anaplastic oligodendroglioma (AO) are rare primary brain tumours that are generally incurable, with heterogeneous prognosis and few treatment targets identified. Most oligodendrogliomas have chromosomes 1p/19q co-deletion and an IDH mutation. Here we analysed 51 AO by whole-exome sequencing, identifying previously reported frequent somatic mutations in CIC and FUBP1. We also identified recurrent mutations in TCF12 and in an additional series of 83 AO. Overall, 7.5% of AO are mutated for TCF12, which encodes an oligodendrocyte-related transcription factor. Eighty percent of TCF12 mutations identified were in either the bHLH domain, which is important for TCF12 function as a transcription factor, or were frameshift mutations leading to TCF12 truncated for this domain. We show that these mutations compromise TCF12 transcriptional activity and are associated with a more aggressive tumour type. Our analysis provides further insights into the unique and shared pathways driving AO. FAU - Labreche, Karim AU - Labreche K AD - 1] Division of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, Surrey SM2 5NG, UK [2] Inserm, U 1127, ICM, F-75013 Paris, France [3] CNRS, UMR 7225, ICM, F-75013 Paris, France [4] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [5] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France. FAU - Simeonova, Iva AU - Simeonova I AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France. FAU - Kamoun, Aurelie AU - Kamoun A AD - Programme Cartes d'Identite des Tumeurs (CIT), Ligue Nationale Contre Le Cancer, 75013 Paris, France. FAU - Gleize, Vincent AU - Gleize V AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France. FAU - Chubb, Daniel AU - Chubb D AD - Division of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, Surrey SM2 5NG, UK. FAU - Letouze, Eric AU - Letouze E AD - Programme Cartes d'Identite des Tumeurs (CIT), Ligue Nationale Contre Le Cancer, 75013 Paris, France. FAU - Riazalhosseini, Yasser AU - Riazalhosseini Y AD - 1] Department of Human Genetics, McGill University, Montreal, Quebec, Canada H3A 0G1 [2] McGill University and Genome Quebec Innovation Centre, Montreal, Quebec, Canada H3A 0G1. FAU - Dobbins, Sara E AU - Dobbins SE AD - Division of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, Surrey SM2 5NG, UK. FAU - Elarouci, Nabila AU - Elarouci N AD - Programme Cartes d'Identite des Tumeurs (CIT), Ligue Nationale Contre Le Cancer, 75013 Paris, France. FAU - Ducray, Francois AU - Ducray F AD - INSERM U1028, CNRS UMR5292, Service de Neuro-oncologie, Hopital neurologique, Hospices civils de Lyon, Lyon Neuroscience Research Center, Neuro-Oncology and Neuro-Inflammation Team, 69677 Lyon, France. FAU - de Reynies, Aurelien AU - de Reynies A AD - Programme Cartes d'Identite des Tumeurs (CIT), Ligue Nationale Contre Le Cancer, 75013 Paris, France. FAU - Zelenika, Diana AU - Zelenika D AD - Centre National de Genotypage, IG/CEA, 2 rue Gaston Cremieux, CP 5721, Evry 91057, France. FAU - Wardell, Christopher P AU - Wardell CP AD - Division of Molecular Pathology, The Institute of Cancer Research, Sutton, Surrey SM2 5NG, UK. FAU - Frampton, Mathew AU - Frampton M AD - Division of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, Surrey SM2 5NG, UK. FAU - Saulnier, Olivier AU - Saulnier O AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France. FAU - Pastinen, Tomi AU - Pastinen T AD - 1] Department of Human Genetics, McGill University, Montreal, Quebec, Canada H3A 0G1 [2] McGill University and Genome Quebec Innovation Centre, Montreal, Quebec, Canada H3A 0G1. FAU - Hallout, Sabrina AU - Hallout S AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France. FAU - Figarella-Branger, Dominique AU - Figarella-Branger D AD - 1] AP-HM, Hopital de la Timone, Service d'anatomie pathologique et de neuropathologie, 13385 Marseille, France [2] Universite de la Mediterranee, Aix-Marseille, Faculte de Medecine La Timone, CRO2, UMR 911 Marseille, France. FAU - Dehais, Caroline AU - Dehais C AD - AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de neurologie 2-Mazarin, 75013 Paris, France. FAU - Idbaih, Ahmed AU - Idbaih A AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France [5] AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de neurologie 2-Mazarin, 75013 Paris, France. FAU - Mokhtari, Karima AU - Mokhtari K AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] AP-HP, Groupe Hospitalier Pitie-Salpetriere, Laboratoire de Neuropathologie R. Escourolle, 75013 Paris, France. FAU - Delattre, Jean-Yves AU - Delattre JY AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France [5] AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de neurologie 2-Mazarin, 75013 Paris, France. FAU - Huillard, Emmanuelle AU - Huillard E AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France. FAU - Mark Lathrop, G AU - Mark Lathrop G AD - 1] Department of Human Genetics, McGill University, Montreal, Quebec, Canada H3A 0G1 [2] McGill University and Genome Quebec Innovation Centre, Montreal, Quebec, Canada H3A 0G1. FAU - Sanson, Marc AU - Sanson M AD - 1] Inserm, U 1127, ICM, F-75013 Paris, France [2] CNRS, UMR 7225, ICM, F-75013 Paris, France [3] Institut du Cerveau et de la Moelle epiniere ICM, Paris 75013, France [4] Sorbonne Universites, UPMC Universite Paris 06, UMR S 1127, F-75013 Paris, France [5] AP-HP, Groupe Hospitalier Pitie-Salpetriere, Service de neurologie 2-Mazarin, 75013 Paris, France. FAU - Houlston, Richard S AU - Houlston RS AD - Division of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, Surrey SM2 5NG, UK. CN - POLA Network LA - eng GR - A8362/Cancer Research UK/United Kingdom GR - C1298/A8362/Cancer Research UK/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Studies DEP - 20150612 PL - England TA - Nat Commun JT - Nature communications JID - 101528555 RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 142661-93-6 (TCF12 protein, human) SB - IM MH - Basic Helix-Loop-Helix Transcription Factors/*genetics MH - Brain Neoplasms/*genetics MH - Down-Regulation MH - Humans MH - *Mutation MH - Oligodendroglioma/*genetics MH - Transcriptional Activation/genetics PMC - PMC4490400 OID - NLM: PMC4490400 IR - Adam C FIR - Adam, Clovis IR - Andraud M FIR - Andraud, Marie IR - Aubriot-Lorton MH FIR - Aubriot-Lorton, Marie-Helene IR - Bauchet L FIR - Bauchet, Luc IR - Beauchesne P FIR - Beauchesne, Patrick IR - Blechet C FIR - Blechet, Claire IR - Campone M FIR - Campone, Mario IR - Carpentier A FIR - Carpentier, Antoine IR - Carpentier C FIR - Carpentier, Catherine IR - Carpiuc I FIR - Carpiuc, Ioana IR - Chenard MP FIR - Chenard, Marie-Pierre IR - Chiforeanu D FIR - Chiforeanu, Danchristian IR - Chinot O FIR - Chinot, Olivier IR - Cohen-Moyal E FIR - Cohen-Moyal, Elisabeth IR - Colin P FIR - Colin, Philippe IR - Dam-Hieu P FIR - Dam-Hieu, Phong IR - Desenclos C FIR - Desenclos, Christine IR - Desse N FIR - Desse, Nicolas IR - Dhermain F FIR - Dhermain, Frederic IR - Diebold MD FIR - Diebold, Marie-Daniele IR - Eimer S FIR - Eimer, Sandrine IR - Faillot T FIR - Faillot, Thierry IR - Fesneau M FIR - Fesneau, Melanie IR - Fontaine D FIR - Fontaine, Denys IR - Gaillard S FIR - Gaillard, Stephane IR - Gauchotte G FIR - Gauchotte, Guillaume IR - Gaultier C FIR - Gaultier, Claude IR - Ghiringhelli F FIR - Ghiringhelli, Francois IR - Godard J FIR - Godard, Joel IR - Marcel Gueye E FIR - Marcel Gueye, Edouard IR - Sebastien Guillamo J FIR - Sebastien Guillamo, Jean IR - Hamdi-Elouadhani S FIR - Hamdi-Elouadhani, Selma IR - Honnorat J FIR - Honnorat, Jerome IR - Louis Kemeny J FIR - Louis Kemeny, Jean IR - Khallil T FIR - Khallil, Toufik IR - Jouvet A FIR - Jouvet, Anne IR - Labrousse F FIR - Labrousse, Francois IR - Langlois O FIR - Langlois, Olivier IR - Laquerriere A FIR - Laquerriere, Annie IR - Lechapt-Zalcman E FIR - Lechapt-Zalcman, Emmanuelle IR - Le Guerinel C FIR - Le Guerinel, Caroline IR - Levillain PM FIR - Levillain, Pierre-Marie IR - Loiseau H FIR - Loiseau, Hugues IR - Loussouarn D FIR - Loussouarn, Delphine IR - Maurage CA FIR - Maurage, Claude-Alain IR - Menei P FIR - Menei, Philippe IR - Janette Motsuo Fotso M FIR - Janette Motsuo Fotso, Marie IR - Noel G FIR - Noel, Georges IR - Parker F FIR - Parker, Fabrice IR - Peoc'h M FIR - Peoc'h, Michel IR - Polivka M FIR - Polivka, Marc IR - Quintin-Roue I FIR - Quintin-Roue, Isabelle IR - Ramirez C FIR - Ramirez, Carole IR - Ricard D FIR - Ricard, Damien IR - Richard P FIR - Richard, Pomone IR - Rigau V FIR - Rigau, Valerie IR - Rousseau A FIR - Rousseau, Audrey IR - Runavot G FIR - Runavot, Gwenaelle IR - Sevestre H FIR - Sevestre, Henri IR - Christine Tortel M FIR - Christine Tortel, Marie IR - Uro-Coste E FIR - Uro-Coste, Emmanuelle IR - Burel-Vandenbos F FIR - Burel-Vandenbos, Fanny IR - Vauleon E FIR - Vauleon, Elodie IR - Viennet G FIR - Viennet, Gabriel IR - Villa C FIR - Villa, Chiara IR - Wager M FIR - Wager, Michel EDAT- 2015/06/13 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/06/13 06:00 PHST- 2015/02/22 [received] PHST- 2015/04/17 [accepted] AID - ncomms8207 [pii] AID - 10.1038/ncomms8207 [doi] PST - epublish SO - Nat Commun. 2015 Jun 12;6:7207. doi: 10.1038/ncomms8207. PMID- 26055954 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160311 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 22 IP - 9 DP - 2015 Sep TI - Use of preoperative FLAIR MRI and ependymal proximity of tumor enhancement as surrogate markers of brain tumor origin. PG - 1397-402 LID - 10.1016/j.jocn.2015.02.029 [doi] LID - S0967-5868(15)00150-2 [pii] AB - Neural stem cells proliferate in the subventricular zone and give rise to progeny that differentiate and migrate throughout the brain. We aimed to test the hypothesis that glioma behavior and grade may correlate with the identity of the tumor cell of origin. We evaluated three preoperative radiographic features (fluid attenuated inversion recovery [FLAIR] MRI characteristics, tumor proximity to ventricular ependyma, and subependymal representation) as surrogate markers of tumor origin using a retrospective cohort design. The medical records of 228 patients who underwent surgical resection of a glioma from January 2004 to August 2008 were reviewed. Average patient age was 54.5 years (standard deviation [SD] 15.3) with a male predominance (62.9%). World Health Organization glioma grades amongst the cohort were Grade IV (71.6%), Grade III (21.3%) and Grade II (7.1%). Mean survival was 11.2 months (SD 10.5) with a mean follow up of 12.8 months (SD 11.3). Glioma tumor grade was significantly correlated to FLAIR signal proximity to the ependymal surface (p<0.01) and inversely with proximity of tumor mass to the ependyma (p<0.01). The mean distance of tumor-associated FLAIR signal from the ependymal surface for glioblastoma multiforme (GBM) was 1.2mm (SD 3.3) compared to 4.8 (SD 6.5) for anaplastic astrocytomas and 6.6mm (SD 6.7; p<0.01) for low grade gliomas. Conversely, the mean distance of the enhancing tumor mass from the ependyma for GBM was 7.3mm (SD 9.4), Grade III glioma 2.3mm (SD 4.9), and Grade II glioma 3.8mm (SD 6.8; p<0.05). These findings suggest that higher grade gliomas might arise from less differentiated neuroepithelial cells in the subventricular zone that possess greater migratory potential. CI - Published by Elsevier Ltd. FAU - Smith, Timothy R AU - Smith TR AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 15 Francis Street, Boston, MA 02115, USA. FAU - Hulou, M Maher AU - Hulou MM AD - Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 15 Francis Street, Boston, MA 02115, USA. Electronic address: mhulou@partners.org. FAU - Abecassis, Josh AU - Abecassis J AD - Department of Neurosurgery, University of Washington, Seattle, WA, USA. FAU - Das, Sunit AU - Das S AD - Division of Neurosurgery, University of Toronto, Toronto, Canada. FAU - Chandler, James P AU - Chandler JP AD - Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. LA - eng PT - Journal Article DEP - 20150606 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0 (Biomarkers) SB - IM MH - Adult MH - Aged MH - Astrocytoma/diagnosis/epidemiology/pathology MH - *Biomarkers MH - Brain/pathology MH - Brain Neoplasms/*diagnosis/epidemiology/pathology MH - Ependyma/*pathology MH - Female MH - Glioblastoma/diagnosis/epidemiology/pathology MH - Glioma/*diagnosis/epidemiology/pathology MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Neural Stem Cells/pathology MH - Preoperative Care MH - Retrospective Studies OTO - NOTNLM OT - FLAIR OT - Glioma OT - Stem cells OT - Subventricular zone EDAT- 2015/06/10 06:00 MHDA- 2016/03/12 06:00 CRDT- 2015/06/10 06:00 PHST- 2014/10/31 [received] PHST- 2015/01/30 [revised] PHST- 2015/02/04 [accepted] PHST- 2015/06/06 [aheadofprint] AID - S0967-5868(15)00150-2 [pii] AID - 10.1016/j.jocn.2015.02.029 [doi] PST - ppublish SO - J Clin Neurosci. 2015 Sep;22(9):1397-402. doi: 10.1016/j.jocn.2015.02.029. Epub 2015 Jun 6. PMID- 26050592 OWN - NLM STAT- MEDLINE DA - 20150608 DCOM- 20160307 IS - 1532-9461 (Electronic) IS - 1053-4296 (Linking) VI - 25 IP - 3 DP - 2015 Jul TI - Neurocognitive Function Following Therapy for Low-Grade Gliomas. PG - 210-8 LID - 10.1016/j.semradonc.2015.02.005 [doi] LID - S1053-4296(15)00022-3 [pii] AB - Low-grade gliomas (LGGs) are a heterogenous group of primary brain neoplasms that most commonly occur in children and young adults, characterized by a slow, indolent course and overall favorable prognosis. Standard therapies used to treat LGGs have included surgical resection, radiotherapy, chemotherapy, or a combination thereof. Given the anticipated long survival and typical young age of patients with LGG, the long-term sequelae of therapy require special attention, especially as they affect neurocognitive function and quality of life. We review the complex interplay of baseline and treatment-related factors that perturb neurocognition as well as the effect of each treatment modality on altering neurocognitive outcomes in this patient population. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - McAleer, Mary Frances AU - McAleer MF AD - Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address: mfmcalee@mdanderson.org. FAU - Brown, Paul D AU - Brown PD AD - Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. LA - eng PT - Journal Article PT - Review DEP - 20150221 PL - United States TA - Semin Radiat Oncol JT - Seminars in radiation oncology JID - 9202882 SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - Brain/drug effects/radiation effects/surgery MH - Brain Neoplasms/*therapy MH - Chemotherapy, Adjuvant/adverse effects MH - Cognition Disorders/*etiology MH - Combined Modality Therapy/adverse effects MH - Glioma/*therapy MH - Humans MH - Radiotherapy/adverse effects MH - Surgical Procedures, Operative/adverse effects EDAT- 2015/06/09 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/09 06:00 PHST- 2015/02/21 [aheadofprint] AID - S1053-4296(15)00022-3 [pii] AID - 10.1016/j.semradonc.2015.02.005 [doi] PST - ppublish SO - Semin Radiat Oncol. 2015 Jul;25(3):210-8. doi: 10.1016/j.semradonc.2015.02.005. Epub 2015 Feb 21. PMID- 26050591 OWN - NLM STAT- MEDLINE DA - 20150608 DCOM- 20160307 LR - 20150909 IS - 1532-9461 (Electronic) IS - 1053-4296 (Linking) VI - 25 IP - 3 DP - 2015 Jul TI - Indications for Treatment: Is Observation or Chemotherapy Alone a Reasonable Approach in the Management of Low-Grade Gliomas? PG - 203-9 LID - 10.1016/j.semradonc.2015.02.008 [doi] LID - S1053-4296(15)00025-9 [pii] AB - The treatment of newly diagnosed low-grade gliomas remains controversial. Recently published results from the long-term follow-up of Radiation Therapy Oncology Group (RTOG) trial 9802 demonstrated medically meaningful and statistically significant survival prolongation by adding chemotherapy with procarbazine, lomustine (CCNU), and vincristine after radiotherapy (RT) vs RT alone for "high"-risk patients (median 13.3 vs 7.8 years, hazard ratio = 0.59, P = 0.03). However, in the 17 years since that trial was launched, there have been advances in the understanding of low-grade gliomas biology and patient heterogeneity, an increased recognition of late neurocognitive injury from early RT, and the emergence of temozolomide as an alternative chemotherapy to procarbazine, lomustine (CCNU), and vincristine. These and other changes in the treatment landscape make the applicability of results from RTOG 9802 to all patients less clear. Moreover, in some patients, especially those at the lowest risk for early disease progression, deferred RT in favor of active surveillance or chemotherapy alone may remain a reasonable treatment approach. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Schaff, Lauren R AU - Schaff LR AD - Department of Neurology, New York-Presbyterian/Columbia University Medical Center, New York, NY. FAU - Lassman, Andrew B AU - Lassman AB AD - Department of Neurology, New York-Presbyterian/Columbia University Medical Center, New York, NY; Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY. Electronic address: ABL7@cumc.columbia.edu. LA - eng GR - 1UG1CA189960-01/CA/NCI NIH HHS/United States GR - P30 CA013696/CA/NCI NIH HHS/United States GR - P30CA013696-40/CA/NCI NIH HHS/United States GR - UG1 CA189960/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20150223 PL - United States TA - Semin Radiat Oncol JT - Seminars in radiation oncology JID - 9202882 SB - IM MH - Brain Neoplasms/*drug therapy/radiotherapy MH - Chemotherapy, Adjuvant MH - Glioma/*drug therapy/radiotherapy MH - Humans MH - *Observation PMC - PMC4562771 MID - NIHMS681606 OID - NLM: NIHMS681606 [Available on 07/01/16] OID - NLM: PMC4562771 [Available on 07/01/16] EDAT- 2015/06/09 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/09 06:00 PMCR- 2016/07/01 00:00 PHST- 2015/02/23 [aheadofprint] AID - S1053-4296(15)00025-9 [pii] AID - 10.1016/j.semradonc.2015.02.008 [doi] PST - ppublish SO - Semin Radiat Oncol. 2015 Jul;25(3):203-9. doi: 10.1016/j.semradonc.2015.02.008. Epub 2015 Feb 23. PMID- 26050590 OWN - NLM STAT- MEDLINE DA - 20150608 DCOM- 20160307 IS - 1532-9461 (Electronic) IS - 1053-4296 (Linking) VI - 25 IP - 3 DP - 2015 Jul TI - Radiation Therapy Oncology Group 9802: Controversy or Consensus in the Treatment of Newly Diagnosed Low-Grade Glioma? PG - 197-202 LID - 10.1016/j.semradonc.2015.02.004 [doi] LID - S1053-4296(15)00021-1 [pii] AB - Treatment of newly diagnosed or suspected low-grade glioma (LGG) is one of the most controversial areas in neuro-oncology. The heterogeneity of these tumors, concern regarding morbidity of treatment, and absence of proven overall survival benefit from any known treatment have resulted in a lack of consensus regarding the timing and extent of surgery, timing of radiotherapy (RT), and role of chemotherapy. The long-term results of Radiation Therapy Oncology Group (RTOG) 9802, a phase III randomized trial comparing RT alone with RT and 6 cycles of adjuvant procarbazine, CCNU, vincristine (PCV), demonstrated an unprecedented 5.5-year improvement in median overall survival with the addition of PCV chemotherapy in high-risk patients with LGG. These results are practice changing and define a new standard of care for these patients. However, in the intervening decade since the trial was completed, novel molecular markers as well as newer chemotherapy agents such as temozolomide have been developed, which make these results difficult to incorporate into clinical practice. This review summarizes the evidence for and against the role of upfront RT and PCV in newly diagnosed patients with LGG. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Laack, Nadia N AU - Laack NN AD - Department of Radiation Oncology, Mayo Clinic, Rochester, MN. Electronic address: Laack.nadia@mayo.edu. FAU - Sarkaria, Jann N AU - Sarkaria JN AD - Department of Radiation Oncology, Mayo Clinic, Rochester, MN. FAU - Buckner, Jan C AU - Buckner JC AD - Department of Oncology, Mayo Clinic, Rochester, MN. LA - eng GR - P50CA108961-8/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20150221 PL - United States TA - Semin Radiat Oncol JT - Seminars in radiation oncology JID - 9202882 SB - IM MH - Brain Neoplasms/drug therapy/*radiotherapy MH - Chemotherapy, Adjuvant MH - *Clinical Trials, Phase III as Topic MH - *Consensus MH - Glioma/drug therapy/*radiotherapy MH - Humans MH - *Randomized Controlled Trials as Topic EDAT- 2015/06/09 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/09 06:00 PHST- 2015/02/21 [aheadofprint] AID - S1053-4296(15)00021-1 [pii] AID - 10.1016/j.semradonc.2015.02.004 [doi] PST - ppublish SO - Semin Radiat Oncol. 2015 Jul;25(3):197-202. doi: 10.1016/j.semradonc.2015.02.004. Epub 2015 Feb 21. PMID- 26050588 OWN - NLM STAT- MEDLINE DA - 20150608 DCOM- 20160307 LR - 20150904 IS - 1532-9461 (Electronic) IS - 1053-4296 (Linking) VI - 25 IP - 3 DP - 2015 Jul TI - Advances in the Surgical Management of Low-Grade Glioma. PG - 181-8 LID - 10.1016/j.semradonc.2015.02.007 [doi] LID - S1053-4296(15)00024-7 [pii] AB - Over the past 2 decades, extent of resection has emerged as a significant prognostic factor in patients with low-grade gliomas (LGGs). Greater extent of resection has been shown to improve overall survival, progression-free survival, and time to malignant transformation. The operative goal in most LGG cases is to maximize extent of resection, while avoiding postoperative neurologic deficits. Several advanced surgical techniques have been developed in an attempt to better achieve maximal safe resection. Intraoperative magnetic resonance imaging, fluorescence-guided surgery, intraoperative functional pathway mapping, and neuronavigation are some of the most commonly used techniques with multiple studies to support their efficacy in glioma surgery. By using these techniques either alone or in combination, patients harboring LGGs have a better prognosis with less surgical morbidity following tumor resection. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Hollon, Todd AU - Hollon T AD - Department of Neurosurgery, University of Michigan, Ann Arbor, MI. FAU - Hervey-Jumper, Shawn L AU - Hervey-Jumper SL AD - Department of Neurosurgery, University of Michigan, Ann Arbor, MI. FAU - Sagher, Oren AU - Sagher O AD - Department of Neurosurgery, University of Michigan, Ann Arbor, MI. FAU - Orringer, Daniel A AU - Orringer DA AD - Department of Neurosurgery, University of Michigan, Ann Arbor, MI. Electronic address: dorringe@med.umich.edu. LA - eng GR - R01 EB017254/EB/NIBIB NIH HHS/United States PT - Journal Article PT - Review DEP - 20150223 PL - United States TA - Semin Radiat Oncol JT - Seminars in radiation oncology JID - 9202882 SB - IM MH - Brain/pathology/surgery MH - Brain Mapping/methods MH - Brain Neoplasms/*surgery MH - Glioma/*surgery MH - Humans MH - Magnetic Resonance Imaging MH - Monitoring, Intraoperative/methods MH - Treatment Outcome PMC - PMC4460567 MID - NIHMS681608 OID - NLM: NIHMS681608 [Available on 07/01/16] OID - NLM: PMC4460567 [Available on 07/01/16] EDAT- 2015/06/09 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/09 06:00 PMCR- 2016/07/01 00:00 PHST- 2015/02/23 [aheadofprint] AID - S1053-4296(15)00024-7 [pii] AID - 10.1016/j.semradonc.2015.02.007 [doi] PST - ppublish SO - Semin Radiat Oncol. 2015 Jul;25(3):181-8. doi: 10.1016/j.semradonc.2015.02.007. Epub 2015 Feb 23. PMID- 26050587 OWN - NLM STAT- MEDLINE DA - 20150608 DCOM- 20160307 LR - 20150806 IS - 1532-9461 (Electronic) IS - 1053-4296 (Linking) VI - 25 IP - 3 DP - 2015 Jul TI - Advances in Magnetic Resonance and Positron Emission Tomography Imaging: Assessing Response in the Treatment of Low-Grade Glioma. PG - 172-80 LID - 10.1016/j.semradonc.2015.02.003 [doi] LID - S1053-4296(15)00020-X [pii] AB - Following combined-modality therapy for the treatment of low-grade gliomas, the assessment of treatment response and the evaluation of disease progression are uniformly challenging. In this article, we review existing response criteria, and discuss the limitations of conventional magnetic resonance imaging to distinguish between progression and treatment effect. We review the data on advanced imaging techniques including positron emission tomography and functional magnetic resonance imaging, which may enhance the interpretation of posttreatment changes, and enable the earlier assessment of the efficacy and toxicity of therapy in these patients with prolonged survival. CI - Published by Elsevier Inc. FAU - Kim, Michelle M AU - Kim MM AD - Department of Radiation Oncology, University of Michigan, Ann Arbor, MI. Electronic address: michekim@med.umich.edu. FAU - Lawrence, Theodore S AU - Lawrence TS AD - Department of Radiation Oncology, University of Michigan, Ann Arbor, MI. FAU - Cao, Yue AU - Cao Y AD - Department of Radiation Oncology, University of Michigan, Ann Arbor, MI; Department of Radiology, University of Michigan, Ann Arbor, MI; Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI. LA - eng GR - R01 NS064973/NS/NINDS NIH HHS/United States GR - R01NS064973/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20150221 PL - United States TA - Semin Radiat Oncol JT - Seminars in radiation oncology JID - 9202882 SB - IM MH - Brain/pathology/radionuclide imaging MH - Brain Neoplasms/*pathology/radionuclide imaging/*therapy MH - Glioma/*pathology/radionuclide imaging/*therapy MH - Humans MH - *Magnetic Resonance Imaging MH - *Positron-Emission Tomography MH - Treatment Outcome PMC - PMC4460607 MID - NIHMS681609 OID - NLM: NIHMS681609 [Available on 07/01/16] OID - NLM: PMC4460607 [Available on 07/01/16] EDAT- 2015/06/09 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/09 06:00 PMCR- 2016/07/01 00:00 PHST- 2015/02/21 [aheadofprint] AID - S1053-4296(15)00020-X [pii] AID - 10.1016/j.semradonc.2015.02.003 [doi] PST - ppublish SO - Semin Radiat Oncol. 2015 Jul;25(3):172-80. doi: 10.1016/j.semradonc.2015.02.003. Epub 2015 Feb 21. PMID- 26050585 OWN - NLM STAT- MEDLINE DA - 20150608 DCOM- 20160307 LR - 20150806 IS - 1532-9461 (Electronic) IS - 1053-4296 (Linking) VI - 25 IP - 3 DP - 2015 Jul TI - Molecular Markers in Low-Grade Glioma-Toward Tumor Reclassification. PG - 155-63 LID - 10.1016/j.semradonc.2015.02.006 [doi] LID - S1053-4296(15)00023-5 [pii] AB - Low-grade diffuse gliomas are a heterogeneous group of primary glial brain tumors with highly variable survival. Currently, patients with low-grade diffuse gliomas are stratified into risk subgroups by subjective histopathologic criteria with significant interobserver variability. Several key molecular signatures have emerged as diagnostic, prognostic, and predictor biomarkers for tumor classification and patient risk stratification. In this review, we discuss the effect of the most critical molecular alterations described in diffuse (IDH1/2, 1p/19q codeletion, ATRX, TERT, CIC, and FUBP1) and circumscribed (BRAF-KIAA1549, BRAF(V600E), and C11orf95-RELA fusion) gliomas. These molecular features reflect tumor heterogeneity and have specific associations with patient outcome that determine appropriate patient management. This has led to an important, fundamental shift toward developing a molecular classification of World Health Organization grade II-III diffuse glioma. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Olar, Adriana AU - Olar A AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Sulman, Erik P AU - Sulman EP AD - Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address: epsulman@mdanderson.org. LA - eng GR - 50CA127001/CA/NCI NIH HHS/United States GR - 5T32CA163185/CA/NCI NIH HHS/United States GR - P50 CA127001/CA/NCI NIH HHS/United States GR - R01 CA190121/CA/NCI NIH HHS/United States GR - R01CA190121/CA/NCI NIH HHS/United States GR - T32 CA163185/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20150223 PL - United States TA - Semin Radiat Oncol JT - Seminars in radiation oncology JID - 9202882 RN - 0 (Biomarkers, Tumor) SB - IM MH - Biomarkers, Tumor/*genetics MH - Brain Neoplasms/*genetics MH - Glioma/*genetics MH - Humans PMC - PMC4500036 MID - NIHMS703138 OID - NLM: NIHMS703138 [Available on 07/01/16] OID - NLM: PMC4500036 [Available on 07/01/16] EDAT- 2015/06/09 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/09 06:00 PMCR- 2016/07/01 00:00 PHST- 2015/02/23 [aheadofprint] AID - S1053-4296(15)00023-5 [pii] AID - 10.1016/j.semradonc.2015.02.006 [doi] PST - ppublish SO - Semin Radiat Oncol. 2015 Jul;25(3):155-63. doi: 10.1016/j.semradonc.2015.02.006. Epub 2015 Feb 23. PMID- 26049818 OWN - NLM STAT- MEDLINE DA - 20150608 DCOM- 20160307 IS - 1536-1004 (Electronic) IS - 0899-3459 (Linking) VI - 24 IP - 3 DP - 2015 Jun TI - Imaging of the Posttherapeutic Brain. PG - 147-54 LID - 10.1097/RMR.0000000000000051 [doi] AB - This review covers important topics relating to the imaging evaluation of glioblastoma multiforme after therapy. An overview of the Macdonald and Response Assessment in Neuro-Oncology criteria as well as important questions and limitations regarding their use are provided. Pseudoprogression and pseudoresponse as well as the use of advanced magnetic resonance imaging techniques such as perfusion, diffusion, and spectroscopy in the evaluation of the posttherapeutic brain are also reviewed. FAU - Telles, Bruno A AU - Telles BA AD - From the Division of Neuroradiology, Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA. FAU - D'Amore, Francesco AU - D'Amore F FAU - Lerner, Alexander AU - Lerner A FAU - Law, Meng AU - Law M FAU - Shiroishi, Mark S AU - Shiroishi MS LA - eng GR - KL2TR000131/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Top Magn Reson Imaging JT - Topics in magnetic resonance imaging : TMRI JID - 8913523 RN - 0 (Contrast Media) SB - IM MH - Brain/*pathology MH - Brain Neoplasms/pathology/*therapy MH - Contrast Media MH - Glioblastoma/pathology/*therapy MH - Humans MH - Image Enhancement MH - *Magnetic Resonance Imaging MH - Treatment Outcome EDAT- 2015/06/08 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/08 06:00 AID - 10.1097/RMR.0000000000000051 [doi] AID - 00002142-201506000-00004 [pii] PST - ppublish SO - Top Magn Reson Imaging. 2015 Jun;24(3):147-54. doi: 10.1097/RMR.0000000000000051. PMID- 26048754 OWN - NLM STAT- MEDLINE DA - 20150703 DCOM- 20160325 LR - 20150707 IS - 1748-717X (Electronic) IS - 1748-717X (Linking) VI - 10 DP - 2015 TI - Increased survival with the combination of stereotactic radiosurgery and gefitinib for non-small cell lung cancer brain metastasis patients: a nationwide study in Taiwan. PG - 127 LID - 10.1186/s13014-015-0431-7 [doi] AB - PURPOSE: Whole brain irradiation (WBRT) either with or without resection has historically been the treatment for brain metastases from non-small cell lung cancer (NSCLC). The effect of gamma knife (GK) radiosurgery, chemotherapy, or the combination remains incompletely defined. In this study, we assessed the outcome of brain metastases from non-small cell lung cancer treated by WBRT followed by GK, gefitinib, or the combination of GK and gefitinib. MATERIAL AND METHODS: We retrieved the records of NSCLC patients with brain metastases from the National Health Insurance Research Database (NHIRD) of Taiwan from 2004 to 2010. WBRT either with or without resection was the first line treatment for nearly all patients. The decision to add GK and/or gefitinib treatment was at the discretion of the treating physician and based upon a patient's medical records and imaging data. These patients were classified into four groups including WBRT, WBRT + gefitinib, WBRT + GK, WBRT + gefitinib + GK. These data was evaluated for difference in survival and factors that portended an extended survival from the time of brain metastasis diagnosis. RESULTS: Of the 60194 patients with newly diagnosed NSCLC, 23874 (39.6 %) developed brain metastases. The distribution of patients for the groups was WBRT for 20241, WBRT + gefitinib for 3379, WBRT + GK for 155, and WBRT+ gefitinib + GK for 99 patients. The median survival for the time of brain metastasis diagnosis for WBRT, WBRT+ gefitinib, WBRT+ GK, WBRT+ gefitinib + GK groups was 0.53, 1.01, 1.46, and 2.25 years, respectively (p < 0.0001). The hazard ratio (95 % CI) for survival was 1, 0.56, 0.43, and 0.40, respectively (p < 0.001). The adjusted hazard ratio (95 % CI) by age, sex and Charlson comorbidity index (CCI) was 1, 0.73, 0.49, and 0.42, respectively (p < 0.001). CONCLUSION: Patients with brain metastases from NSCLC receiving GK or gefitinib demonstrated extended survival. The improved survival seen with GK and gefitinib suggests a survival benefit in selected patients receiving the combined treatment. Further Phase II study should be conducted to assessment these influence. FAU - Lin, Ching-Heng AU - Lin CH AD - Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan. joelin99@gmail.com. FAU - Hsu, Kuo-Hsuan AU - Hsu KH AD - Department of Chest Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. vghryan@gmail.com. FAU - Chang, Shih-Ni AU - Chang SN AD - Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan. shihni@vghtc.gov.tw. FAU - Tsou, Hsi-Kai AU - Tsou HK AD - Functional Neurosurgery Division, Neurosurgical Institute, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sec.4, 40705, Taichung, Taiwan. tsouhsikai@gmail.com. FAU - Sheehan, Jason AU - Sheehan J AD - Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA. jps2f@hscmail.mcc.virginia.edu. FAU - Sheu, Meei-Ling AU - Sheu ML AD - Institute of Biomedical Sciences, National Chung-Hsing University, Taichung, Taiwan. mlsheu@nchu.edu.tw. FAU - Pan, Hung-Chuan AU - Pan HC AD - Functional Neurosurgery Division, Neurosurgical Institute, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sec.4, 40705, Taichung, Taiwan. hcpan2003@yahoo.com.tw. AD - Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan. hcpan2003@yahoo.com.tw. LA - eng PT - Comparative Study PT - Evaluation Studies PT - Journal Article DEP - 20150606 PL - England TA - Radiat Oncol JT - Radiation oncology (London, England) JID - 101265111 RN - 0 (Antineoplastic Agents) RN - 0 (Quinazolines) RN - S65743JHBS (gefitinib) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/*therapeutic use MH - Brain Neoplasms/mortality/radiotherapy/*secondary MH - Carcinoma, Non-Small-Cell Lung/genetics/mortality/radiotherapy/*secondary MH - Combined Modality Therapy MH - Comorbidity MH - Female MH - Genes, erbB-1 MH - Humans MH - Kaplan-Meier Estimate MH - Lung Neoplasms/genetics/*pathology/therapy MH - Male MH - Middle Aged MH - Mutation MH - Proportional Hazards Models MH - Quinazolines/*therapeutic use MH - *Radiosurgery MH - Retrospective Studies MH - Taiwan/epidemiology MH - Treatment Outcome PMC - PMC4490645 OID - NLM: PMC4490645 EDAT- 2015/06/07 06:00 MHDA- 2016/03/26 06:00 CRDT- 2015/06/07 06:00 PHST- 2015/03/02 [received] PHST- 2015/05/27 [accepted] PHST- 2015/06/06 [aheadofprint] AID - 10.1186/s13014-015-0431-7 [doi] AID - 10.1186/s13014-015-0431-7 [pii] PST - epublish SO - Radiat Oncol. 2015 Jun 6;10:127. doi: 10.1186/s13014-015-0431-7. PMID- 26038275 OWN - NLM STAT- MEDLINE DA - 20150616 DCOM- 20160307 IS - 1872-6968 (Electronic) IS - 0303-8467 (Linking) VI - 135 DP - 2015 Aug TI - Impact of oligodendroglial component in glioblastoma (GBM-O): Is the outcome favourable than glioblastoma? PG - 46-53 LID - 10.1016/j.clineuro.2015.05.005 [doi] LID - S0303-8467(15)00167-5 [pii] AB - BACKGROUND: Prognosis of patients with glioblastoma with oligodendroglial component (GBM-O) is not well defined. We report our experience of patients of GBM-O treated at our center. METHODS: Between January 2007 and August 2013, out of 817 consecutive patients with glioblastoma (GBM), 74 patients with GBM-O were identified in our prospectively maintained database. An experienced neuropathologist revaluated the histopathology of all these 74 patients and the diagnosis of GBM-O was eventually confirmed in 57 patients. Patients were uniformly treated with maximal safe resection followed by focal radiotherapy with concurrent and adjuvant temozolamide (TMZ). RESULTS: At a median follow up of 16 months, median overall survival (OS) and progression free survival (PFS) of the entire cohort was 23 months and 13 months respectively. Near total excision was performed in 30/57 (52.6%). On univariate analysis, age < 50 years was a significant favourable prognostic factor for OS (p = 0.009) and PFS (p = 0.017), while patients with near total resection had a significantly better PFS (p = 0.017), patients who completed a minimum of 6 cycles of adjuvant TMZ had significantly better OS (p = 0.000) and PFS (p = 0.003). On multivariate analysis, none of the above factors were significant except for patient who had completed a minimum of 6 cycles of TMZ (OS; p = 0.000 & PFS; p = 0.015). A comparative analysis of GBM-O patients with a similarly treated cohort of 105 GBM patients during the same period revealed significantly better median OS in favour of GBM-O (p = 0.01). CONCLUSIONS: Our experience suggests patients with GBM-O have a more favourable clinical outcome as compared to GBM. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Goda, Jayant S AU - Goda JS AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Lewis, Shirley AU - Lewis S AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Agarwal, Aditi AU - Agarwal A AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Epari, Sridhar AU - Epari S AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Churi, Shraddha AU - Churi S AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Padmavati, A AU - Padmavati A AD - Clinical Research Secretariat, ACTREC, Tata Memorial Centre, Kharghar, Navi Mumbai, 410210, India. FAU - Gupta, Tejpal AU - Gupta T AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Shetty, Prakash AU - Shetty P AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Moiyadi, Aliasgar AU - Moiyadi A AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. FAU - Jalali, Rakesh AU - Jalali R AD - Neuro Oncology disease management group, Tata Memorial Centre, Parel, Mumbai 400012, India. Electronic address: rjalali@tmc.gov.in. LA - eng PT - Clinical Study PT - Comparative Study PT - Journal Article DEP - 20150514 PL - Netherlands TA - Clin Neurol Neurosurg JT - Clinical neurology and neurosurgery JID - 7502039 RN - 0 (Antineoplastic Agents, Alkylating) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents, Alkylating/*therapeutic use MH - Brain Neoplasms/pathology/*therapy MH - *Chemoradiotherapy, Adjuvant MH - Dacarbazine/*analogs & derivatives/therapeutic use MH - Disease-Free Survival MH - Female MH - Glioblastoma/pathology/*therapy MH - Humans MH - Karnofsky Performance Status MH - Male MH - Middle Aged MH - Neoplasms, Complex and Mixed/pathology/*therapy MH - *Neurosurgical Procedures MH - Oligodendroglioma/pathology/*therapy MH - Prognosis MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Clinical outcome OT - Glioblastoma OT - Glioblastoma with oligodendroglial component EDAT- 2015/06/04 06:00 MHDA- 2016/03/08 06:00 CRDT- 2015/06/04 06:00 PHST- 2015/03/09 [received] PHST- 2015/04/25 [revised] PHST- 2015/05/07 [accepted] PHST- 2015/05/14 [aheadofprint] AID - S0303-8467(15)00167-5 [pii] AID - 10.1016/j.clineuro.2015.05.005 [doi] PST - ppublish SO - Clin Neurol Neurosurg. 2015 Aug;135:46-53. doi: 10.1016/j.clineuro.2015.05.005. Epub 2015 May 14. PMID- 26032848 OWN - NLM STAT- MEDLINE DA - 20150602 DCOM- 20160310 LR - 20150604 IS - 1746-1596 (Electronic) IS - 1746-1596 (Linking) VI - 10 DP - 2015 TI - High level of Sema3C is associated with glioma malignancy. PG - 58 LID - 10.1186/s13000-015-0298-9 [doi] AB - BACKGROUND: Malignant gliomas are characterized by the tendency of cancerous glial cells to infiltrate into normal brain tissue, thereby complicating targeted treatment of this type of cancer. Recent studies suggested involvement of Sema3C (semaphorin 3C) protein in tumorigenesis and metastasis in a number of cancers. The role of Sema3C in gliomagenesis is currently unclear. In this study, we investigated how expression levels of Sema3C in post-operative glioma tumors are associated with the malignancy grade and the survival of the patient. FINDINGS: Western blot analysis was used for detection of Sema3C protein levels in 84 different grade glioma samples: 12 grade I astrocytomas, 30 grade II astrocytomas, 17 grade III astrocytomas, and 25 grade IV astrocytomas (glioblastomas). Sema3C mRNA levels in gliomas were analysed by real-time PCR. Several statistical methods have been used to investigate associations between Sema3C protein and mRNA levels and clinical variables and survival outcome. The results demonstrated that protein levels of Sema3C were markedly increased in glioblastomas compared to grade I-III astrocytoma tissues and were significantly associated with the shorter overall survival of patients. High accumulation of Sema3C positively associated with the age of patients and pathological grade, but did not correlate with patient's gender. Sema3C mRNA levels showed no association with either grade of glioma or patient survival. CONCLUSIONS: The data presented in this work suggest that the increased levels of Sema3C protein may be associated with the progression of glioma tumor and has a potential as a prognostic marker for outcome of glioma patients. VIRTUAL SLIDES: The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1564066714158642. FAU - Vaitkiene, Paulina AU - Vaitkiene P AD - Laboratory of Neurooncology and Genetics, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, LT 50009, Lithuania. paulina.vaitkiene@gmail.com. FAU - Skiriute, Daina AU - Skiriute D AD - Laboratory of Neurooncology and Genetics, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, LT 50009, Lithuania. dainski@gmail.com. FAU - Steponaitis, Giedrius AU - Steponaitis G AD - Laboratory of Neurooncology and Genetics, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, LT 50009, Lithuania. giedrius.steponaitis@gmail.com. FAU - Skauminas, Kestutis AU - Skauminas K AD - Laboratory of Neurooncology and Genetics, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, LT 50009, Lithuania. kestutis.skauminas@lsmuni.lt. FAU - Tamasauskas, Arimantas AU - Tamasauskas A AD - Laboratory of Neurooncology and Genetics, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, LT 50009, Lithuania. arimantas.tamasauskas@kaunoklinikos.lt. FAU - Kazlauskas, Arunas AU - Kazlauskas A AD - Laboratory of Neurooncology and Genetics, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, LT 50009, Lithuania. arunas.kazlauskas@lsmuni.lt. LA - eng PT - Journal Article DEP - 20150602 PL - England TA - Diagn Pathol JT - Diagnostic pathology JID - 101251558 RN - 0 (Biomarkers, Tumor) RN - 0 (RNA, Messenger) RN - 0 (Sema3C protein, human) RN - 0 (Semaphorins) SB - IM MH - Biomarkers, Tumor/*analysis/genetics MH - Blotting, Western MH - Brain Neoplasms/*chemistry/genetics/mortality/pathology/surgery MH - Disease Progression MH - Female MH - Glioma/*chemistry/genetics/mortality/pathology/surgery MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Predictive Value of Tests MH - Proportional Hazards Models MH - RNA, Messenger/analysis MH - Real-Time Polymerase Chain Reaction MH - Risk Factors MH - Semaphorins/*analysis/genetics MH - Treatment Outcome MH - Up-Regulation PMC - PMC4450827 OID - NLM: PMC4450827 EDAT- 2015/06/03 06:00 MHDA- 2016/03/11 06:00 CRDT- 2015/06/03 06:00 PHST- 2015/01/29 [received] PHST- 2015/05/12 [accepted] PHST- 2015/06/02 [aheadofprint] AID - 10.1186/s13000-015-0298-9 [doi] AID - 10.1186/s13000-015-0298-9 [pii] PST - epublish SO - Diagn Pathol. 2015 Jun 2;10:58. doi: 10.1186/s13000-015-0298-9. PMID- 26026669 OWN - NLM STAT- MEDLINE DA - 20150615 DCOM- 20160314 IS - 0035-3787 (Print) IS - 0035-3787 (Linking) VI - 171 IP - 6-7 DP - 2015 Jun-Jul TI - Input of molecular analysis in medical management of primary brain tumor patients. PG - 457-65 LID - 10.1016/j.neurol.2015.04.002 [doi] LID - S0035-3787(15)00745-6 [pii] AB - Primary brain tumors comprise a large group of malignant and non-malignant tumors including heterogeneous entities with various biological and clinical behaviors. Up till recently, diagnosis of brain cancers, that drives treatment decision-making, was based on integration of clinical, radiological and pathological features of patients and tumors. Over the last years, practical neuro-oncology has entered an era of molecular-based personalized medicine. Indeed, molecular features of tumors provide critical information to physicians for daily clinical management of patients and for design of relevant clinical research. Sporadic gliomas or glial tumors are the most common primary brain tumors in adults. Recently, their medical management has been revolutionized by molecular data. Indeed, optimal therapeutic management of grade III glioma patients now requires assessment of chromosome arms 1p/19q copy number and IDH mutational statuses as predictive and prognostic biomarkers. Indeed, two large phase III clinical trials have demonstrated that early chemotherapy plus radiotherapy, versus radiotherapy alone, doubles median overall survival of patients suffering from 1p/19q co-deleted and/or IDH mutated anaplastic oligodendroglial tumor. Interestingly, both biomarkers have been identified in a large proportion of WHO grade II gliomas. Their clinical value, in this population, is under investigation through multiple phase III clinical trials. In sporadic WHO grade I gliomas, and specifically in pilocytic astrocytomas, MAPK signaling pathway activation is a frequent event, mainly due to genetic alterations involving BRAF gene. This characteristic opens new therapeutic perspectives using MAPK signaling pathway inhibitors. Finally, in the most aggressive gliomas, WHO grade IV gliomas, two critical biomarkers have been identified: (i) MGMT promoter methylation associated with longer survival and better response to chemotherapy and (ii) IDH mutations predicting better prognosis. Although, further studies are needed, MGMT promoter methylation will undoubtedly be transferred soon to clinical practice. Molecular characteristics are beginning to be valuable and indispensable in neuro-oncology for better management of brain tumors patients. The near future will be marked by identification of novel molecular biomarkers and their validation for clinical practice. CI - Copyright (c) 2015 Elsevier Masson SAS. All rights reserved. FAU - Idbaih, A AU - Idbaih A AD - AP-HP, Hopital Universitaire La Pitie-Salpetriere, Service de neurologie 2-Mazarin, 47-83, boulevard de l'Hopital, 75013 Paris, France; Sorbonne Universites, UPMC Universite Paris 06, UM 75, ICM, 47, boulevard de l'Hopital, 75013 Paris, France; Inserm, U 1127, ICM, 47, boulevard de l'Hopital, 75013 Paris, France; CNRS, UMR 7225, ICM, 47, boulevard de l'Hopital, 75013 Paris, France; ICM, 47, boulevard de l'Hopital, 75013 Paris, France. Electronic address: ahmed.idbaih@gmail.com. FAU - Duran-Pena, A AU - Duran-Pena A AD - AP-HP, Hopital Universitaire La Pitie-Salpetriere, Service de neurologie 2-Mazarin, 47-83, boulevard de l'Hopital, 75013 Paris, France; Sorbonne Universites, UPMC Universite Paris 06, UM 75, ICM, 47, boulevard de l'Hopital, 75013 Paris, France; Inserm, U 1127, ICM, 47, boulevard de l'Hopital, 75013 Paris, France; CNRS, UMR 7225, ICM, 47, boulevard de l'Hopital, 75013 Paris, France; ICM, 47, boulevard de l'Hopital, 75013 Paris, France. FAU - Bonnet, C AU - Bonnet C AD - Service de Neuro-oncologie, Hopital Neurologique, Hospices Civils de Lyon, 3, quai des Celestins, 69002 Lyon, France; Universite Claude-Bernard Lyon 1, 43, boulevard du 11 Novembre 1918, 69100 Villeurbanne, France. FAU - Ducray, F AU - Ducray F AD - Service de Neuro-oncologie, Hopital Neurologique, Hospices Civils de Lyon, 3, quai des Celestins, 69002 Lyon, France; Universite Claude-Bernard Lyon 1, 43, boulevard du 11 Novembre 1918, 69100 Villeurbanne, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150527 PL - France TA - Rev Neurol (Paris) JT - Revue neurologique JID - 2984779R RN - 0 (Biomarkers, Tumor) SB - IM MH - Biomarkers, Tumor/genetics MH - Brain Neoplasms/*genetics/pathology/*therapy MH - Glioma/*genetics/pathology/*therapy MH - Humans MH - Prognosis OTO - NOTNLM OT - Biomarker OT - Biomarqueur OT - Brain tumor OT - Glioma OT - Gliome OT - Traitement OT - Treatment OT - Tumeur cerebrale EDAT- 2015/06/01 06:00 MHDA- 2016/03/15 06:00 CRDT- 2015/06/01 06:00 PHST- 2015/01/04 [received] PHST- 2015/03/22 [revised] PHST- 2015/04/10 [accepted] PHST- 2015/05/27 [aheadofprint] AID - S0035-3787(15)00745-6 [pii] AID - 10.1016/j.neurol.2015.04.002 [doi] PST - ppublish SO - Rev Neurol (Paris). 2015 Jun-Jul;171(6-7):457-65. doi: 10.1016/j.neurol.2015.04.002. Epub 2015 May 27. PMID- 26018870 OWN - NLM STAT- MEDLINE DA - 20150528 DCOM- 20160310 LR - 20160107 IS - 1472-6750 (Electronic) IS - 1472-6750 (Linking) VI - 15 DP - 2015 TI - Ligation-anchored PCR unveils immune repertoire of TCR-beta from whole blood. PG - 39 LID - 10.1186/s12896-015-0153-9 [doi] AB - BACKGROUND: As one of the genetic mechanisms for adaptive immunity, V(D)J recombination generates an enormous repertoire of T-cell receptors (TCRs). With the development of high-throughput sequencing techniques, systematic exploration of V(D)J recombination becomes possible. Multiplex PCR has been previously developed to assay immune repertoire; however, the use of primer pools leads to inherent biases in target amplification. In our study, we developed a "single-primer" ligation-anchored PCR method that may amplify the repertoire with much less biases. RESULTS: By utilizing a universal primer paired with a single primer targeting the conserved constant region, we amplified TCR-beta (TRB) variable regions from total RNA extracted from blood. Next-generation sequencing libraries were then prepared for Illumina HiSeq 2500 sequencer, which generates 151-bp read length to cover the entire V(D)J recombination region. We evaluated this approach on blood samples from healthy donors and from patients with malignant and benign meningiomas. Mapping of sequencing data showed that 64% to 96% of mapped TCRV-containing reads belong to TRB subtype. An increased usage of specific V segments and V-J pairing were observed in malignant meningiomas samples. The CDR3 sequences of the expanded V-J pairs were distinct in each malignant individual, even for pairing of TRBV7-3 with TRBJ2-2 that showed increased usage in both cases. CONCLUSIONS: We demonstrated the technical feasibility and effectiveness of ligation-anchored PCR approach in capturing the TCR-beta landscapes. Further development of this technology may enable a comprehensive delineation of immune repertoire, including other forms of TCRs as well as immunoglobulins. FAU - Gao, Fan AU - Gao F AD - Zilkha Neurogenetic Institute, University of Southern California, 1501 San Pablo Street, Los Angeles, CA, 90089, USA. fangao@mit.edu. AD - Current address: The Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Boston, MA, 02139, USA. fangao@mit.edu. FAU - Wang, Kai AU - Wang K AD - Zilkha Neurogenetic Institute, University of Southern California, 1501 San Pablo Street, Los Angeles, CA, 90089, USA. kaiwang@usc.edu. AD - Department of Psychiatry, University of Southern California, Los Angeles, CA, 90089, USA. kaiwang@usc.edu. LA - eng GR - R01 HG006465/HG/NHGRI NIH HHS/United States GR - R01 HG006465/HG/NHGRI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150528 PL - England TA - BMC Biotechnol JT - BMC biotechnology JID - 101088663 RN - 0 (DNA Primers) RN - 0 (Immunoglobulin Variable Region) RN - 0 (Receptors, Antigen, T-Cell, alpha-beta) RN - 63231-63-0 (RNA) SB - IM MH - Base Sequence MH - DNA Primers MH - Female MH - Humans MH - Immunoglobulin Variable Region/blood/*genetics/isolation & purification MH - Male MH - Meningioma/*genetics/immunology/pathology MH - Polymerase Chain Reaction/methods MH - RNA/blood/*genetics/isolation & purification MH - Receptors, Antigen, T-Cell, alpha-beta/blood/*genetics MH - T-Lymphocytes/immunology PMC - PMC4446965 OID - NLM: PMC4446965 EDAT- 2015/05/29 06:00 MHDA- 2016/03/11 06:00 CRDT- 2015/05/29 06:00 PHST- 2014/05/20 [received] PHST- 2015/04/22 [accepted] PHST- 2015/05/28 [aheadofprint] AID - 10.1186/s12896-015-0153-9 [doi] AID - 10.1186/s12896-015-0153-9 [pii] PST - epublish SO - BMC Biotechnol. 2015 May 28;15:39. doi: 10.1186/s12896-015-0153-9. PMID- 25997422 OWN - NLM STAT- MEDLINE DA - 20150605 DCOM- 20160303 IS - 1872-8332 (Electronic) IS - 0169-5002 (Linking) VI - 89 IP - 1 DP - 2015 Jul TI - Prophylactic cranial irradiation (PCI). Still a no-brainer? PG - 4-7 LID - 10.1016/j.lungcan.2015.04.006 [doi] LID - S0169-5002(15)00205-6 [pii] AB - Although prophylactic cranial irradiation (PCI) has been the standard of practice for patients successfully treated for limited stage small cell lung cancer for decades, subsequent changes in patient selection, updated brain imaging guidelines, an increased understanding of the mechanisms underlying the deleterious effects of whole brain irradiation as well as ongoing investigations into improving radiation treatment delivery have begun to question the current role of PCI. Who should be treated and how? This review attempts to gather together evidence for improving patient selection and describe potential improvements in treatment delivery. CI - Copyright (c) 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved. FAU - Davey, Phillip AU - Davey P AD - Odette Cancer Centre, Toronto, Ontario, Canada; Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Department of Radiation Oncology, University of Toronto. Electronic address: Phil.Davey@sunnybrook.ca. FAU - Ennis, Marguerite AU - Ennis M AD - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Aviv, Richard AU - Aviv R AD - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Department of Medical Imaging, University of Toronto. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150425 PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 SB - IM MH - Brain Neoplasms/*prevention & control/secondary MH - *Cranial Irradiation/adverse effects MH - Humans MH - Lung Neoplasms/*pathology MH - Practice Guidelines as Topic MH - Randomized Controlled Trials as Topic MH - Small Cell Lung Carcinoma/*prevention & control/secondary OTO - NOTNLM OT - PCI small cell lung cancer EDAT- 2015/05/23 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/05/23 06:00 PHST- 2015/01/31 [received] PHST- 2015/03/30 [revised] PHST- 2015/04/20 [accepted] PHST- 2015/04/25 [aheadofprint] AID - S0169-5002(15)00205-6 [pii] AID - 10.1016/j.lungcan.2015.04.006 [doi] PST - ppublish SO - Lung Cancer. 2015 Jul;89(1):4-7. doi: 10.1016/j.lungcan.2015.04.006. Epub 2015 Apr 25. PMID- 25976296 OWN - NLM STAT- MEDLINE DA - 20150710 DCOM- 20160317 IS - 1433-2981 (Electronic) IS - 0936-6555 (Linking) VI - 27 IP - 8 DP - 2015 Aug TI - A Prospective Randomised Phase III Clinical Trial Testing the Role of Prophylactic Cranial Radiotherapy in Patients Treated with Trastuzumab for Metastatic Breast Cancer - Anglo Celtic VII. PG - 460-4 LID - 10.1016/j.clon.2015.04.033 [doi] LID - S0936-6555(15)00191-0 [pii] AB - A high incidence of central nervous system (CNS) metastases has been reported in patients with HER2-positive tumours receiving trastuzumab therapy for metastatic breast cancer. This study tested whether prophylactic cranial irradiation (PCI) could reduce the incidence of CNS metastases in this setting. This was a prospective, randomised phase III trial. Patients were randomised 1:1 to no PCI or PCI delivered at around 6 weeks after study entry. Cognitive function was assessed prospectively. In total, 51 patients were randomised over a 3 year period; 25 received PCI and 26 did not. The cumulative incidence of CNS metastases at 2 years was 32.4% (standard error = 9.8%) on the no PCI arm and 21.0% (standard error = 8.6%) on the PCI arm; the associated hazard ratio was 0.57 (95% confidence interval 0.18-1.74; P = 0.32). There was no evidence of cognitive dysfunction in PCI patients. CI - Crown Copyright (c) 2015. Published by Elsevier Ltd. All rights reserved. FAU - Canney, P AU - Canney P AD - Department of Clinical Oncology, Beatson West of Scotland Cancer Centre, Glasgow, UK. Electronic address: pg.canney@me.com. FAU - Murray, E AU - Murray E AD - NHS Ayrshire & Arran, Psychological Service, Irvine, UK. FAU - Dixon-Hughes, J AU - Dixon-Hughes J AD - Cancer Research UK Clinical Trials Unit, Beatson West of Scotland Cancer Centre, Glasgow, UK. FAU - Lewsley, L-A AU - Lewsley LA AD - Cancer Research UK Clinical Trials Unit, Beatson West of Scotland Cancer Centre, Glasgow, UK. FAU - Paul, J AU - Paul J AD - NHS Ayrshire & Arran, Psychological Service, Irvine, UK. LA - eng GR - C19480/A6379/Cancer Research UK/United Kingdom GR - C973/A9894/Cancer Research UK/United Kingdom PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150511 PL - England TA - Clin Oncol (R Coll Radiol) JT - Clinical oncology (Royal College of Radiologists (Great Britain)) JID - 9002902 RN - 0 (Antineoplastic Agents) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antineoplastic Agents/therapeutic use MH - Brain Neoplasms/metabolism/*radiotherapy/secondary MH - Breast Neoplasms/*drug therapy/metabolism/pathology MH - Chemoprevention MH - *Cranial Irradiation MH - Female MH - Humans MH - Prospective Studies MH - Receptor, ErbB-2/biosynthesis MH - Trastuzumab/therapeutic use OTO - NOTNLM OT - Breast cancer OT - CNS metastases OT - HER2 positive OT - radiotherapy EDAT- 2015/05/16 06:00 MHDA- 2016/03/18 06:00 CRDT- 2015/05/16 06:00 PHST- 2014/09/23 [received] PHST- 2015/04/11 [revised] PHST- 2015/04/23 [accepted] PHST- 2015/05/11 [aheadofprint] AID - S0936-6555(15)00191-0 [pii] AID - 10.1016/j.clon.2015.04.033 [doi] PST - ppublish SO - Clin Oncol (R Coll Radiol). 2015 Aug;27(8):460-4. doi: 10.1016/j.clon.2015.04.033. Epub 2015 May 11. PMID- 25972456 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160316 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Gauging heterogeneity in primary versus recurrent glioblastoma. PG - 907-9 LID - 10.1093/neuonc/nov078 [doi] FAU - Niclou, Simone P AU - Niclou SP AD - NorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, Luxembourg and K.G. Jebsen Brain Tumor Research Center, Department of Biomedicine, University of Bergen, Norway. LA - eng PT - Comment PT - Editorial DEP - 20150512 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - EC 2.7.10.1 (Receptor, Epidermal Growth Factor) SB - IM CON - Neuro Oncol. 2015 Jul;17(7):935-41. PMID: 25691693 MH - Brain Neoplasms/*genetics MH - Female MH - Glioblastoma/*genetics MH - Humans MH - Male MH - Neoplasm Recurrence, Local/*metabolism MH - Receptor, Epidermal Growth Factor/*genetics/*metabolism EDAT- 2015/05/15 06:00 MHDA- 2016/03/17 06:00 CRDT- 2015/05/15 06:00 PHST- 2015/05/12 [aheadofprint] AID - nov078 [pii] AID - 10.1093/neuonc/nov078 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):907-9. doi: 10.1093/neuonc/nov078. Epub 2015 May 12. PMID- 25971646 OWN - NLM STAT- MEDLINE DA - 20150710 DCOM- 20160317 IS - 1433-2981 (Electronic) IS - 0936-6555 (Linking) VI - 27 IP - 8 DP - 2015 Aug TI - FISHing Tips: What Every Clinician Should Know About 1p19q Analysis in Gliomas Using Fluorescence in situ Hybridisation. PG - 445-53 LID - 10.1016/j.clon.2015.04.008 [doi] LID - S0936-6555(15)00162-4 [pii] AB - 1p19q co-deletion is a chromosomal alteration associated with primary brain tumours of oligodendroglial histology. It is an established predictive and prognostic biomarker that informs whether patients are offered radiotherapy, chemotherapy or both. In the near future, 1p19q co-deletion status may also be incorporated into the reclassification of gliomas. Analysis is commonly carried out using fluorescence in situ hybridisation (FISH) because it is a reliable and validated laboratory technique. The result is generally considered to be dichotomous (1p19q co-deletion present or absent), but there are subtleties in interpretation that are of clinical relevance. Separate centres may interpret certain chromosome deletion patterns differently. Pivotal trials in mixed and pure anaplastic oligodendrogliomas have used slightly different FISH probe ratios as the cut-off for chromosome deletion. Here we review the clinical implications of this variability and review the process of 1p19q co-deletion assessment using FISH in gliomas from a clinician's perspective. We also consider common alternative methods of analysis. CI - Copyright (c) 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved. FAU - Pinkham, M B AU - Pinkham MB AD - Clinical Oncology, Christie NHS Foundation Trust, Manchester, UK; School of Medicine, University of Queensland, Brisbane, Australia. Electronic address: Mark.pinkham@trinity.oxon.org. FAU - Telford, N AU - Telford N AD - Oncology Cytogenetics, Christie NHS Foundation Trust, Manchester, UK. FAU - Whitfield, G A AU - Whitfield GA AD - Clinical Oncology, Christie NHS Foundation Trust, Manchester, UK; The University of Manchester, Manchester Academic Health Science Centre, Christie NHS Foundation Trust, Manchester, UK. FAU - Colaco, R J AU - Colaco RJ AD - Clinical Oncology, Christie NHS Foundation Trust, Manchester, UK. FAU - O'Neill, F AU - O'Neill F AD - Oncology Cytogenetics, Christie NHS Foundation Trust, Manchester, UK. FAU - McBain, C A AU - McBain CA AD - Clinical Oncology, Christie NHS Foundation Trust, Manchester, UK. LA - eng PT - Journal Article PT - Review DEP - 20150510 PL - England TA - Clin Oncol (R Coll Radiol) JT - Clinical oncology (Royal College of Radiologists (Great Britain)) JID - 9002902 SB - IM MH - Brain Neoplasms/*genetics/therapy MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 1/*genetics MH - Chromosomes, Human, Pair 19/*genetics MH - Glioma/*genetics/therapy MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Prognosis OTO - NOTNLM OT - 1p19q OT - fluorescence in situ hybridisation (FISH) OT - glioma OT - oligodendroglioma OT - polysomy OT - review EDAT- 2015/05/15 06:00 MHDA- 2016/03/18 06:00 CRDT- 2015/05/15 06:00 PHST- 2015/01/27 [received] PHST- 2015/04/01 [revised] PHST- 2015/04/07 [accepted] PHST- 2015/05/10 [aheadofprint] AID - S0936-6555(15)00162-4 [pii] AID - 10.1016/j.clon.2015.04.008 [doi] PST - ppublish SO - Clin Oncol (R Coll Radiol). 2015 Aug;27(8):445-53. doi: 10.1016/j.clon.2015.04.008. Epub 2015 May 10. PMID- 25964312 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160316 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Dasatinib in recurrent glioblastoma: failure as a teacher. PG - 910-1 LID - 10.1093/neuonc/nov086 [doi] FAU - Schiff, David AU - Schiff D AD - University of Virginia Neuro-Oncology Center, Charlottesville, Virginia (D.S.); Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota (J.S.). FAU - Sarkaria, Jann AU - Sarkaria J AD - University of Virginia Neuro-Oncology Center, Charlottesville, Virginia (D.S.); Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota (J.S.). LA - eng PT - Comment PT - Editorial DEP - 20150510 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antineoplastic Agents) RN - RBZ1571X5H (Dasatinib) SB - IM CON - Neuro Oncol. 2015 Jul;17(7):992-8. PMID: 25758746 MH - Antineoplastic Agents/*therapeutic use MH - Brain Neoplasms/*drug therapy MH - Dasatinib/*therapeutic use MH - Glioblastoma/*drug therapy MH - Humans MH - Male EDAT- 2015/05/13 06:00 MHDA- 2016/03/17 06:00 CRDT- 2015/05/13 06:00 PHST- 2015/03/17 [received] PHST- 2015/03/19 [accepted] PHST- 2015/05/10 [aheadofprint] AID - nov086 [pii] AID - 10.1093/neuonc/nov086 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):910-1. doi: 10.1093/neuonc/nov086. Epub 2015 May 10. PMID- 25963856 OWN - NLM STAT- MEDLINE DA - 20150710 DCOM- 20160317 IS - 1433-2981 (Electronic) IS - 0936-6555 (Linking) VI - 27 IP - 8 DP - 2015 Aug TI - Long-term Results of a Survey of Prolonged Adjuvant Treatment with Temozolomide in Patients with Glioblastoma (SV3 Study). PG - 486-7 LID - 10.1016/j.clon.2015.04.003 [doi] LID - S0936-6555(15)00136-3 [pii] FAU - Rivoirard, R AU - Rivoirard R AD - Department of Medical Oncology, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Falk, A T AU - Falk AT AD - Department of Radiation Oncology, Centre Antoine Lacassagne, Nice, France. FAU - Chargari, C AU - Chargari C AD - Department of Medical Oncology and Radiotherapy, Val-de-Grace, Paris, France. FAU - Guy, J-B AU - Guy JB AD - Department of Radiotherapy, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Mery, B AU - Mery B AD - Department of Medical Oncology, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Nuti, C AU - Nuti C AD - Department of Neurosurgery, CHU Saint Etienne, Saint Priest en Jarez, France. FAU - Peoc'h, M AU - Peoc'h M AD - Anatomopathology Laboratory, CHU Saint Etienne, Saint Priest en Jarez, France. FAU - Forest, F AU - Forest F AD - Anatomopathology Laboratory, CHU Saint Etienne, Saint Priest en Jarez, France. FAU - Garin, C AU - Garin C AD - Department of Radiotherapy, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Adjabi, A AU - Adjabi A AD - Department of Radiotherapy, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Hoarau, D AU - Hoarau D AD - Department of Radiotherapy, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Kawaye, S AU - Kawaye S AD - Department of Medical Oncology, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Almokhles, H AU - Almokhles H AD - Department of Radiotherapy, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Fournel, P AU - Fournel P AD - Department of Medical Oncology, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. FAU - Magne, N AU - Magne N AD - Department of Radiotherapy, Institut de Cancerologie Lucien Neuwirth, Saint Priest en Jarez, France. LA - eng PT - Letter DEP - 20150508 PL - England TA - Clin Oncol (R Coll Radiol) JT - Clinical oncology (Royal College of Radiologists (Great Britain)) JID - 9002902 RN - 0 (Antineoplastic Agents, Alkylating) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) SB - IM MH - Antineoplastic Agents, Alkylating/*therapeutic use MH - Brain Neoplasms/diagnosis/*drug therapy/mortality/therapy MH - Chemoradiotherapy MH - Dacarbazine/*analogs & derivatives/therapeutic use MH - Glioblastoma/diagnosis/*drug therapy/mortality/therapy MH - Health Care Surveys MH - Humans MH - Middle Aged MH - Retrospective Studies MH - Survival Analysis EDAT- 2015/05/13 06:00 MHDA- 2016/03/18 06:00 CRDT- 2015/05/13 06:00 PHST- 2015/03/23 [received] PHST- 2015/04/14 [accepted] PHST- 2015/05/08 [aheadofprint] AID - S0936-6555(15)00136-3 [pii] AID - 10.1016/j.clon.2015.04.003 [doi] PST - ppublish SO - Clin Oncol (R Coll Radiol). 2015 Aug;27(8):486-7. doi: 10.1016/j.clon.2015.04.003. Epub 2015 May 8. PMID- 25954994 OWN - NLM STAT- MEDLINE DA - 20150611 DCOM- 20160318 IS - 1791-2431 (Electronic) IS - 1021-335X (Linking) VI - 34 IP - 1 DP - 2015 Jul TI - Microarray analysis of the aberrant microRNA expression pattern in gliomas of different grades. PG - 318-24 LID - 10.3892/or.2015.3953 [doi] AB - Previous studies have focused on miRNA expression in brain gliomas. However, both the expression pattern of miRNAs in gliomas of different grades and various miRNAs involved in malignant progression of gliomas are poorly understood. In the present study, we used miRNA microarray-based screening to investigate the miRNA expression profile in gliomas, which was further verified by qRT-PCR in selected miRNAs. In total, we found 13 differentially expressed miRNAs between gliomas and their matched surrounding tissues. Among them, 12 miRNAs were upregulated and only one (miR-4489) was downregulated compared with the control. Furthermore, the lower expression level of miR-4489 was confirmed by qRT-PCR in 26 glioma samples. Our microarray result revealed 8, 9 and 15 aberrantly expressed miRNAs in gliomas of World Health Organization (WHO) grade II-IV, respectively. Gene Ontology (GO) and Pathway analysis indicated that target genes of the 13 miRNAs were significantly enriched in central nervous system- and tumor-related biological processes and signaling pathways. The dysregulated miRNAs identified in the present study contribute to the tumorigenesis and malignant progression of gliomas and may serve as useful markers for advanced glioma pathological grading and prognosis. FAU - Zhu, Xiao-Peng AU - Zhu XP AD - Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Mou, Ke-Jie AU - Mou KJ AD - Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Xu, Qing-Fu AU - Xu QF AD - Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Tang, Jun-Hai AU - Tang JH AD - Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Huang, Guo-Hao AU - Huang GH AD - Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Xu, Jian-Ping AU - Xu JP AD - Department of Pathology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Li, Guang-Hui AU - Li GH AD - Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Ai, Si-Jin AU - Ai SJ AD - Department of Neurosurgery, China People's Liberation Army No. 94 Hospital, Nanchang, Jiangxi 330026, P.R. China. FAU - Hugnot, Jean-Phillippe AU - Hugnot JP AD - INSERM U1051, Institut des Neurosciences de Montpellier, 34091 Montpellier, France. FAU - Zhou, Zheng AU - Zhou Z AD - Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. FAU - Lv, Sheng-Qing AU - Lv SQ AD - Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150506 PL - Greece TA - Oncol Rep JT - Oncology reports JID - 9422756 RN - 0 (MicroRNAs) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Brain Neoplasms/*genetics/pathology MH - Cell Transformation, Neoplastic/genetics MH - Child MH - Child, Preschool MH - Disease Progression MH - Female MH - Gene Expression Regulation, Neoplastic MH - Gene Regulatory Networks/*genetics MH - Glioma/*genetics/pathology MH - Humans MH - Male MH - MicroRNAs/*biosynthesis/genetics MH - Microarray Analysis MH - Middle Aged MH - Neoplasm Grading MH - Prognosis EDAT- 2015/05/09 06:00 MHDA- 2016/03/19 06:00 CRDT- 2015/05/09 06:00 PHST- 2015/01/23 [received] PHST- 2015/04/17 [accepted] PHST- 2015/05/06 [aheadofprint] AID - 10.3892/or.2015.3953 [doi] PST - ppublish SO - Oncol Rep. 2015 Jul;34(1):318-24. doi: 10.3892/or.2015.3953. Epub 2015 May 6. PMID- 25934816 OWN - NLM STAT- MEDLINE DA - 20150704 DCOM- 20160324 LR - 20150708 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 8 DP - 2015 Aug TI - Toward precision medicine in glioblastoma: the promise and the challenges. PG - 1051-63 LID - 10.1093/neuonc/nov031 [doi] AB - Integrated sequencing strategies have provided a broader understanding of the genomic landscape and molecular classifications of multiple cancer types and have identified various therapeutic opportunities across cancer subsets. Despite pivotal advances in the characterization of genomic alterations in glioblastoma, targeted agents have shown minimal efficacy in clinical trials to date, and patient survival remains poor. In this review, we highlight potential reasons why targeting single alterations has yielded limited clinical efficacy in glioblastoma, focusing on issues of tumor heterogeneity and pharmacokinetic failure. We outline strategies to address these challenges in applying precision medicine to glioblastoma and the rationale for applying targeted combination therapy approaches that match genomic alterations with compounds accessible to the central nervous system. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Prados, Michael D AU - Prados MD AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Byron, Sara A AU - Byron SA AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Tran, Nhan L AU - Tran NL AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Phillips, Joanna J AU - Phillips JJ AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Molinaro, Annette M AU - Molinaro AM AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Ligon, Keith L AU - Ligon KL AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Wen, Patrick Y AU - Wen PY AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Kuhn, John G AU - Kuhn JG AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Mellinghoff, Ingo K AU - Mellinghoff IK AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - de Groot, John F AU - de Groot JF AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Colman, Howard AU - Colman H AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Cloughesy, Timothy F AU - Cloughesy TF AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Chang, Susan M AU - Chang SM AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Ryken, Timothy C AU - Ryken TC AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Tembe, Waibhav D AU - Tembe WD AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Kiefer, Jeffrey A AU - Kiefer JA AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Berens, Michael E AU - Berens ME AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Craig, David W AU - Craig DW AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Carpten, John D AU - Carpten JD AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). FAU - Trent, Jeffrey M AU - Trent JM AD - University of California San Francisco, San Francisco, California (M.D.P, J.J.P., A.M.M., S.M.C.); Translational Genomics Research Institute, Phoenix, Arizona (S.A.B., N.L.T., W.D.T., J.A.K., M.E.B., D.W.C., J.D.C., J.M.T.); Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts (K.L.L., P.Y.W.); University of Texas Health Science Center, San Antonio, Texas (J.G.K.); Memorial Sloan-Kettering Cancer Center, New York, New York (I.K.M.); The University of Texas M.D. Anderson Cancer Center, Houston, Texas (J.F.d.G.); University of Utah Huntsman Cancer Institute, Salt Lake City, Utah (H.C.); University of California Los Angeles, Los Angeles, California (T.F.C.); Iowa Spine and Brain Institute, Waterloo, Iowa (T.C.R.). LA - eng GR - P50 CA097257/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150501 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antineoplastic Agents) SB - IM MH - Antineoplastic Agents/pharmacokinetics/*therapeutic use MH - Brain Neoplasms/*drug therapy/genetics/metabolism MH - Clinical Trials as Topic MH - Glioblastoma/*drug therapy/genetics/metabolism MH - Humans MH - Molecular Targeted Therapy/trends MH - Mutation MH - Precision Medicine/*trends PMC - PMC4490873 OID - NLM: PMC4490873 [Available on 08/01/16] OTO - NOTNLM OT - clinical trial OT - genomics OT - glioblastoma OT - precision medicine OT - targeted therapy EDAT- 2015/05/03 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/05/03 06:00 PMCR- 2016/08/01 00:00 PHST- 2014/12/12 [received] PHST- 2015/02/15 [accepted] PHST- 2015/05/01 [aheadofprint] AID - nov031 [pii] AID - 10.1093/neuonc/nov031 [doi] PST - ppublish SO - Neuro Oncol. 2015 Aug;17(8):1051-63. doi: 10.1093/neuonc/nov031. Epub 2015 May 1. PMID- 25933582 OWN - NLM STAT- MEDLINE DA - 20150716 DCOM- 20160316 IS - 1873-4626 (Electronic) IS - 1091-255X (Linking) VI - 19 IP - 8 DP - 2015 Aug TI - Variations in Metastasis Site by Primary Location in Colon Cancer. PG - 1522-7 LID - 10.1007/s11605-015-2837-9 [doi] AB - OBJECTIVE: The purpose of this paper is to determine whether sites of distant recurrence are associated with specific locations of primary disease in colon cancer. METHODS: A cohort including all patients (n = 947) undergoing a segmental colonic resection for colon cancer at our center (2004-2011) comparing site-specific metastatic presentation and recurrence rates, as well as their respective multivariable American Joint Committee on Cancer (AJCC) stage-adjusted hazard ratios (mHR). RESULTS: Right-sided colectomies (n = 557) had a lower overall metastasis rate (24.8% vs. 31.8%; P = 0.017; mHR = 1.24 [95% CI: 0.96-1.60]; P = 0.011) due to significantly lower pulmonary metastasis in follow-up (2.7% vs. 9%; P < 0.001; mHR = 0.32 [95% CI: 0.17-0.58]; P = 0.001) and lower overall liver metastasis rate (15.6 vs. 22.1%; P = 0.012; mHR = 0.74 [95% CI: 0.55-0.99];P = 0.050). Left colectomies (n = 127) had higher rates of liver metastasis during follow-up (9.4% vs. 4.8%; P = 0.029; mHR = 1.64 [95% CI: 0.86-3.15]; P = 0.134). Sigmoid resections (n = 238) had higher baseline rates of liver metastasis (17.1% vs. 11.3%; P = 0.015) and higher cumulative rates of lung (12.2% vs. 5.4%; P < 0.001; mHR = 2.26 [95% CI: 1.41-3.63]; P = 0.001) and brain metastases (2.3% vs. 0.6%; P = 0.033; mHR = 4.03 [95% CI: 1.14-14.3]; P = 0.031). Other sites of metastasis, including the (retro) peritoneum, omentum, ovary, and bone, did not yield significant differences. CONCLUSIONS: Important variations in site-specific rates of metastatic disease exist within major resection regions of colon cancer. These variations may be important to consider when evaluating options for adjuvant treatment and surveillance after resection of the primary disease. FAU - Amri, Ramzi AU - Amri R AD - Division of General and Gastrointestinal Surgery, Massachusetts General Hospital and Harvard Medical School, 15 Parkman Street, Boston, MA, 02114, USA. FAU - Bordeianou, Liliana G AU - Bordeianou LG FAU - Sylla, Patricia AU - Sylla P FAU - Berger, David L AU - Berger DL LA - eng GR - 8UL1TR000170-05/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150502 PL - United States TA - J Gastrointest Surg JT - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract JID - 9706084 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*secondary MH - Cohort Studies MH - Colectomy MH - Colon, Ascending/*pathology/surgery MH - Colon, Descending/*pathology/surgery MH - Colon, Transverse/*pathology/surgery MH - Colonic Neoplasms/*pathology/surgery MH - Databases, Factual MH - Female MH - Follow-Up Studies MH - Humans MH - Liver Neoplasms/*secondary MH - Lung Neoplasms/*secondary MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/surgery MH - Proportional Hazards Models MH - Prospective Studies MH - Sigmoid Neoplasms/pathology/surgery EDAT- 2015/05/03 06:00 MHDA- 2016/03/17 06:00 CRDT- 2015/05/03 06:00 PHST- 2015/03/07 [received] PHST- 2015/04/21 [accepted] PHST- 2015/05/02 [aheadofprint] AID - 10.1007/s11605-015-2837-9 [doi] PST - ppublish SO - J Gastrointest Surg. 2015 Aug;19(8):1522-7. doi: 10.1007/s11605-015-2837-9. Epub 2015 May 2. PMID- 25930064 OWN - NLM STAT- MEDLINE DA - 20150819 DCOM- 20160323 IS - 1524-4040 (Electronic) IS - 0148-396X (Linking) VI - 77 IP - 3 DP - 2015 Sep TI - Neurocognitive Function in Newly Diagnosed Low-grade Glioma Patients Undergoing Surgical Resection With Awake Mapping Techniques. PG - 371-9; discussion 379 LID - 10.1227/NEU.0000000000000779 [doi] AB - BACKGROUND: Low-grade glioma (LGG) patients have increased life expectancy, so interest is high in the treatments that maximize cognition and quality of life. OBJECTIVE: To examine presurgical baseline cognitive deficits in a case series of LGG patients and determine cognitive effects of surgical resection with awake mapping. METHODS: We retrospectively assessed neurological deficits, subjective concerns from patient or caregiver, and cognitive deficits at baseline and postsurgery for 22 patients with newly diagnosed LGG who underwent baseline neuropsychological evaluation and magnetic resonance imaging before awake surgical resection with mapping. Twelve of the 22 patients returned for postoperative evaluation approximately 7 months after surgery. RESULTS: At baseline, 92% of patients/caregivers reported changes in cognition or mood. Neurological examinations and Montreal Cognitive Assessment Scale scores were largely normal; however, on many tests of memory and language, nearly half of individuals showed deficits. After surgery, 45% had no deficits on neurological examination, whereas 55% had only transient or mild difficulties. Follow-up neuropsychological testing found most performances stable to improved, particularly in language, although some patients showed declines on memory tasks. CONCLUSION: Most LGG patients in this series presented with normal neurological examinations and cognitive screening, but showed subjective cognitive and mood concerns and cognitive decline on neuropsychological testing, suggesting the importance of comprehensive evaluation. After awake mapping, language tended to be preserved, but memory demonstrated decline in some patients. These results highlight the importance of establishing a cognitive baseline before surgical resection and further suggest that awake mapping techniques provide reasonable language outcomes in individuals with LGG in eloquent regions. FAU - Racine, Caroline A AU - Racine CA AD - *Department of Neurological Surgery, University of California at San Francisco, San Francisco, California; double daggerDepartment of Epidemiology & Biostatistics, University of California at San Francisco, San Francisco, California. FAU - Li, Jing AU - Li J FAU - Molinaro, Annette M AU - Molinaro AM FAU - Butowski, Nicholas AU - Butowski N FAU - Berger, Mitchel S AU - Berger MS LA - eng PT - Journal Article PL - United States TA - Neurosurgery JT - Neurosurgery JID - 7802914 SB - IM MH - Adult MH - Aged MH - Brain Mapping/*methods MH - Brain Neoplasms/*psychology/surgery MH - Cognition MH - Female MH - Glioma/*psychology/surgery MH - Humans MH - Language MH - Magnetic Resonance Imaging MH - Male MH - Memory MH - Middle Aged MH - Neuropsychological Tests MH - Neurosurgical Procedures/*methods MH - *Quality of Life MH - Retrospective Studies MH - Wakefulness MH - Young Adult EDAT- 2015/05/02 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/05/02 06:00 AID - 10.1227/NEU.0000000000000779 [doi] PST - ppublish SO - Neurosurgery. 2015 Sep;77(3):371-9; discussion 379. doi: 10.1227/NEU.0000000000000779. PMID- 25924923 OWN - NLM STAT- MEDLINE DA - 20150613 DCOM- 20160308 IS - 1421-9867 (Electronic) IS - 0012-2823 (Linking) VI - 91 IP - 4 DP - 2015 TI - Tumor and Patient Characteristics of Individuals with Mismatch Repair Deficient Colorectal Cancer. PG - 286-93 LID - 10.1159/000381284 [doi] AB - AIMS: To investigate tumor and patient characteristics of individuals with mismatch repair (MMR)-deficient colorectal carcinomas. METHODS: We immunhistochemically investigated tissue samples of 307 consecutive patients with colorectal cancer for defects in DNA MMR proteins (hMLH1, hMSH2, hMSH6, hPMS2) and those with mutations further for microsatellite instability (MSI) and BRAF V600E mutations. RESULTS: 32/308 (10.4%) tumors showed MMR deficiency. Seventy five percent (n = 24) had loss of hMLH1 and hPMS2 expression, 3% (n = 1) of hPMS2 alone, 18.8% (n = 6) of hMSH6 and hMSH2, 3% (n = 1) of hMSH2 alone. All MMR-deficient tumors showed high MSI. These tumors occurred preferably in the right-sided colon, in women and showed specific histological features. We obtained the family history of 18/32 patients; 2 (11.1%) met Amsterdam Criteria, 5 (27.8%) Bethesda Guidelines and 6 (33.3%) revised Bethesda Guidelines. BRAF V600E mutations were found in 16 (67%) of hMLH1 and none of the hMSH2 deficient tumors. CONCLUSION: We suggest using immunhistochemical testing of tumor tissues with subsequent MSI analysis, which may be justified as a screening method for MMR deficiency in colorectal cancer, since it identifies patients with possibly hereditary defects and unalike response to chemotherapy. FAU - Waldmann, Elisabeth AU - Waldmann E AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria. FAU - Ferlitsch, Monika AU - Ferlitsch M FAU - Binder, Nicolas AU - Binder N FAU - Sellner, Franz AU - Sellner F FAU - Karner, Josef AU - Karner J FAU - Heinisch, Birgit AU - Heinisch B FAU - Klimpfinger, Martin AU - Klimpfinger M FAU - Trauner, Michael AU - Trauner M LA - eng PT - Journal Article DEP - 20150428 PL - Switzerland TA - Digestion JT - Digestion JID - 0150472 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (DNA-Binding Proteins) RN - 0 (MLH1 protein, human) RN - 0 (Nuclear Proteins) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 3.6.1.- (Adenosine Triphosphatases) RN - EC 3.6.1.- (PMS2 protein, human) RN - EC 3.6.1.3 (MSH2 protein, human) RN - EC 3.6.1.3 (MutS Homolog 2 Protein) RN - EC 6.5.1.- (DNA Repair Enzymes) RN - Turcot syndrome SB - IM MH - Adaptor Proteins, Signal Transducing/genetics MH - Adenosine Triphosphatases/genetics MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*genetics/pathology MH - Colorectal Neoplasms/*genetics/pathology MH - DNA Repair Enzymes/genetics MH - DNA-Binding Proteins/genetics MH - Female MH - Genetic Predisposition to Disease/genetics MH - Humans MH - Immunohistochemistry MH - Male MH - Microsatellite Instability MH - Middle Aged MH - MutS Homolog 2 Protein/genetics MH - Mutation MH - Neoplastic Syndromes, Hereditary/*genetics/pathology MH - Nuclear Proteins/genetics MH - Proto-Oncogene Proteins B-raf/genetics EDAT- 2015/05/01 06:00 MHDA- 2016/03/10 06:00 CRDT- 2015/05/01 06:00 PHST- 2014/12/15 [received] PHST- 2015/02/21 [accepted] PHST- 2015/04/28 [aheadofprint] AID - 000381284 [pii] AID - 10.1159/000381284 [doi] PST - ppublish SO - Digestion. 2015;91(4):286-93. doi: 10.1159/000381284. Epub 2015 Apr 28. PMID- 25917339 OWN - NLM STAT- MEDLINE DA - 20151117 DCOM- 20160229 IS - 1826-6983 (Electronic) IS - 0033-8362 (Linking) VI - 120 IP - 12 DP - 2015 Dec TI - The treatment of patients with 1-3 brain metastases: is there a place for whole brain radiotherapy alone, yet? A retrospective analysis. PG - 1146-52 LID - 10.1007/s11547-015-0542-0 [doi] AB - AIM: To evaluate the efficacy of whole brain radiotherapy (WBRT) with or without other treatments in patients (pts) with 1-3 brain metastases (BM). MATERIALS AND METHODS: Toxicities and survival of 134 pts treated between 2009 and 2013 with WBRT alone (58 pts), WBRT plus surgery (SUR-WBRT: 42 pts) or WBRT followed by stereotactic or integrated boost radiotherapy (SRT-WBRT: 34 pts) were analyzed. Differences in toxicity (acute and late) incidence and in overall (OS), disease-free (DFS) and disease-specific survival (DSS) were evaluated (chi(2)-test, uni- and multivariate analysis). RESULTS: Pts given intensified treatments (SUR- and SBRT-WBRT) had better 3-month local response compared to WBRT alone group (p < 0.045). Better 1-year local control was evident only in SRT-WBRT pts (p < 0.035). Univariate OS analysis confirmed, as favorable prognostic factors, RPA class I (p < 0.001), GPA class III and IV (p < 0.001), single metastasis (p = 0.045), stable primary disease (p = 0.03), intensified treatment (p = 0.000), systemic therapy after radiotherapy (p = 0.04) and response of metastatic lesions (p = 0.002). At multivariate analysis, OS was better in RPA class I pts (p = 0.002), who had more aggressive radiotherapy treatments (p = 0.001), chemotherapy after radiotherapy (p < 0.001) and response to RT (p = 0.003). Response to radiotherapy (p = 0.002) and BM number (p < 0.001) resulted independently prognostic for DFS. About 60 % of patients had mild acute toxicity (G1), especially headache (51 %) and fatigue (34 %); only 2 patients (2 %) had severe (G3) headache and 5 patients (4 %) severe fatigue (G3) reversible with oral steroids. No differences were evident between the different treatment groups. Among 80 pts followed up with MRI, 12 (15 %) had leukoencephalopathy (equally distributed across subgroups) and 5 (6 %) radionecroses, 4/5 asymptomatic, 5/5 in pts given intensified treatments. CONCLUSIONS: This analysis confirms the known prognostic factors for BM, emphasizing the importance of intensified treatments in a population with favorable features. FAU - Buglione, Michela AU - Buglione M AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. michela.buglione@unibs.it. FAU - Pedretti, Sara AU - Pedretti S AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Gipponi, Stefano AU - Gipponi S AD - Neurology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Buttolo, Luciano AU - Buttolo L AD - Neurosurgery Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Panciani, Paolo AU - Panciani P AD - Neurosurgery Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Poliani, Pietro Luigi AU - Poliani PL AD - Pathology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Liserre, Roberto AU - Liserre R AD - Neuroradiology Department, Spedali Civili Hospital Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Borghetti, Paolo AU - Borghetti P AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Pegurri, Ludovica AU - Pegurri L AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Costa, Loredana AU - Costa L AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Triggiani, Luca AU - Triggiani L AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Pasinetti, Nadia AU - Pasinetti N AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Ghirardelli, Paolo AU - Ghirardelli P AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Pandini, Sara AU - Pandini S AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Padovani, Alessandro AU - Padovani A AD - Neurology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. FAU - Magrini, Stefano Maria AU - Magrini SM AD - Radiation Oncology Department, Spedali Civili Hospital, Brescia University, P.le Spedali Civili 1, 25123, Brescia, Italy. CN - Neuro-Oncology Group, Spedali Civili Hospital and Brescia University LA - eng PT - Journal Article DEP - 20150428 PL - Italy TA - Radiol Med JT - La Radiologia medica JID - 0177625 SB - IM MH - Brain Neoplasms/mortality/*radiotherapy/*secondary MH - Humans MH - Multivariate Analysis MH - Retrospective Studies OTO - NOTNLM OT - Brain metastases OT - Prognostic factors OT - Radiotherapy OT - Stereotactic radiotherapy OT - Surgery OT - Survival EDAT- 2015/04/29 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/04/29 06:00 PHST- 2015/02/22 [received] PHST- 2015/04/16 [accepted] PHST- 2015/04/28 [aheadofprint] AID - 10.1007/s11547-015-0542-0 [doi] AID - 10.1007/s11547-015-0542-0 [pii] PST - ppublish SO - Radiol Med. 2015 Dec;120(12):1146-52. doi: 10.1007/s11547-015-0542-0. Epub 2015 Apr 28. PMID- 25916669 OWN - NLM STAT- MEDLINE DA - 20150626 DCOM- 20160323 IS - 1743-1328 (Electronic) IS - 0161-6412 (Linking) VI - 37 IP - 8 DP - 2015 Aug TI - Risk of surgical site infection in 401 consecutive patients with glioblastoma with and without carmustine wafer implantation. PG - 717-26 LID - 10.1179/1743132815Y.0000000042 [doi] AB - OBJECTIVES: Patients with glioblastoma (GBM) have an inherently shortened survival because of their disease. It has been recently shown that carmustine wafers in addition to other therapies (surgery, temozolomide, and radiation) can further extend survival. There is concern, however, that these therapies may increase infection risk. The goals of this study were to calculate the incidence of postoperative infection, evaluate if carmustine wafers changes the risk of infection and identify factors independently associated with an infection following GBM surgery. METHODS: All patients who underwent non-biopsy, surgical resection of an intracranial GBM from 2007 to 2011 at a single institution were retrospectively reviewed. Stepwise multivariate proportional hazards regression analysis was used to identify factors associated with infection, including the use of carmustine wafers. Variables with P < 0.05 were considered statistically significant. RESULTS: Four hundred and one patients underwent resection of an intracranial GBM during the reviewed period, and 21 (5%) patients developed an infection at a median time of 40 [28-286] days following surgery. The incidence of infection was not higher in patients who had carmustine wafers, and this remained true in multivariate analyses to account for differences in treatment cohorts. The factors that remained significantly associated with an increased risk of infection were prior surgery [RR (95% CI); 2.026 (1.473-4.428), P = 0.01], diabetes mellitus [RR (95% CI); 6.090 (1.380-9.354)], P = 0.02], and increasing duration of hospital stay [RR (95% CI); 1.048 (1.006-1.078); P = 0.02], where the greatest risk occurred with hospital stays > 5 days [RR (95% CI); 3.904 (1.003-11.620), P = 0.05]. DISCUSSION: These findings may help guide treatment regimens aimed at minimizing infection for patients with GBM. FAU - Chaichana, Kaisorn L AU - Chaichana KL FAU - Kone, Lyonell AU - Kone L FAU - Bettegowda, Chetan AU - Bettegowda C FAU - Weingart, Jon D AU - Weingart JD FAU - Olivi, Alessandro AU - Olivi A FAU - Lim, Michael AU - Lim M FAU - Quinones-Hinojosa, Alfredo AU - Quinones-Hinojosa A FAU - Gallia, Gary L AU - Gallia GL FAU - Brem, Henry AU - Brem H LA - eng PT - Journal Article DEP - 20150428 PL - England TA - Neurol Res JT - Neurological research JID - 7905298 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Drug Implants) RN - U68WG3173Y (Carmustine) SB - IM MH - Antineoplastic Agents, Alkylating/*administration & dosage/adverse effects MH - Brain/drug effects/surgery MH - Brain Neoplasms/epidemiology/*therapy MH - Carmustine/*administration & dosage/adverse effects MH - Combined Modality Therapy MH - Comorbidity MH - Drug Implants/administration & dosage/adverse effects MH - Female MH - Follow-Up Studies MH - Glioblastoma/epidemiology/*therapy MH - Humans MH - Male MH - Middle Aged MH - Neurosurgical Procedures/adverse effects MH - Retrospective Studies MH - Risk MH - Surgical Wound Infection/*epidemiology MH - Tertiary Care Centers OTO - NOTNLM OT - Carmustine (Gliadel) wafers, OT - Glioblastoma (GBM), OT - Infection, OT - Risk, OT - Surgery EDAT- 2015/04/29 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/04/29 06:00 PHST- 2015/04/28 [aheadofprint] AID - 10.1179/1743132815Y.0000000042 [doi] PST - ppublish SO - Neurol Res. 2015 Aug;37(8):717-26. doi: 10.1179/1743132815Y.0000000042. Epub 2015 Apr 28. PMID- 25910842 OWN - NLM STAT- MEDLINE DA - 20150704 DCOM- 20160325 LR - 20150708 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 8 DP - 2015 Aug TI - Predictive imaging marker of bevacizumab efficacy: perfusion MRI. PG - 1046-7 LID - 10.1093/neuonc/nov067 [doi] FAU - Pope, Whitney B AU - Pope WB AD - Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California. LA - eng PT - Comment PT - Editorial DEP - 20150424 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Angiogenesis Inhibitors) RN - 2S9ZZM9Q9V (Bevacizumab) SB - IM CON - Neuro Oncol. 2015 Aug;17(8):1139-47. PMID: 25754089 CIN - Neuro Oncol. 2015 Nov;17(11):1538-9. PMID: 26361983 CIN - Neuro Oncol. 2015 Nov;17(11):1539-40. PMID: 26453577 MH - Angiogenesis Inhibitors/*therapeutic use MH - Bevacizumab/*therapeutic use MH - Brain Neoplasms/*diagnosis/*drug therapy MH - Cerebral Cortex/*blood supply MH - Female MH - Glioblastoma/*diagnosis/*drug therapy MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male PMC - PMC4490878 OID - NLM: PMC4490878 [Available on 08/01/16] EDAT- 2015/04/26 06:00 MHDA- 2016/03/26 06:00 CRDT- 2015/04/26 06:00 PMCR- 2016/08/01 00:00 PHST- 2015/03/17 [received] PHST- 2015/03/19 [accepted] PHST- 2015/04/24 [aheadofprint] AID - nov067 [pii] AID - 10.1093/neuonc/nov067 [doi] PST - ppublish SO - Neuro Oncol. 2015 Aug;17(8):1046-7. doi: 10.1093/neuonc/nov067. Epub 2015 Apr 24. PMID- 25910841 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Does lung cancer mutation status and targeted therapy predict for outcomes and local control in the setting of brain metastases treated with radiation? PG - 1022-8 LID - 10.1093/neuonc/nov043 [doi] AB - BACKGROUND: We investigated effects of genetic alterations in epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), and Kirsten rat sarcoma viral oncogene homolog (KRAS) on overall survival (OS) and local control after stereotactic radiosurgery for brain metastases in non-small cell lung cancer (NSCLC). METHODS: A cohort of 89 out of 262 NSCLC patients (2003-2013) treated with gamma knife radiosurgery for brain metastases had genotyping available and were selected as our study population. RESULTS: Median follow-up was 12 months. Median OS rates for the EGFR, KRAS, echinoderm microtubule-associated protein-like 4 (EML4)-ALK mutated, and wild-type cohorts were 17, 7, 27, and 12 months, respectively (P = .019), and for targeted versus nontargeted therapy 21 and 11 months, respectively (P = .071). Targeted therapy was a strong predictor of increased OS on univariate (P = .037) and multivariate (P = .022) analysis. Gender, primary tumor controlled status, recursive partitioning analysis class, and graded prognostic assessment score were associated with OS (P < .05). On multivariate analysis, positive EGFR mutational status was a highly significant predictor for decreased survival (hazard ratio: 8.2; 95% CI: 2.0-33.7; P = .003). However, when we recategorized EGFR-mutant cases based on whether they received tyrosine kinase inhibitor, OS was no longer significantly shorter (hazard ratio: 1.5; P = .471). Median OS for patients with and without local failure was 17 and 12 months, respectively (P = .577). Local failure rates for EGFR, KRAS, EML4-ALK mutated, and wild-type cohorts by lesion were 8.7%, 5.4%, 4.3%, and 5.1%, respectively. CONCLUSIONS: This study suggests that EGFR tyrosine kinase mutation and ALK translocation results in improved survival to targeted therapies and that mutation status itself does not predict survival and local control in patients with brain metastases from NSCLC. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Wang, Tony J C AU - Wang TJ AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Saad, Shumaila AU - Saad S AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Qureshi, Yasir H AU - Qureshi YH AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Jani, Ashish AU - Jani A AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Nanda, Tavish AU - Nanda T AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Yaeh, Andrew M AU - Yaeh AM AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Rozenblat, Tzlil AU - Rozenblat T AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Sisti, Michael B AU - Sisti MB AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Bruce, Jeffrey N AU - Bruce JN AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - McKhann, Guy M AU - McKhann GM AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Lesser, Jeraldine AU - Lesser J AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Halmos, Balazs AU - Halmos B AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Stoopler, Mark B AU - Stoopler MB AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Lassman, Andrew B AU - Lassman AB AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Cheng, Simon K AU - Cheng SK AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. FAU - Isaacson, Steven R AU - Isaacson SR AD - Department of Radiation Oncology (T.J.C.W., S.S., A.J., T.N., A.M.Y., T.R., J.L., S.K.C., S.R.I.); Herbert Irving Comprehensive Cancer Center (T.J.C.W., M.B.Si., J.N.B., G.M.M., B.H., M.B.St., A.B.L., S.K.C., S.R.I.); The Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Y.H.Q.); Department of Neurological Surgery (M.B.Si., J.N.B., G.M.M.); Department of Neurology (A.B.L.); and Division of Hematology/Oncology (B.H., M.B.St.), Columbia University Medical Center, New York, New York. LA - eng PT - Journal Article DEP - 20150424 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Cell Cycle Proteins) RN - 0 (KRAS protein, human) RN - 0 (Microtubule-Associated Proteins) RN - 62229-50-9 (Epidermal Growth Factor) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (anaplastic lymphoma kinase) RN - EC 3.4.21.- (EML4 protein, human) RN - EC 3.4.21.- (Serine Endopeptidases) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*genetics/mortality/*radiotherapy/secondary MH - Carcinoma, Non-Small-Cell Lung/*genetics/pathology MH - Cell Cycle Proteins/genetics MH - Epidermal Growth Factor/genetics MH - Female MH - Humans MH - Lung Neoplasms/*genetics/pathology MH - Male MH - Microtubule-Associated Proteins/genetics MH - Middle Aged MH - Mutation MH - Proportional Hazards Models MH - Proto-Oncogene Proteins p21(ras)/genetics MH - Radiosurgery MH - Receptor Protein-Tyrosine Kinases/genetics MH - Serine Endopeptidases/genetics OTO - NOTNLM OT - brain metastases OT - mutations OT - non-small cell lung cancer OT - stereotactic radiosurgery OT - targeted therapy EDAT- 2015/04/26 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/04/26 06:00 PHST- 2014/11/30 [received] PHST- 2015/02/24 [accepted] PHST- 2015/04/24 [aheadofprint] AID - nov043 [pii] AID - 10.1093/neuonc/nov043 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):1022-8. doi: 10.1093/neuonc/nov043. Epub 2015 Apr 24. PMID- 25907361 OWN - NLM STAT- MEDLINE DA - 20150619 DCOM- 20160322 LR - 20160226 IS - 1098-1004 (Electronic) IS - 1059-7794 (Linking) VI - 36 IP - 7 DP - 2015 Jul TI - Further Confirmation of Germline Glioma Risk Variant rs78378222 in TP53 and Its Implication in Tumor Tissues via Integrative Analysis of TCGA Data. PG - 684-8 LID - 10.1002/humu.22799 [doi] AB - We confirmed strong association of rs78378222:A>C (per allele odds ratio [OR] = 3.14; P = 6.48 x 10(-11) ), a germline rare single-nucleotide polymorphism (SNP) in TP53, via imputation of a genome-wide association study of glioma (1,856 cases and 4,955 controls). We subsequently performed integrative analyses on the Cancer Genome Atlas (TCGA) data for GBM (glioblastoma multiforme) and LUAD (lung adenocarcinoma). Based on SNP data, we imputed genotypes for rs78378222 and selected individuals carrying rare risk allele (C). Using RNA sequencing data, we observed aberrant transcripts with approximately 3 kb longer than normal for those individuals. Using exome sequencing data, we further showed that loss of haplotype carrying common protective allele (A) occurred somatically in GBM but not in LUAD. Our bioinformatic analysis suggests rare risk allele (C) disrupts mRNA termination, and an allelic loss of a genomic region harboring common protective allele (A) occurs during tumor initiation or progression for glioma. CI - (c) 2015 WILEY PERIODICALS, INC. FAU - Wang, Zhaoming AU - Wang Z AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. AD - Cancer Genomics Research Laboratory, Leidos Biomedical Research Inc, Gaithersburg, Maryland. FAU - Rajaraman, Preetha AU - Rajaraman P AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Melin, Beatrice S AU - Melin BS AD - Department of Radiation Sciences, Oncology, Umea University, Umea, Sweden. FAU - Chung, Charles C AU - Chung CC AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. AD - Cancer Genomics Research Laboratory, Leidos Biomedical Research Inc, Gaithersburg, Maryland. FAU - Zhang, Weijia AU - Zhang W AD - Department of Medicine Bioinformatics Core, Icahn School of Medicine at Mount Sinai, New York, New York. FAU - McKean-Cowdin, Roberta AU - McKean-Cowdin R AD - Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California. FAU - Michaud, Dominique AU - Michaud D AD - Department of Epidemiology, Division of Biology and Medicine, Brown University, Providence, Rhode Island. AD - School of Public Health, Imperial College London, London, UK. FAU - Yeager, Meredith AU - Yeager M AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. AD - Cancer Genomics Research Laboratory, Leidos Biomedical Research Inc, Gaithersburg, Maryland. FAU - Ahlbom, Anders AU - Ahlbom A AD - Division of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Albanes, Demetrius AU - Albanes D AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Andersson, Ulrika AU - Andersson U AD - Department of Radiation Sciences, Oncology, Umea University, Umea, Sweden. FAU - Freeman, Laura E Beane AU - Freeman LE AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Buring, Julie E AU - Buring JE AD - Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. FAU - Butler, Mary Ann AU - Butler MA AD - National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio. FAU - Carreon, Tania AU - Carreon T AD - National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio. FAU - Feychting, Maria AU - Feychting M AD - Division of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Gapstur, Susan M AU - Gapstur SM AD - Epidemiology Research Program, American Cancer Society, Atlanta, Georgia. FAU - Gaziano, J Michael AU - Gaziano JM AD - Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. AD - Massachusetts Veteran's Epidemiology, Research and Information Center, Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, Massachusetts. FAU - Giles, Graham G AU - Giles GG AD - Cancer Epidemiology Centre, Cancer Council of Victoria, Melbourne, Australia. AD - Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology, University of Melbourne, Melbourne, Australia. FAU - Hallmans, Goran AU - Hallmans G AD - Department of Public Health and Clinical Medicine/Nutritional Research, Umea University, Umea, Sweden. FAU - Henriksson, Roger AU - Henriksson R AD - Department of Radiation Sciences, Oncology, Umea University, Umea, Sweden. FAU - Hoffman-Bolton, Judith AU - Hoffman-Bolton J AD - Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. FAU - Inskip, Peter D AU - Inskip PD AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Kitahara, Cari M AU - Kitahara CM AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Marchand, Loic Le AU - Marchand LL AD - Cancer Research Center, University of Hawaii, Honolulu, Hawaii. FAU - Linet, Martha S AU - Linet MS AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Li, Shengchao AU - Li S AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. AD - Cancer Genomics Research Laboratory, Leidos Biomedical Research Inc, Gaithersburg, Maryland. FAU - Peters, Ulrike AU - Peters U AD - Fred Hutchinson Cancer Research Center, Seattle, Washington. AD - Department of Epidemiology, University of Washington, Seattle, Washington. FAU - Purdue, Mark P AU - Purdue MP AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Rothman, Nathaniel AU - Rothman N AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Ruder, Avima M AU - Ruder AM AD - National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio. FAU - Sesso, Howard D AU - Sesso HD AD - Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. FAU - Severi, Gianluca AU - Severi G AD - Cancer Epidemiology Centre, Cancer Council of Victoria, Melbourne, Australia. AD - Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology, University of Melbourne, Melbourne, Australia. FAU - Stampfer, Meir AU - Stampfer M AD - Channing Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. AD - Departments of Epidemiology and Nutrition, Harvard School of Public Health, Boston, Massachusetts. FAU - Stevens, Victoria L AU - Stevens VL AD - Epidemiology Research Program, American Cancer Society, Atlanta, Georgia. FAU - Visvanathan, Kala AU - Visvanathan K AD - Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. AD - Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland. FAU - Wang, Sophia S AU - Wang SS AD - Division of Cancer Etiology, Department of Population Sciences, City of Hope and the Beckman Research Institute, Duarte, California. FAU - White, Emily AU - White E AD - Fred Hutchinson Cancer Research Center, Seattle, Washington. AD - Department of Epidemiology, University of Washington, Seattle, Washington. FAU - Zeleniuch-Jacquotte, Anne AU - Zeleniuch-Jacquotte A AD - Division of Epidemiology, Department of Environmental Medicine, NYU School of Medicine, New York, New York. FAU - Hoover, Robert AU - Hoover R AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Fraumeni, Joseph F AU - Fraumeni JF AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Chatterjee, Nilanjan AU - Chatterjee N AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Hartge, Patricia AU - Hartge P AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. FAU - Chanock, Stephen J AU - Chanock SJ AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. LA - eng GR - N01-CO-12400/CO/NCI NIH HHS/United States GR - P30 CA006973/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20150518 PL - United States TA - Hum Mutat JT - Human mutation JID - 9215429 RN - 0 (Tumor Suppressor Protein p53) RN - Adenocarcinoma of lung SB - IM MH - Adenocarcinoma/genetics MH - Adult MH - Central Nervous System Neoplasms/*genetics MH - Computational Biology MH - Databases, Nucleic Acid MH - Genome-Wide Association Study/statistics & numerical data MH - Glioblastoma/genetics MH - Glioma/*genetics MH - Humans MH - Lung Neoplasms/genetics MH - Middle Aged MH - *Polymorphism, Single Nucleotide MH - Risk MH - Tumor Suppressor Protein p53/*genetics PMC - PMC4750473 MID - NIHMS756848 OID - NLM: NIHMS756848 OID - NLM: PMC4750473 OTO - NOTNLM OT - TCGA OT - TP53 OT - glioma OT - rare SNP EDAT- 2015/04/25 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/04/25 06:00 PHST- 2015/01/07 [received] PHST- 2015/04/08 [accepted] PHST- 2015/05/18 [aheadofprint] AID - 10.1002/humu.22799 [doi] PST - ppublish SO - Hum Mutat. 2015 Jul;36(7):684-8. doi: 10.1002/humu.22799. Epub 2015 May 18. PMID- 25901754 OWN - NLM STAT- MEDLINE DA - 20150611 DCOM- 20160303 IS - 1791-3004 (Electronic) IS - 1791-2997 (Linking) VI - 12 IP - 2 DP - 2015 Aug TI - Screening of differentially expressed genes associated with human glioblastoma and functional analysis using a DNA microarray. PG - 1991-6 LID - 10.3892/mmr.2015.3659 [doi] AB - Glioblastoma multiforme (GBM) is the most malignant type of human glioma, and has a poor prognosis. Screening differentially expressed genes (DEGs) in brain tumor samples and normal brain samples is of importance for identifying GBM and to design specific-targeting drugs. The transcriptional profile of GSE30563, containing three genechips of brain tumor samples and three genechips of normal brain samples, was downloaded from Gene Expression Omnibus to identify the DEGs. The differences in the expression of the DEGs in the two different samples were compared through hierarchical biclustering. The co-expression coefficient of the DEGs was calculated using the information from COXPRESdb, the network of the DEGs was constructed and functional enrichment and pathway analysis were performed. Finally, the transcription factors of important DEGs were predicted. A total of 1,006 DEGs, including 368 upregulated and 638 downregulated DEGs, were identified. A close correlation was demonstrated between six important genes, associated with immune response, HLA-DQB1, HLA-DRB1, HLA-DPA1, HLA-B, HLA-DMA and HLA-DRA, and the immune response. Allograft rejection was selected as the most significant pathway. A total of 17 transcription factors, including nuclear factor (NF)-kappaB and NF-kappaB1, and their binding sites containing these six DEGs, were also identified. The DEGs, including major histocompatibility complex (MHC) class II, DQbeta1, MHC class II, DRbeta1, MHC class IB, MHC class II, DMalpha, MHC class II, DPalpha1, MHC class II, DRalpha, may provide novel targets for the diagnosis and treatment of GBM. The transcription factors of these six genes and their binding sites may also provide evidence and direction for identifying target-specific drugs. FAU - Wang, Lina AU - Wang L AD - Department of Ophthalmology, ChinaJapan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China. FAU - Wei, Bo AU - Wei B AD - Department of Neurosurgery, ChinaJapan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China. FAU - Hu, Guozhang AU - Hu G AD - Department of Emergency Medicine, ChinaJapan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China. FAU - Wang, Le AU - Wang L AD - Department of Ophthalmology, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China. FAU - Bi, Miaomiao AU - Bi M AD - Department of Ophthalmology, ChinaJapan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China. FAU - Sun, Zhigang AU - Sun Z AD - Department of Neurosurgery, ChinaJapan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China. FAU - Jin, Ying AU - Jin Y AD - Department of Neurology, Institute of Jilin Oilfield General Hospital, Changchun, Jilin 131200, P.R. China. LA - eng PT - Journal Article DEP - 20150422 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (HLA-B Antigens) RN - 0 (HLA-D Antigens) RN - 0 (HLA-DM antigens) RN - 0 (HLA-DP alpha-Chains) RN - 0 (HLA-DPA1 antigen) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) RN - 0 (HLA-DR alpha-Chains) RN - 0 (HLA-DRB1 Chains) RN - 0 (Transcription Factors) SB - IM MH - Brain/metabolism/pathology MH - Brain Neoplasms/*genetics/pathology MH - Gene Expression Profiling MH - *Gene Expression Regulation, Neoplastic MH - Gene Regulatory Networks MH - Glioblastoma/*genetics/pathology MH - HLA-B Antigens/genetics MH - HLA-D Antigens/genetics MH - HLA-DP alpha-Chains/genetics MH - HLA-DQ beta-Chains/genetics MH - HLA-DR alpha-Chains/genetics MH - HLA-DRB1 Chains/genetics MH - Humans MH - Oligonucleotide Array Sequence Analysis MH - Transcription Factors/genetics EDAT- 2015/04/23 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/04/23 06:00 PHST- 2014/06/26 [received] PHST- 2015/03/10 [accepted] PHST- 2015/04/22 [aheadofprint] AID - 10.3892/mmr.2015.3659 [doi] PST - ppublish SO - Mol Med Rep. 2015 Aug;12(2):1991-6. doi: 10.3892/mmr.2015.3659. Epub 2015 Apr 22. PMID- 25895030 OWN - NLM STAT- MEDLINE DA - 20150520 DCOM- 20160317 LR - 20150719 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 12 DP - 2015 Apr 30 TI - Valproic acid promotes radiosensitization in meningioma stem-like cells. PG - 9959-69 AB - Although meningioma stem-like cells have been isolated and characterized, their therapeutic targeting remains a challenge. Meningioma sphere cells (MgSCs) with cancer stem cells properties show chemo- and radioresistance in comparison with meningioma adherent cells (MgACs). We tested the effect of valproic acid (VPA), a commonly used anti-epileptic drug, which passes the blood brain barrier, on cultured MgSCs. VPA reduced the viability of MgSCs and MgACs. In MgSCs, treatment with VPA increased radio-sensitivity, expression of p-cdc2, p-H2AX and cleaved caspase-3 and PARP. Anchorage-independent growth (AIG) was reduced by VPA. AIG was further reduced by combined treatment with irradiation. Expression of a stem cell marker, Oct4, was reduced by VPA. Oct4 was further decreased by combined treatment with irradiation. These results suggest that VPA may be a potential treatment for meningioma through targeting meningioma stem-like cells. FAU - Chiou, Hsin-Ying Clair AU - Chiou HY AD - Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C. FAU - Lai, Wen-Kuo AU - Lai WK AD - Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan, R.O.C. FAU - Huang, Li-Chun AU - Huang LC AD - Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan, R.O.C. FAU - Huang, Shih-Ming AU - Huang SM AD - Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan, R.O.C. FAU - Chueh, Sheau-Huei AU - Chueh SH AD - Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan, R.O.C. FAU - Ma, Hsin-I AU - Ma HI AD - Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C. FAU - Hueng, Dueng-Yuan AU - Hueng DY AD - Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C. AD - Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan, R.O.C. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Octamer Transcription Factor-3) RN - 0 (POU5F1 protein, human) RN - 614OI1Z5WI (Valproic Acid) SB - IM MH - Apoptosis/drug effects/radiation effects MH - Cell Cycle Checkpoints/drug effects/radiation effects MH - Cell Differentiation/drug effects/radiation effects MH - Down-Regulation/drug effects/radiation effects MH - Humans MH - Meningioma/*drug therapy/pathology/*radiotherapy MH - Neoplastic Stem Cells/*drug effects/*radiation effects MH - Octamer Transcription Factor-3/biosynthesis MH - Radiation Tolerance/drug effects MH - Valproic Acid/*pharmacology PMC - PMC4496410 OID - NLM: PMC4496410 OTO - NOTNLM OT - Oct4 OT - meningioma OT - radiosensitization OT - tumor stem-like cells OT - valproic acid EDAT- 2015/04/22 06:00 MHDA- 2016/03/18 06:00 CRDT- 2015/04/21 06:00 PHST- 2015/01/05 [received] PHST- 2015/03/05 [accepted] AID - 3692 [pii] AID - 10.18632/oncotarget.3692 [doi] PST - ppublish SO - Oncotarget. 2015 Apr 30;6(12):9959-69. PMID- 25881974 OWN - NLM STAT- MEDLINE DA - 20150613 DCOM- 20160304 IS - 1532-3080 (Electronic) IS - 0960-9776 (Linking) VI - 24 IP - 4 DP - 2015 Aug TI - Breast cancer brain metastases - A 12 year review of treatment outcomes. PG - 426-33 LID - 10.1016/j.breast.2015.03.007 [doi] LID - S0960-9776(15)00075-2 [pii] AB - BACKGROUND: Breast cancer (BC) is the 2nd commonest cause of brain metastases (BM). This retrospective review investigates the applicability of prognostic scores and highlights different outcomes for patients with HER2 positive compared to triple negative (TN) subtypes. METHODS: Two hundred and seventy four patients received whole brain radiotherapy for BC BM (01/2000-12/2011). The primary objective was to determine factors influencing overall survival (OS). All information relevant to primary BC, disease recurrence, treatment, outcome and cause of death (either neurological (NP) or systemic progression (SP)) were collected. Univariate (UV) and multivariate (MV) Cox regression analysis were used. RESULTS: One hundred and forty four patients (53%) were ER positive, 104 (38%) HER2 positive and 57 (21%) TN. Median age at BM was 53 (27-81) years and median OS from BM diagnosis 7.3 (5.7-8.9) months. On MV analysis, Her2 status, RPA score, surgery, stereotactic radiotherapy, and absence of TN disease were independent prognostic factor for OS. NP was the cause of death in 69.2% of HER2 positive patients and 17.3% had SP. Of the TN patients, 29.8% had NP and 54.4% SP (p < 0.001). CONCLUSION: A consistent OS advantage is noted for HER2 positive BM cases and inclusion of BC subtype in the breast GPA score should improve the prognostic factors' sensitivity. The unique presentations, response to treatment and causes of death for HER2 positive patients means more aggressive focal therapy should be considered and studied in the context of clinical trials. For TN BM patients with poor performance status, best supportive care may be appropriate. CI - Crown Copyright (c) 2015. Published by Elsevier Ltd. All rights reserved. FAU - De Ieso, P B AU - De Ieso PB AD - Breast Clinical Oncology Unit, The Royal Marsden NHS Foundation Trust, Sutton and London, UK; NT Radiation Oncology, Alan Walker Cancer Centre, Rocklands Drive, Tiwi, NT 0810, Australia. Electronic address: paolo.deieso@nt.gov.au. FAU - Schick, U AU - Schick U AD - Breast Clinical Oncology Unit, The Royal Marsden NHS Foundation Trust, Sutton and London, UK. FAU - Rosenfelder, N AU - Rosenfelder N AD - Breast Clinical Oncology Unit, The Royal Marsden NHS Foundation Trust, Sutton and London, UK. FAU - Mohammed, K AU - Mohammed K AD - Breast Clinical Oncology Unit, The Royal Marsden NHS Foundation Trust, Sutton and London, UK. FAU - Ross, G M AU - Ross GM AD - Breast Clinical Oncology Unit, The Royal Marsden NHS Foundation Trust, Sutton and London, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150413 PL - Netherlands TA - Breast JT - Breast (Edinburgh, Scotland) JID - 9213011 RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*secondary/*surgery MH - Breast Neoplasms/chemistry/*pathology/therapy MH - Female MH - Humans MH - Middle Aged MH - Neoplasm Recurrence, Local/pathology MH - Prognosis MH - Proportional Hazards Models MH - Radiation Dosage MH - Radiosurgery MH - Receptor, ErbB-2 MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Brain OT - Breast OT - Breast cancer brain metastases outcomes OT - HER2 OT - Metastasis OT - Treatment EDAT- 2015/04/18 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/04/18 06:00 PHST- 2014/09/17 [received] PHST- 2015/03/11 [revised] PHST- 2015/03/18 [accepted] PHST- 2015/04/13 [aheadofprint] AID - S0960-9776(15)00075-2 [pii] AID - 10.1016/j.breast.2015.03.007 [doi] PST - ppublish SO - Breast. 2015 Aug;24(4):426-33. doi: 10.1016/j.breast.2015.03.007. Epub 2015 Apr 13. PMID- 25869611 OWN - NLM STAT- MEDLINE DA - 20150623 DCOM- 20160324 IS - 1559-1166 (Electronic) IS - 0895-8696 (Linking) VI - 56 IP - 3 DP - 2015 Jul TI - A Novel MGC4607/CCM2 Gene Mutation Associated with Cerebral Spinal and Cutaneous Cavernous Angiomas. PG - 602-7 LID - 10.1007/s12031-015-0555-0 [doi] AB - Cerebral cavernous malformations (CCMs) are vascular abnormalities that may cause seizures, headaches, intracerebral hemorrhages, and focal neurological deficits; they can also be clinically silent and occur as a sporadic or an autosomal dominant condition. Three genes have been identified as causing familial CCM: KRIT1/CCM1, MGC4607/CCM2, and PDCD10/CCM3, mapping, respectively, on chromosomes 7q, 7p, and 3q. Here, we report an Italian family affected by CCM due to a MGC4607 gene mutation, on exon 4. All the affected subjects suffered from seizures, and some of them underwent surgery for removal of a cavernous angioma. Brain MRI showed multiple lesions consistent with CCMs in all patients. Spinal and cutaneous cavernous angiomas were present too. This report underlines the need for a careful interdisciplinarity among neurologists, neuroradiologists, neurosurgeons, geneticists, ophthalmologists, and dermatologists for a total evaluation of the different manifestations of familial CCM. This points out that only referral centers are organized to offer a multidisciplinary management of this disease. FAU - Cigoli, M S AU - Cigoli MS AD - Department of Laboratory Medicine - Medical Genetics Unit, Niguarda Ca' Granda Hospital, Milano, Italy. FAU - De Benedetti, S AU - De Benedetti S FAU - Marocchi, A AU - Marocchi A FAU - Bacigaluppi, S AU - Bacigaluppi S FAU - Primignani, P AU - Primignani P FAU - Gesu, G AU - Gesu G FAU - Citterio, A AU - Citterio A FAU - Tassi, L AU - Tassi L FAU - Mecarelli, O AU - Mecarelli O FAU - Pulitano, P AU - Pulitano P FAU - Penco, S AU - Penco S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150414 PL - United States TA - J Mol Neurosci JT - Journal of molecular neuroscience : MN JID - 9002991 RN - 0 (CCM2 protein, human) RN - 0 (Carrier Proteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Carrier Proteins/*genetics MH - Central Nervous System Neoplasms/diagnosis/*genetics MH - Child MH - Exons MH - Female MH - Hemangioma, Cavernous, Central Nervous System/diagnosis/*genetics MH - Humans MH - Male MH - *Mutation MH - Pedigree MH - Skin Neoplasms/diagnosis/*genetics EDAT- 2015/04/15 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/04/15 06:00 PHST- 2015/03/09 [received] PHST- 2015/03/24 [accepted] PHST- 2015/04/14 [aheadofprint] AID - 10.1007/s12031-015-0555-0 [doi] PST - ppublish SO - J Mol Neurosci. 2015 Jul;56(3):602-7. doi: 10.1007/s12031-015-0555-0. Epub 2015 Apr 14. PMID- 25869098 OWN - NLM STAT- MEDLINE DA - 20150601 DCOM- 20160229 LR - 20150711 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 13 DP - 2015 May 10 TI - MicroRNA profiling of Chinese primary glioblastoma reveals a temozolomide-chemoresistant subtype. PG - 11676-82 AB - Accumulating evidence demonstrates that defining molecular subtypes based on objective genetic alterations may permit a more rational, patient-specific approach to molecular targeted therapy across various cancers. The objective of this study was to subtype primary glioblastoma (pGBM) based on MicroRNA (miRNA) profiling in Chinese population. Here, miRNA expression profiles from 82 pGBM samples were analyzed and 78 independent pGBM samples were used for qRT-PCR validation. We found that two distinct subgroups with different prognosis and chemosensitivities to temozolomide (TMZ) in Chinese pGBM samples. One subtype is TMZ chemoresistant (termed the TCR subtype) and confers a poor prognosis. The other subtype is TMZ-chemosensitive (termed the TCS subtype) and confers a relatively better prognosis compared with the TCR subtype. A classifier consisting of seven miRNAs was then identified (miR-1280, miR-1238, miR-938 and miR-423-5p (overexpressed in the TCR subtype); and let-7i, miR-151-3p and miR-93 (downregulated in the TCR subtype)), which could be used to assign pGBM samples to the corresponding subtype. The classifier was validated using both internal and external samples. Meanwhile, the genetic alterations of the TCR and TCS subtypes were also analyzed. The TCR subtype was characterized by no IDH1 mutation, and EGFR and Ki-67 overexpression. The TCS subtype displayed the opposite situation. Taken together, the results indicate a distinct subgroup with poor prognosis and TMZ-chemoresistance. FAU - Yan, Wei AU - Yan W AD - Beijing Neurosurgical Institute, Capital Medical University, Beijing, PR China. AD - Department of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China. FAU - Liu, Yanwei AU - Liu Y AD - Beijing Neurosurgical Institute, Capital Medical University, Beijing, PR China. AD - Beijing Institute for Brain Disorders, Brain Tumor Center, Beijing, PR China. AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China. FAU - Yang, Pei AU - Yang P AD - Beijing Neurosurgical Institute, Capital Medical University, Beijing, PR China. AD - Beijing Institute for Brain Disorders, Brain Tumor Center, Beijing, PR China. AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China. FAU - Wang, Zheng AU - Wang Z AD - Beijing Neurosurgical Institute, Capital Medical University, Beijing, PR China. AD - Beijing Institute for Brain Disorders, Brain Tumor Center, Beijing, PR China. AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China. FAU - You, Yongping AU - You Y AD - Department of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China. FAU - Jiang, Tao AU - Jiang T AD - Beijing Neurosurgical Institute, Capital Medical University, Beijing, PR China. AD - Beijing Institute for Brain Disorders, Brain Tumor Center, Beijing, PR China. AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Biomarkers, Tumor) RN - 0 (Ki-67 Antigen) RN - 0 (MicroRNAs) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 1.1.1.42. (IDH1 protein, human) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (Receptor, Epidermal Growth Factor) SB - IM MH - Adult MH - Antineoplastic Agents, Alkylating/*therapeutic use MH - Asian Continental Ancestry Group MH - Biomarkers, Tumor/*genetics/metabolism MH - Brain Neoplasms/*drug therapy/ethnology/genetics/mortality/pathology MH - China/epidemiology MH - Cluster Analysis MH - Dacarbazine/*analogs & derivatives/therapeutic use MH - Drug Resistance, Neoplasm/*genetics MH - Female MH - *Gene Expression Profiling/methods MH - Gene Expression Regulation, Neoplastic MH - Glioblastoma/*drug therapy/ethnology/genetics/mortality/pathology MH - Humans MH - Isocitrate Dehydrogenase/genetics MH - Kaplan-Meier Estimate MH - Ki-67 Antigen/metabolism MH - Male MH - MicroRNAs/*genetics MH - Middle Aged MH - Mutation MH - Oligonucleotide Array Sequence Analysis MH - Predictive Value of Tests MH - Real-Time Polymerase Chain Reaction MH - Receptor, Epidermal Growth Factor/metabolism MH - Reproducibility of Results MH - Treatment Outcome PMC - PMC4484485 OID - NLM: PMC4484485 OTO - NOTNLM OT - IDH1 mutation OT - glioblastoma OT - microRNA OT - temozolomide EDAT- 2015/04/15 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/04/15 06:00 PHST- 2014/12/16 [received] PHST- 2015/01/30 [accepted] AID - 3258 [pii] AID - 10.18632/oncotarget.3258 [doi] PST - ppublish SO - Oncotarget. 2015 May 10;6(13):11676-82. PMID- 25863570 OWN - NLM STAT- MEDLINE DA - 20150605 DCOM- 20160303 IS - 1557-8259 (Electronic) IS - 0030-6665 (Linking) VI - 48 IP - 3 DP - 2015 Jun TI - Petroclival meningiomas. PG - 477-90 LID - 10.1016/j.otc.2015.02.007 [doi] LID - S0030-6665(15)00021-3 [pii] AB - Petroclival meningiomas are most commonly found in women around 50 years of age and have the general tendency to grow and affect several cranial nerves. At presentation, many patients complain of headaches, gait disturbances and cranial neuropathies. Treatment options include surgery, with a variety of surgical approaches, and or radiotherapy. Current trends support subtotal resection with postoperative radiotherapy. This review summarizes the literature of petroclival meningiomas, discussing topics including definitions, genetics, common presenting signs and symptoms, imaging characteristics, natural history, common surgical approaches, surgical outcomes, complications, and radiotherapy. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Hunter, Jacob B AU - Hunter JB AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 7209 Medical Center East South Tower, 21st Avenue South, Nashville, TN 37232, USA. Electronic address: jacob.b.hunter@vanderbilt.edu. FAU - Weaver, Kyle D AU - Weaver KD AD - Department of Neurological Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Rm T-4224 MCN, Nashville, TN 37232, USA. FAU - Thompson, Reid C AU - Thompson RC AD - Department of Neurological Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Rm T-4224 MCN, Nashville, TN 37232, USA. FAU - Wanna, George B AU - Wanna GB AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 7209 Medical Center East South Tower, 21st Avenue South, Nashville, TN 37232, USA. LA - eng PT - Journal Article PT - Review DEP - 20150409 PL - United States TA - Otolaryngol Clin North Am JT - Otolaryngologic clinics of North America JID - 0144042 SB - IM MH - Cranial Nerve Diseases/diagnosis MH - Humans MH - Meningeal Neoplasms/*diagnosis/genetics/*surgery MH - Meningioma/*diagnosis/genetics/*surgery MH - Neurosurgical Procedures/methods MH - Petrous Bone MH - Treatment Outcome OTO - NOTNLM OT - Approaches OT - Complications OT - Meningioma OT - Outcomes OT - Petroclival OT - Skull base EDAT- 2015/04/13 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/04/13 06:00 PHST- 2015/04/09 [aheadofprint] AID - S0030-6665(15)00021-3 [pii] AID - 10.1016/j.otc.2015.02.007 [doi] PST - ppublish SO - Otolaryngol Clin North Am. 2015 Jun;48(3):477-90. doi: 10.1016/j.otc.2015.02.007. Epub 2015 Apr 9. PMID- 25862766 OWN - NLM STAT- MEDLINE DA - 20150704 DCOM- 20160324 LR - 20160303 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 8 DP - 2015 Aug TI - The relationship between corticosteroids and symptoms in patients with primary brain tumors: utility of the Dexamethasone Symptom Questionnaire-Chronic. PG - 1114-20 LID - 10.1093/neuonc/nov054 [doi] AB - BACKGROUND: Corticosteroids can have many side effects that impact the patient's quality of life and functional status. The Dexamethasone Symptom Questionnaire-Chronic (DSQ-C) was developed to report corticosteroid side effects. This study's objective was to evaluate the utility of the DSQ-C and report associated signs and symptoms in brain tumor patients. METHODS: Data collection included demographic and disease characteristics and the DSQ-C. Descriptive statistics were used to report associations among variables. Linear regression models were applied to assess the effects of the cumulative daily dose (mg/d x total d) on DSQ-C scores. Psychometrics included factor analysis to assess construct validity and Cronbach's alpha for internal consistency. RESULTS: Ninety-six adult patients with primary (77%) or metastatic (23%) brain tumors participated, with 74% on corticosteroids. Participants were primarily white (83%) males (65%) between 20 and 75 years of age (median, 53). Median corticosteroid dose duration was 4 mg/day for 1 month (range, 0-26 mo). The DSQ-C scores ranged from 17 to 54 (mean of 27), with 35% reporting increased appetite and trouble sleeping. Factor analysis indicated 6 underlying constructs explaining 53% of variance. DSQ-C internal consistency (reliability) was 0.77. The DSQ-C discriminated between patients who were on steroids and those who were not (P < .01), and cumulative dose predicted DSQ-C scores (P < .001). CONCLUSIONS: This study demonstrated the potential use of the DSQ-C as a screening tool for side effects associated with corticosteroid use in brain tumor patients. Future analyses should include longitudinal evaluation of severity and biologic underpinnings of variability of timing and severity of symptoms. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Armstrong, Terri S AU - Armstrong TS AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Ying, Yuan AU - Ying Y AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Wu, Jimin AU - Wu J AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Acquaye, Alvina A AU - Acquaye AA AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Vera-Bolanos, Elizabeth AU - Vera-Bolanos E AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Gilbert, Mark R AU - Gilbert MR AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Brown, Paul D AU - Brown PD AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Vardy, Janette AU - Vardy J AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). FAU - Chung, Caroline AU - Chung C AD - University of Texas Health Science Center, Houston, Texas (T.S.A.); M.D. Anderson Cancer Center, Houston, Texas (T.S.A., Y.Y., J.W., A.A.A., E.V.-B., P.D.B.); National Institutes of Health, Bethesda, Maryland (M.R.G.); University of Sydney Concord Repatriation General Hospital, Concord, New South Wales, Australia (J.V.); Department of Radiation Oncology, University of Toronto/University Health Network-Princess Margaret Cancer Centre, Toronto, Ontario, Canada (C.C.). LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150409 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Adrenal Cortex Hormones) RN - 7S5I7G3JQL (Dexamethasone) SB - IM MH - Adrenal Cortex Hormones/*adverse effects MH - Adult MH - Aged MH - Brain Neoplasms/*drug therapy MH - Dexamethasone/adverse effects MH - Female MH - Humans MH - Male MH - Middle Aged MH - Psychometrics MH - *Surveys and Questionnaires MH - Young Adult PMC - PMC4490874 OID - NLM: PMC4490874 [Available on 08/01/16] OTO - NOTNLM OT - brain tumor OT - corticosteroids OT - patient-reported outcomes OT - symptoms EDAT- 2015/04/12 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/04/12 06:00 PMCR- 2016/08/01 00:00 PHST- 2015/02/09 [received] PHST- 2005/03/11 [accepted] PHST- 2015/04/09 [aheadofprint] AID - nov054 [pii] AID - 10.1093/neuonc/nov054 [doi] PST - ppublish SO - Neuro Oncol. 2015 Aug;17(8):1114-20. doi: 10.1093/neuonc/nov054. Epub 2015 Apr 9. PMID- 25860928 OWN - NLM STAT- MEDLINE DA - 20150601 DCOM- 20160229 LR - 20150711 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 13 DP - 2015 May 10 TI - Recurrence of glioblastoma after radio-chemotherapy is associated with an angiogenic switch to the CXCL12-CXCR4 pathway. PG - 11664-75 AB - Angiogenesis is one of the key features of glioblastoma (GBM). Our objective was to explore the potential changes of angiogenic factors in GBM between initial diagnosis and recurrence after radiotherapy-temozolomide (RT/TMZ). Paired frozen tumors from both initial and recurrent surgery were available for 29 patients. Screening of genes expressions related to angiogenesis was performed using RT- PCR arrays on 10 first patients. Next, RNA expressions of the selected genes were analyzed on all samples. Protein expression was examined by immunohistochemistry. The anti-tumor effect of AMD3100 (anti-CXCR4) was tested in GBM explants. In the screening step, the initial-recurrence expression changes contributed to a selection of seven genes (VEGFA, VEGFR2, VEGFR1, CXCL12, CXCR4, uPA HIF1alpha). By quantitative RT-PCR, RNA expressions of CXCR4 (p = 0.029) and CXCL12 (p = 0.107) were increased while expressions of HIF1alpha (p = 0.009) and VEGFR2 (p = 0.081) were decreased at recurrence. Similarly, CXCL12 protein expression tended to increase (p = 0.096) while VEGFR2 staining was decreased (p = 0.004) at recurrence. An increase of anti-tumoral effect was observed with the combination of AMD3100 and RT/TMZ versus RT/TMZ alone in GB explants. Recurrence of GB after chemo-radiation could be associated with a switch of angiogenic pattern from VEGFR2-HIF1alpha to CXCL12-CXCR4 pathway, leading to new perspectives in angiogenic treatment. FAU - Tabouret, Emeline AU - Tabouret E AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. AD - APHM, Timone Hospital, Department of Neuro-Oncology, Marseille 13005, France. FAU - Tchoghandjian, Aurelie AU - Tchoghandjian A AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. FAU - Denicolai, Emilie AU - Denicolai E AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. FAU - Delfino, Christine AU - Delfino C AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. FAU - Metellus, Philippe AU - Metellus P AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. AD - APHM, Timone Hospital, Department of Neuro-Surgery, Marseille 13005, France. FAU - Graillon, Thomas AU - Graillon T AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. AD - APHM, Timone Hospital, Department of Neuro-Surgery, Marseille 13005, France. FAU - Boucard, Celine AU - Boucard C AD - APHM, Timone Hospital, Department of Neuro-Oncology, Marseille 13005, France. FAU - Nanni, Isabelle AU - Nanni I AD - APHM, North Hospital, Transfer Laboratory, Marseille 13015, France. FAU - Padovani, Laetitia AU - Padovani L AD - APHM, Timone Hospital, Department of Radiotherapy, Marseille 13005, France. FAU - Ouafik, L'Houcine AU - Ouafik L AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. AD - APHM, North Hospital, Transfer Laboratory, Marseille 13015, France. FAU - Figarella-Branger, Dominique AU - Figarella-Branger D AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. AD - APHM, Timone Hospital, Department of Anatomopathology, Marseille 13005, France. FAU - Chinot, Olivier AU - Chinot O AD - Aix-Marseille Univ, CRO2, UMR 911, Marseille 13284, France. AD - APHM, Timone Hospital, Department of Neuro-Oncology, Marseille 13005, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (CXCL12 protein, human) RN - 0 (CXCR4 protein, human) RN - 0 (Chemokine CXCL12) RN - 0 (HIF1A protein, human) RN - 0 (Heterocyclic Compounds) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Receptors, CXCR4) RN - 0 (vascular endothelial growth factor receptor-2, human) RN - 155148-31-5 (JM 3100) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Agents, Alkylating/*therapeutic use MH - Brain Neoplasms/blood supply/genetics/metabolism/mortality/pathology/*therapy MH - Chemokine CXCL12/genetics/*metabolism MH - *Chemoradiotherapy MH - Child MH - Child, Preschool MH - Dacarbazine/*analogs & derivatives/therapeutic use MH - Disease Progression MH - Disease-Free Survival MH - Female MH - Gene Expression Profiling/methods MH - Glioblastoma/blood supply/genetics/metabolism/mortality/pathology/*therapy MH - Heterocyclic Compounds/pharmacology MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/metabolism MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - *Neoplasm Recurrence, Local MH - *Neovascularization, Pathologic MH - Proportional Hazards Models MH - Real-Time Polymerase Chain Reaction MH - Receptors, CXCR4/antagonists & inhibitors/genetics/*metabolism MH - Retrospective Studies MH - Signal Transduction MH - Time Factors MH - Tissue Culture Techniques MH - Treatment Outcome MH - Vascular Endothelial Growth Factor Receptor-2/genetics/metabolism MH - Young Adult PMC - PMC4484484 OID - NLM: PMC4484484 OTO - NOTNLM OT - angiogenesis OT - glioblastoma OT - paired OT - switch EDAT- 2015/04/11 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/04/11 06:00 PHST- 2014/12/14 [received] PHST- 2015/01/29 [accepted] AID - 3256 [pii] AID - 10.18632/oncotarget.3256 [doi] PST - ppublish SO - Oncotarget. 2015 May 10;6(13):11664-75. PMID- 25855197 OWN - NLM STAT- MEDLINE DA - 20150617 DCOM- 20160314 IS - 1437-2320 (Electronic) IS - 0344-5607 (Linking) VI - 38 IP - 3 DP - 2015 Jul TI - Sensitivity and specificity of linear array intraoperative ultrasound in glioblastoma surgery: a comparative study with high field intraoperative MRI and conventional sector array ultrasound. PG - 499-509; discussion 509 LID - 10.1007/s10143-015-0627-1 [doi] AB - INTRODUCTION: Linear array intraoperative ultrasound (lioUS) is an emerging technology for intracranial use. We evaluated sensitivity and specificity of lioUS to detect residual tumor in patients harboring a glioblastoma. METHODS: After near total resection in 20 patients, residual tumor detection using lioUS, conventional intraoperative ultrasound (cioUS), and gadopentetic-diethylenetriamine penta-acetic acid (Gd-DTPA)-enhanced intraoperative MRI (iMRI) were compared. Sensitivity and specificity were calculated based on 68 navigated biopsies. Receiver operator characteristic (ROC) curves and correlation with histopathological findings of each imaging modality were calculated. Additionally, results were evaluated in the subgroup of recurrent disease (23 biopsies in 8 patients). RESULTS: Sensitivity of lioUS (76 %) was significantly higher compared with iMRI (55 %) and cioUS (24 %). Specificity of lioUS (58 %) was significantly lower than in cioUS (96 %), while there was no significant difference to iMRI (74 %). All imaging modalities correlated significantly with histopathological findings. In the subgroup of recurrent disease, sensitivity and specificity decreased in all modalities. However, cioUS showed significant lower values than iMRI and lioUS. In ROC curves, lioUS showed a higher area und the curve (AUC) in comparison with iMRI and cioUS. We found similar results in the subgroup of recurrent disease. CONCLUSION: Tumor detection using a lioUS is significantly superior to cioUS. Overall test performance in lioUS is comparable with results of iMRI. While, the latter has a higher specificity and a significantly lower sensitivity in comparison with lioUS. FAU - Coburger, Jan AU - Coburger J AD - Department of Neurosurgery, University of Ulm, Ludwig Heilmeyerstr. 2, 89312, Gunzburg, Germany, jan.coburger@uni-ulm.de. FAU - Scheuerle, Angelika AU - Scheuerle A FAU - Kapapa, Thomas AU - Kapapa T FAU - Engelke, Jens AU - Engelke J FAU - Thal, Dietmar Rudolf AU - Thal DR FAU - Wirtz, Christian R AU - Wirtz CR FAU - Konig, Ralph AU - Konig R LA - eng PT - Clinical Trial PT - Journal Article DEP - 20150410 PL - Germany TA - Neurosurg Rev JT - Neurosurgical review JID - 7908181 RN - K2I13DR72L (Gadolinium DTPA) SB - IM MH - Adult MH - Aged MH - Biopsy MH - Brain Neoplasms/*surgery/*ultrasonography MH - Female MH - Gadolinium DTPA MH - Glioblastoma/*surgery/*ultrasonography MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Monitoring, Intraoperative MH - Neoplasm Recurrence, Local MH - Neuronavigation MH - Neurosurgical Procedures/*methods MH - Prospective Studies MH - Reproducibility of Results MH - Surgery, Computer-Assisted/*methods MH - Ultrasonography, Interventional/*methods EDAT- 2015/04/10 06:00 MHDA- 2016/03/15 06:00 CRDT- 2015/04/10 06:00 PHST- 2014/07/11 [received] PHST- 2015/01/19 [accepted] PHST- 2014/10/02 [revised] PHST- 2015/04/10 [aheadofprint] AID - 10.1007/s10143-015-0627-1 [doi] PST - ppublish SO - Neurosurg Rev. 2015 Jul;38(3):499-509; discussion 509. doi: 10.1007/s10143-015-0627-1. Epub 2015 Apr 10. PMID- 25843300 OWN - NLM STAT- MEDLINE DA - 20150617 DCOM- 20160314 IS - 1437-2320 (Electronic) IS - 0344-5607 (Linking) VI - 38 IP - 3 DP - 2015 Jul TI - Outcomes and predictors of improved survival after gamma knife radiosurgery for metastatic brain tumors originated from breast carcinoma. PG - 489-98; discussion 498 LID - 10.1007/s10143-015-0624-4 [doi] AB - Gamma knife radiosurgery (GKRS) has emerged as a possible treatment option for metastasis brain tumor (MBTs) originated from breast cancer. However, the intermediate or long-term outcome of GKRS on MBTs originated from breast carcinoma is not well defined. The outcome of GKRS on MBTs derived from breast carcinoma was reviewed in our institution's case series. We performed a retrospective review (2000-2013) of 50 patients with MBTs originated from breast cancer who received GKRS. Out of 50 patients, 11 patients had recurrent tumors after microsurgical resection and the other 39 patients received GKRS alone. The study population was followed clinically and radiographically after GKRS treatment. GKRS on MBTs metastasized from breast cancer showed significant variations in tumor growth control (decreased in 14 (31.9 %) patients, arrested growth in 17 (38.6 %) patients, and progressed tumor in 13 (29.5 %) patients). The overall median survival in this case series was 33 months. In our case series, overall survival rate after 5 years was 20 %, whereas progression-free survival rate after 5 years was 30 %. The prognostic factors for improving survival in the patients with MBTs from breast cancer were recursive partitioning analysis (RPA) class I (p = 0.014), age 0.05). The median fluorescence values in tumor were 2-3 times higher for the high ALA dose group. No PpIX was detected in the skin of the patients in the low dose group (0/4) while PpIX was detected in the skin of the majority of the patients in the high ALA dose group (13/14). CONCLUSIONS: Application of 5mg/kg ALA was evaluated as equally reliable as the higher dose regarding the diagnostic performance when guidance was performed using a spectroscopic system. Moreover, no PpIX was detected in the skin of the patients. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Haj-Hosseini, Neda AU - Haj-Hosseini N AD - Department of Biomedical Engineering, Linkoping University, Linkoping 58185, Sweden. Electronic address: neda.haj.hosseini@liu.se. FAU - Richter, Johan C O AU - Richter JC AD - Department of Biomedical Engineering, Linkoping University, Linkoping 58185, Sweden; Department of Neurosurgery and Department of Clinical and Experimental Medicine, Linkoping University, Linkoping 581 85, Sweden. FAU - Hallbeck, Martin AU - Hallbeck M AD - Department of Clinical Pathology and Department of Clinical and Experimental Medicine, Linkoping University, Linkoping 581 85, Sweden. FAU - Wardell, Karin AU - Wardell K AD - Department of Biomedical Engineering, Linkoping University, Linkoping 58185, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150326 PL - Netherlands TA - Photodiagnosis Photodyn Ther JT - Photodiagnosis and photodynamic therapy JID - 101226123 RN - 0 (Photosensitizing Agents) RN - 0 (Protoporphyrins) RN - 553-12-8 (protoporphyrin IX) RN - 88755TAZ87 (Aminolevulinic Acid) SB - IM MH - Aged MH - Aminolevulinic Acid/administration & dosage/*pharmacokinetics MH - Brain Neoplasms/pathology/*surgery MH - Dose-Response Relationship, Drug MH - Female MH - Fluorescence MH - Glioma/pathology/*surgery MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Photochemotherapy/*methods MH - Photosensitizing Agents/administration & dosage/*pharmacokinetics MH - Protoporphyrins/metabolism MH - Skin/metabolism MH - Spectrometry, Fluorescence OTO - NOTNLM OT - Fluorescence guided surgery OT - Protoporphyrin IX OT - Quantitative OT - Skin photosensitivity OT - Spectroscopy EDAT- 2015/03/31 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/03/31 06:00 PHST- 2014/12/31 [received] PHST- 2015/03/14 [revised] PHST- 2015/03/18 [accepted] PHST- 2015/03/26 [aheadofprint] AID - S1572-1000(15)00031-9 [pii] AID - 10.1016/j.pdpdt.2015.03.004 [doi] PST - ppublish SO - Photodiagnosis Photodyn Ther. 2015 Jun;12(2):209-14. doi: 10.1016/j.pdpdt.2015.03.004. Epub 2015 Mar 26. PMID- 25817328 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Prognostic impact of B-cell lymphoma 6 in primary CNS lymphoma. PG - 1016-21 LID - 10.1093/neuonc/nov046 [doi] AB - BACKGROUND: We investigated the prognostic significance of B-cell differentiation status and common B-cell differentiation markers in a post hoc analysis of 119 patients with primary CNS lymphoma (PCNSL) homogeneously receiving high-dose methotrexate (HDMTX)-based chemotherapy within the prospective G-PCNSL-SG1 trial. METHODS: We evaluated protein expression of B-cell lymphoma 2 (BCL2), BCL6, CD10, and multiple myeloma oncogene 1/interferon regulatory factor 4 (MUM1/IRF4) by immunohistochemistry and analyzed the association with survival. RESULTS: The median follow-up of all patients was 67.5 months. Median progression-free survival (PFS) was 10.61 months (95% CI: 4.23-17.00). Median overall survival (OS) was 28.85 months (95% CI: 17.96-39.73). Eighty-nine tumors expressed BCL2 (92.7%), 24 (20.5%) expressed CD10, 60 (54.1%) expressed BCL6, and 87 (79.0%) expressed MUM1/IRF4. On the basis of the Hans algorithm, 80 tumors (73.4%) were classified to the non-germinal center B group, suggesting a post-germinal center origin of PCNSL. Expression of BCL6 (cutoff point 30%), but none of the other markers, was associated with shorter PFS (P = .047) and OS (P = .035). On multivariate analysis, BCL6 expression was associated with shorter PFS (hazard ratio: 1.95, 95% CI: 1.22-3.12, P = .005) but not OS (hazard ratio: 1.85, 95% CI: 0.71-4.80, P = .21). Classification according to Hans algorithm and expression status of the single B-cell markers BCL2, CD10, and MUM1/IRF4 did not correlate with prognosis. CONCLUSION: The findings are limited by the fact that only 23% of all G-PCNSL-SG1 patients could be included in the analysis. If validated in an independent cohort, BCL6 may assume clinical relevance as an unfavorable prognostic biomarker in PCNSL. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Kreher, Stephan AU - Kreher S AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Johrens, Korinna AU - Johrens K AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Strehlow, Felicitas AU - Strehlow F AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Martus, Peter AU - Martus P AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Borowiec, Kathrin AU - Borowiec K AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Radke, Josefine AU - Radke J AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Heppner, Frank AU - Heppner F AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Roth, Patrick AU - Roth P AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Thiel, Eckhard AU - Thiel E AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Pietsch, Torsten AU - Pietsch T AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Weller, Michael AU - Weller M AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). FAU - Korfel, Agnieszka AU - Korfel A AD - Department of Hematology and Oncology, Campus Benjamin Franklin, Charite Berlin, Berlin, Germany (S.K., F.S., E.T., A.K.); Institute of Pathology, Charite Berlin, Berlin, Germany (K.J.); Institute of Clinical Epidemiology and Applied Biostatistics, University Tuebingen, Tuebingen (P.M.); Institute of Neuropathology, University Bonn Medical Center, Brain Tumor Reference Center of the DGNN, Bonn, Germany (K.B., T.P.); Institute of Neuropathology, Charite Berlin, Berlin, Germany (J.R., F.H.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.). LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150326 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Biomarkers) RN - 0 (Interferon Regulatory Factors) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Proto-Oncogene Proteins c-bcl-6) RN - 0 (interferon regulatory factor-4) RN - EC 3.4.24.11 (Neprilysin) SB - IM MH - Adult MH - Aged MH - Biomarkers/metabolism MH - Central Nervous System Neoplasms/*diagnosis/metabolism/mortality MH - Female MH - Humans MH - Interferon Regulatory Factors/metabolism MH - Kaplan-Meier Estimate MH - Lymphoma, B-Cell/*diagnosis/metabolism/mortality MH - Male MH - Middle Aged MH - Neprilysin/metabolism MH - Prognosis MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Proto-Oncogene Proteins c-bcl-6/*metabolism OTO - NOTNLM OT - BCL-6 OT - GCB OT - PCNSL OT - non-GCB OT - survival EDAT- 2015/03/31 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/03/31 06:00 PHST- 2014/12/21 [received] PHST- 2015/02/27 [accepted] PHST- 2015/03/26 [aheadofprint] AID - nov046 [pii] AID - 10.1093/neuonc/nov046 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):1016-21. doi: 10.1093/neuonc/nov046. Epub 2015 Mar 26. PMID- 25813469 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Seizure outcome after radiotherapy and chemotherapy in low-grade glioma patients: a systematic review. PG - 924-34 LID - 10.1093/neuonc/nov032 [doi] AB - There is growing evidence that antitumor treatment contributes to better seizure control in low-grade glioma patients. We performed a systematic review of the current literature on seizure outcome after radiotherapy and chemotherapy and evaluated the association between seizure outcome and radiological response. Twenty-four studies were available, of which 10 described seizure outcome after radiotherapy and 14 after chemotherapy. All studies demonstrated improvements in seizure outcome after antitumor treatment. Eight studies reporting on imaging response in relation to seizure outcome showed a seizure reduction in a substantial part of patients with stable disease on MRI. Seizure reduction may therefore be the only noticeable effect of antitumor treatment. Our findings demonstrate the clinical relevance of monitoring seizure outcome after radiotherapy and chemotherapy, as well as the potential role of seizure reduction as a complementary marker of tumor response in low-grade glioma patients. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Koekkoek, Johan A F AU - Koekkoek JA AD - Department of Neurology, VU University Medical Center, Amsterdam, Netherlands (J.A.F.K., L.D., J.J.H., J.C.R., M.J.B.T.); Department of Neurology, Medical Center Haaglanden, The Hague, Netherlands (J.A.F.K., M.K., M.J.B.T.). FAU - Kerkhof, Melissa AU - Kerkhof M AD - Department of Neurology, VU University Medical Center, Amsterdam, Netherlands (J.A.F.K., L.D., J.J.H., J.C.R., M.J.B.T.); Department of Neurology, Medical Center Haaglanden, The Hague, Netherlands (J.A.F.K., M.K., M.J.B.T.). FAU - Dirven, Linda AU - Dirven L AD - Department of Neurology, VU University Medical Center, Amsterdam, Netherlands (J.A.F.K., L.D., J.J.H., J.C.R., M.J.B.T.); Department of Neurology, Medical Center Haaglanden, The Hague, Netherlands (J.A.F.K., M.K., M.J.B.T.). FAU - Heimans, Jan J AU - Heimans JJ AD - Department of Neurology, VU University Medical Center, Amsterdam, Netherlands (J.A.F.K., L.D., J.J.H., J.C.R., M.J.B.T.); Department of Neurology, Medical Center Haaglanden, The Hague, Netherlands (J.A.F.K., M.K., M.J.B.T.). FAU - Reijneveld, Jaap C AU - Reijneveld JC AD - Department of Neurology, VU University Medical Center, Amsterdam, Netherlands (J.A.F.K., L.D., J.J.H., J.C.R., M.J.B.T.); Department of Neurology, Medical Center Haaglanden, The Hague, Netherlands (J.A.F.K., M.K., M.J.B.T.). FAU - Taphoorn, Martin J B AU - Taphoorn MJ AD - Department of Neurology, VU University Medical Center, Amsterdam, Netherlands (J.A.F.K., L.D., J.J.H., J.C.R., M.J.B.T.); Department of Neurology, Medical Center Haaglanden, The Hague, Netherlands (J.A.F.K., M.K., M.J.B.T.). LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150325 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 SB - IM MH - Brain Neoplasms/*complications/drug therapy/radiotherapy MH - Glioma/*complications/drug therapy/radiotherapy MH - Humans MH - Seizures/drug therapy/etiology/*prevention & control/radiotherapy MH - Treatment Outcome OTO - NOTNLM OT - chemotherapy OT - epilepsy OT - glioma OT - radiotherapy OT - review EDAT- 2015/03/31 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/03/28 06:00 PHST- 2014/12/21 [received] PHST- 2015/02/11 [accepted] PHST- 2015/03/25 [aheadofprint] AID - nov032 [pii] AID - 10.1093/neuonc/nov032 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):924-34. doi: 10.1093/neuonc/nov032. Epub 2015 Mar 25. PMID- 25812534 OWN - NLM STAT- MEDLINE DA - 20150626 DCOM- 20160323 LR - 20150703 IS - 1864-6433 (Electronic) IS - 0914-7187 (Linking) VI - 29 IP - 5 DP - 2015 Jun TI - Impact of FDG-PET findings on decisions regarding patient management strategies: a multicenter trial in patients with lung cancer and other types of cancer. PG - 431-41 LID - 10.1007/s12149-015-0963-9 [doi] AB - OBJECTIVE: To date, numerous studies have been conducted on the diagnostic capabilities of positron emission tomography using [(18)F]-fluorodeoxyglucose (FDG-PET). However, no studies designed to evaluate the influence of FDG-PET on the selection of patient management strategies within the Japanese healthcare system have been reported to date. The aim of the present study was to investigate prospectively the proportion of patients whose management strategies were modified based on FDG-PET findings (strategy modification rate). METHODS: The strategy modification rate was calculated by comparing the patient management strategy (test and treatment plans) after FDG-PET with the strategy before FDG-PET for 560 cancer patients with nine types of cancer (lung cancer, breast cancer, colorectal cancer, head/neck cancer, brain tumor, pancreas cancer, malignant lymphoma, cancer of unknown origin, and melanoma). In addition, the details of the modifications to the patient management strategies were analyzed. RESULTS: The strategy modification rate for patients with lung cancer was 71.6% (149 of 208 patients, 95% confidence interval 65.0-77.7%), which was higher than previously reported strategy modification rates for lung cancer before and after FDG-PET (25.6%). The strategy modification rates for patients with cancers other than lung cancer were as follows: breast, 44.4% (56/126); colorectal, 75.6% (62/82); head and neck, 65.2% (15/23); malignant lymphoma, 70.0% (35/50); pancreas, 85.0% (17/20); and cancer of unknown origin, 78.0% (32/41). The mean modification rate (major and minor modifications) of the treatment plans after FDG-PET, relative to the plans before FDG-PET, was 55.4% (range 44.0-69.2%), with major modifications pertaining to the treatment plan made in 43.3-68.2% of the patients based on the objectives of the FDG-PET examination. CONCLUSIONS: The results from this study indicate that FDG-PET can contribute to the modification of management strategies (particularly treatment plans), especially for lung cancer patients but also for patients with other types of cancer. FAU - Kubota, Kazuo AU - Kubota K AD - Division of Nuclear Medicine, Department of Radiology, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan, kkubota@cpost.plala.or.jp. FAU - Matsuno, Shinsuke AU - Matsuno S FAU - Morioka, Nobuo AU - Morioka N FAU - Adachi, Shuji AU - Adachi S FAU - Koizumi, Mitsuru AU - Koizumi M FAU - Seto, Hikaru AU - Seto H FAU - Kojo, Motohisa AU - Kojo M FAU - Nishioka, Satoshi AU - Nishioka S FAU - Nishimura, Michihiko AU - Nishimura M FAU - Yamamoto, Hiroshi AU - Yamamoto H LA - eng PT - Evaluation Studies PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20150327 PL - Japan TA - Ann Nucl Med JT - Annals of nuclear medicine JID - 8913398 RN - 0 (Radiopharmaceuticals) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/diagnosis/pathology/radionuclide imaging/therapy MH - Breast Neoplasms/diagnosis/pathology/radionuclide imaging/therapy MH - Colorectal Neoplasms/diagnosis/pathology/radionuclide imaging/therapy MH - Female MH - *Fluorodeoxyglucose F18/adverse effects MH - Head and Neck Neoplasms/diagnosis/pathology/radionuclide imaging/therapy MH - Humans MH - *Image Interpretation, Computer-Assisted/methods MH - Lung Neoplasms/diagnosis/pathology/*radionuclide imaging/*therapy MH - Lymphoma/diagnosis/pathology/radionuclide imaging/therapy MH - Male MH - Melanoma/diagnosis/pathology/radionuclide imaging/therapy MH - Middle Aged MH - Pancreatic Neoplasms/diagnosis/pathology/radionuclide imaging/therapy MH - *Positron-Emission Tomography/adverse effects/methods MH - *Radiopharmaceuticals/adverse effects MH - Young Adult PMC - PMC4481297 OID - NLM: PMC4481297 EDAT- 2015/03/31 06:00 MHDA- 2016/03/24 06:00 CRDT- 2015/03/28 06:00 PHST- 2014/09/29 [received] PHST- 2015/03/12 [accepted] PHST- 2015/03/27 [aheadofprint] AID - 10.1007/s12149-015-0963-9 [doi] PST - ppublish SO - Ann Nucl Med. 2015 Jun;29(5):431-41. doi: 10.1007/s12149-015-0963-9. Epub 2015 Mar 27. PMID- 25807228 OWN - NLM STAT- MEDLINE DA - 20150326 DCOM- 20160304 LR - 20150331 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 3 DP - 2015 TI - Tumor-associated macrophages in glioblastoma multiforme-a suitable target for somatostatin receptor-based imaging and therapy? PG - e0122269 LID - 10.1371/journal.pone.0122269 [doi] AB - BACKGROUND: Glioblastoma multiforme (GBM) is the most common primary brain tumor in adults. Tumor-associated macrophages (TAM) have been shown to promote malignant growth and to correlate with poor prognosis. [1,4,7,10-tetraazacyclododecane-NN',N'',N'''-tetraacetic acid]-d-Phe1,Tyr3-octreotate (DOTATATE) labeled with Gallium-68 selectively binds to somatostatin receptor 2A (SSTR2A) which is specifically expressed and up-regulated in activated macrophages. On the other hand, the role of SSTR2A expression on the cell surface of glioma cells has not been fully elucidated yet. The aim of this study was to non-invasively assess SSTR2A expression of both glioma cells as well as macrophages in GBM. METHODS: 15 samples of patient-derived GBM were stained immunohistochemically for macrophage infiltration (CD68), proliferative activity (Ki67) as well as expression of SSTR2A. Anti-CD45 staining was performed to distinguish between resident microglia and tumor-infiltrating macrophages. In a subcohort, positron emission tomography (PET) imaging using 68Ga-DOTATATE was performed and the semiquantitatively evaluated tracer uptake was compared to the results of immunohistochemistry. RESULTS: The amount of microglia/macrophages ranged from <10% to >50% in the tumor samples with the vast majority being resident microglial cells. A strong SSTR2A immunostaining was observed in endothelial cells of proliferating vessels, in neurons and neuropile. Only faint immunostaining was identified on isolated microglial and tumor cells. Somatostatin receptor imaging revealed areas of increased tracer accumulation in every patient. However, retention of the tracer did not correlate with immunohistochemical staining patterns. CONCLUSION: SSTR2A seems not to be overexpressed in GBM samples tested, neither on the cell surface of resident microglia or infiltrating macrophages, nor on the surface of tumor cells. These data suggest that somatostatin receptor directed imaging and treatment strategies are less promising in GBM. FAU - Lapa, Constantin AU - Lapa C AD - Department of Nuclear Medicine, University Hospital Wurzburg, Wurzburg, Germany. FAU - Linsenmann, Thomas AU - Linsenmann T AD - Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany. FAU - Luckerath, Katharina AU - Luckerath K AD - Department of Nuclear Medicine, University Hospital Wurzburg, Wurzburg, Germany. FAU - Samnick, Samuel AU - Samnick S AD - Department of Nuclear Medicine, University Hospital Wurzburg, Wurzburg, Germany. FAU - Herrmann, Ken AU - Herrmann K AD - Department of Nuclear Medicine, University Hospital Wurzburg, Wurzburg, Germany. FAU - Stoffer, Carolin AU - Stoffer C AD - Department of Neuropathology, Institute of Pathology, University of Wurzburg, Wurzburg, Germany. FAU - Ernestus, Ralf-Ingo AU - Ernestus RI AD - Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany. FAU - Buck, Andreas K AU - Buck AK AD - Department of Nuclear Medicine, University Hospital Wurzburg, Wurzburg, Germany. FAU - Lohr, Mario AU - Lohr M AD - Department of Neurosurgery, University Hospital Wurzburg, Wurzburg, Germany. FAU - Monoranu, Camelia-Maria AU - Monoranu CM AD - Department of Neuropathology, Institute of Pathology, University of Wurzburg, Wurzburg, Germany. LA - eng PT - Journal Article DEP - 20150325 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (68Ga-DOTATATE) RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, Myelomonocytic) RN - 0 (CD68 antigen, human) RN - 0 (Organometallic Compounds) RN - 0 (Receptors, Somatostatin) RN - 0 (somatostatin receptor 2) RN - EC 3.1.3.48 (Antigens, CD45) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD/metabolism MH - Antigens, CD45/metabolism MH - Antigens, Differentiation, Myelomonocytic/metabolism MH - Brain Neoplasms/drug therapy/pathology/*radiography MH - Female MH - Glioblastoma/drug therapy/pathology/*radiography MH - Humans MH - Immunohistochemistry MH - Macrophages/immunology/*metabolism MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Organometallic Compounds/chemistry MH - Positron-Emission Tomography MH - Receptors, Somatostatin/*metabolism MH - Retrospective Studies PMC - PMC4373835 OID - NLM: PMC4373835 EDAT- 2015/03/26 06:00 MHDA- 2016/03/05 06:00 CRDT- 2015/03/26 06:00 PHST- 2015 [ecollection] PHST- 2014/07/14 [received] PHST- 2015/02/11 [accepted] PHST- 2015/03/25 [epublish] AID - 10.1371/journal.pone.0122269 [doi] AID - PONE-D-14-28527 [pii] PST - epublish SO - PLoS One. 2015 Mar 25;10(3):e0122269. doi: 10.1371/journal.pone.0122269. eCollection 2015. PMID- 25797251 OWN - NLM STAT- MEDLINE DA - 20150520 DCOM- 20160314 LR - 20150719 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 12 DP - 2015 Apr 30 TI - TERT promoter mutations and telomere length in adult malignant gliomas and recurrences. PG - 10617-33 AB - In this report on 303 gliomas we show the highest frequency of TERT promoter mutations in gliobastomas (80%) followed by oligodendrogliomas (70%) and astrocytomas (39%). We observed positive association between TERT promoter and IDH mutations in oligodendroglial tumors (OR = 26.3; 95% CI 2.5-250.2) and inverse association in primary glioblastomas (OR = 0.13; 95% CI 0.03-0.58). Tumors with TERT promoter mutations compared to those without showed increased TERT transcription; we also showed difference in the transcription levels due to the two main mutations. Tumors with TERT promoter mutations had shorter telomeres than those without. The patients with only TERT promoter mutations showed worst survival (median survival 14.6 months) and patients with both IDH and TERT promoter mutations showed best survival (246.5 months). In patients with astrocytoma, the TERT promoter mutations only associated with poor survival (P < 0.0001); IDH mutations and 1p/19q deletions associated with increased survival (P = 0.0004). TERT promoter mutations in low grade gliomas associated with reduced progression free survival (HR 10.2; 95% CI 1.9 - 55.9). While our data affirm the role of TERT promoter mutations in glial tumors, effects on transcription and telomere length emphasise the importance of telomere biology in disease genesis and outcome. FAU - Heidenreich, Barbara AU - Heidenreich B AD - Division of Molecular Genetic Epidemiology, German Cancer Research Center, Heidelberg 69120, Germany. FAU - Rachakonda, P Sivaramakrishna AU - Rachakonda PS AD - Division of Molecular Genetic Epidemiology, German Cancer Research Center, Heidelberg 69120, Germany. FAU - Hosen, Ismail AU - Hosen I AD - Division of Molecular Genetic Epidemiology, German Cancer Research Center, Heidelberg 69120, Germany. FAU - Volz, Florian AU - Volz F AD - Department of Neurosurgery, University Medical Center Freiburg, Freiburg 79106, Germany. FAU - Hemminki, Kari AU - Hemminki K AD - Division of Molecular Genetic Epidemiology, German Cancer Research Center, Heidelberg 69120, Germany. AD - Center for Primary Health Care Research, Lund University, Malmo, Lund 22100, Sweden. FAU - Weyerbrock, Astrid AU - Weyerbrock A AD - Department of Neurosurgery, University Medical Center Freiburg, Freiburg 79106, Germany. FAU - Kumar, Rajiv AU - Kumar R AD - Division of Molecular Genetic Epidemiology, German Cancer Research Center, Heidelberg 69120, Germany. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - EC 2.7.7.49 (TERT protein, human) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/enzymology/*genetics/pathology MH - Child MH - Disease-Free Survival MH - Female MH - Glioma/enzymology/*genetics/pathology MH - Humans MH - Male MH - Middle Aged MH - *Mutation MH - Neoplasm Recurrence, Local/enzymology/genetics/pathology MH - Prognosis MH - Promoter Regions, Genetic MH - Telomerase/*genetics MH - Telomere/genetics MH - Young Adult PMC - PMC4496380 OID - NLM: PMC4496380 OTO - NOTNLM OT - IDH OT - TERT expression OT - TERT promoter OT - gliomas OT - telomere length EDAT- 2015/03/24 06:00 MHDA- 2016/03/15 06:00 CRDT- 2015/03/24 06:00 PHST- 2015/01/07 [received] PHST- 2015/02/09 [accepted] AID - 3329 [pii] AID - 10.18632/oncotarget.3329 [doi] PST - ppublish SO - Oncotarget. 2015 Apr 30;6(12):10617-33. PMID- 25796385 OWN - NLM STAT- MEDLINE DA - 20150707 DCOM- 20160324 IS - 1433-0350 (Electronic) IS - 0256-7040 (Linking) VI - 31 IP - 7 DP - 2015 Jul TI - Paraventricular or centrum ovale cavernous hemangioma involving the pyramidal tract in children: intraoperative MRI and functional neuronavigation-guided resection. PG - 1097-102 LID - 10.1007/s00381-015-2672-z [doi] AB - OBJECTIVES: In this study, we investigated whether visualization of the pyramidal tract and intraoperative MRI combined with functional navigation was helpful in the resection of paraventricular or centrum ovale cavernous hemangioma in children. METHODS: Twelve patients with cavernous hemangioma located in the paraventricular area or in the centrum ovale adjacent to the pyramidal tract were prospectively enrolled in the study. The pyramidal tract of all patients was visualized preoperatively, and all patients underwent tailored craniotomy with white matter trajectory to resect the lesion, with the help of intraoperative MRI and microscope-based functional neuronavigation. RESULTS: In our study, of the total of 12 patients (nine males and three females), five patients had lesions on the left side, and seven had lesions located in the right hemisphere. The lesion volume varied from 0.2 to 11.45 cm(3). In seven cases, the distance of the lesion from the pyramidal tract was 0-5 mm (the 0-5 mm group), and five cases were in the 5-10 mm group. The 3D visualization of the lesion and the pyramidal tract helped the surgeon design the optimal surgical approach and trajectory. Intraoperative functional neuronavigation allowed them to obtain access to the lesion accurately and precisely. All lesions had been removed totally at the end of the surgery. Compared with the preoperative level, muscle strength at 2 weeks had decreased in six cases, was unchanged in four cases, and improved in two cases; at 3 months, it was improved in five cases, unchanged in six cases, and decreased in one case. CONCLUSIONS: Pyramidal tract visualization and intraoperative MRI combined with functional neuronavigation can aid in safe removal of paraventricular or centrum ovale cavernous hemangioma involving the pyramidal tract. FAU - Sun, Guo-chen AU - Sun GC AD - Department of Neurosurgery, PLA General Hospital, 28 Fuxing Rd, Beijing, 100853, China. FAU - Chen, Xiao-lei AU - Chen XL FAU - Yu, Xin-guang AU - Yu XG FAU - Liu, Gang AU - Liu G FAU - Xu, Bai-nan AU - Xu BN LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150322 PL - Germany TA - Childs Nerv Syst JT - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery JID - 8503227 SB - IM MH - Brain Neoplasms/*surgery MH - Female MH - Hemangioma, Cavernous, Central Nervous System/diagnosis/*surgery MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - *Monitoring, Intraoperative MH - Neuronavigation MH - Neurosurgical Procedures/*methods MH - Pyramidal Tracts/*pathology MH - Retrospective Studies MH - Treatment Outcome EDAT- 2015/03/23 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/03/23 06:00 PHST- 2014/10/18 [received] PHST- 2015/02/25 [accepted] PHST- 2015/03/22 [aheadofprint] AID - 10.1007/s00381-015-2672-z [doi] PST - ppublish SO - Childs Nerv Syst. 2015 Jul;31(7):1097-102. doi: 10.1007/s00381-015-2672-z. Epub 2015 Mar 22. PMID- 25758746 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 LR - 20150917 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Phase 2 trial of dasatinib in target-selected patients with recurrent glioblastoma (RTOG 0627). PG - 992-8 LID - 10.1093/neuonc/nov011 [doi] AB - BACKGROUND: We conducted a phase II trial to evaluate the efficacy of dasatinib, a multitargeted tyrosine kinase inhibitor, for adults with recurrent glioblastoma (GBM). METHODS: Eligibility requirements were Karnofsky performance status >/= 60%; no concurrent hepatic enzyme-inducing anticonvulsants; prior treatment with surgery, radiotherapy, and temozolomide exclusively; and activation or overexpression of >/= 2 putative dasatinib targets in GBM (ie, SRC, c-KIT, EPHA2, and PDGFR). Using a 2-stage design, 77 eligible participants (27 in stage 1, if favorable, and then 50 in stage 2) were needed to detect an absolute improvement in the proportion of patients either alive and progression-free patients at 6 months (6mPFS) or responding (any duration) from a historical 11% to 25%. RESULTS: A high rate of ineligibility (27%) to stage 1 precluded a powered assessment of efficacy, but there was also infrequent treatment-related toxicity at 100 mg twice daily. Therefore, the study was redesigned to allow intrapatient escalation by 50 mg daily every cycle as tolerated (stage 1B) before determining whether to proceed to stage 2. Escalation was tolerable in 10 of 17 (59%) participants evaluable for that endpoint; however, among all eligible patients (stages 1 and 1B, n = 50), there were no radiographic responses, median overall survival was 7.9 months, median PFS was 1.7 months, and the 6mPFS rate was 6%. The clinical benefit was insufficient to correlate tested biomarkers with efficacy. The trial was closed without proceeding to stage 2. CONCLUSIONS: Intraparticipant dose escalation was feasible, but dasatinib was ineffective in recurrent GBM. Clinical trials.gov identified. NCT00423735 (available at http://clinicaltrials.gov/ct2/show/NCT00423735). CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Lassman, Andrew B AU - Lassman AB AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Pugh, Stephanie L AU - Pugh SL AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Gilbert, Mark R AU - Gilbert MR AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Aldape, Kenneth D AU - Aldape KD AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Geinoz, Sandrine AU - Geinoz S AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Beumer, Jan H AU - Beumer JH AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Christner, Susan M AU - Christner SM AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Komaki, Ritsuko AU - Komaki R AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - DeAngelis, Lisa M AU - DeAngelis LM AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Gaur, Rakesh AU - Gaur R AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Youssef, Emad AU - Youssef E AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Wagner, Henry AU - Wagner H AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Won, Minhee AU - Won M AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). FAU - Mehta, Minesh P AU - Mehta MP AD - Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York (A.B.L. current); Memorial Sloan Kettering Cancer Center, New York, New York (A.B.L. during accrual, L.M.D.); NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (S.L.P., S.G., M.W); The University of Texas MD Anderson Cancer Center, Houston, Texas (M.R.G., K.D.A. during accrual; R.K.); Neuro-Oncology Branch, National Cancer Institute/National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland (M.R.G. current); University of Toronto and Princess Margaret Cancer Centre, Toronto, Canada (K.D.A. current); Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania (J.H.B., S.M.C.); Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania (J.H.B.); NCI Community Oncology Research Program - Kansas City, Prairie Village, Kansas (R.G.); Arizona Oncology Services Foundation, Tucson, Arizona (E.Y.); Penn State University and The Milton S. Hershey Medical Center, Hershey, Pennsylvania (H.W.); University of Maryland Medical Systems, Baltimore, Maryland (M.P.M.). LA - eng SI - ClinicalTrials.gov/NCT00423735 GR - U10 CA021661/CA/NCI NIH HHS/United States GR - U10 CA180822/CA/NCI NIH HHS/United States GR - U10 CA180868/CA/NCI NIH HHS/United States GR - U10 CA21661/CA/NCI NIH HHS/United States GR - U10 CA37422/CA/NCI NIH HHS/United States PT - Clinical Trial, Phase II PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150310 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antineoplastic Agents) RN - 0 (Protein Kinase Inhibitors) RN - RBZ1571X5H (Dasatinib) SB - IM CIN - Neuro Oncol. 2015 Jul;17(7):910-1. PMID: 25964312 MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/administration & dosage/*therapeutic use MH - Brain Neoplasms/*drug therapy/mortality MH - Dasatinib/administration & dosage/*therapeutic use MH - Glioblastoma/*drug therapy/mortality MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/drug therapy/mortality MH - Protein Kinase Inhibitors/therapeutic use MH - Treatment Outcome OTO - NOTNLM OT - chemotherapy OT - dasatinib OT - glioblastoma OT - phase II OT - tyrosine kinase inhibitor EDAT- 2015/03/12 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/03/12 06:00 PHST- 2014/10/24 [received] PHST- 2015/01/14 [accepted] PHST- 2015/03/10 [aheadofprint] AID - nov011 [pii] AID - 10.1093/neuonc/nov011 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):992-8. doi: 10.1093/neuonc/nov011. Epub 2015 Mar 10. PMID- 25754089 OWN - NLM STAT- MEDLINE DA - 20150704 DCOM- 20160324 LR - 20150708 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 8 DP - 2015 Aug TI - Relative cerebral blood volume is a potential predictive imaging biomarker of bevacizumab efficacy in recurrent glioblastoma. PG - 1139-47 LID - 10.1093/neuonc/nov028 [doi] AB - BACKGROUND: To analyze the relevance of dynamic susceptibility-weighted contrast-enhanced MRI (DSC-MRI) derived relative cerebral blood volume (rCBV) analysis for predicting response to bevacizumab (BEV) in patients with recurrent glioblastoma (rGB). METHODS: A total of 127 patients diagnosed with rGB receiving either bevacizumab (71 patients, BEV cohort) or alkylating chemotherapy (56 patients, non-BEV cohort) underwent conventional anatomic MRI and DSC-MRI at baseline and at first follow-up after treatment initiation. The mean rCBV of the contrast-enhancing tumor (cT1) as well as cT1 and fluid-attenuated inversion recovery (FLAIR) volumes at both time points were correlated with progression-free survival (PFS) and overall survival (OS) using Cox proportional hazard models, logistic regression, and the log-rank test. RESULTS: Baseline rCBV was associated with both PFS (hazard ratio [HR] = 1.3; P < .01) and OS (HR = 1.3; P < .01) in the BEV cohort and predicted 6-month PFS in 82% and 12-month OS in 79% of patients, whereas it was not associated with PFS (HR = 1.0; P = .70) or OS (HR = 1.0; P = .47) in the non-BEV cohort. Corresponding median OS and PFS rates in the BEV cohort for patients with rCBV-values less than 3.92 (optimal threshold from receiver operating characteristic [ROC] analysis of 12-month OS data) were 14.2 and 6.0 months, as compared to 6.6 and 2.8 months for patients with rCBV-values greater than 3.92 (P < .01, respectively). cT1 and FLAIR volumes at first follow-up were significant predictors of 6-month PFS and 12-month OS in the BEV cohort but not in the non-BEV cohort. Corresponding volumes at baseline were not significant in any cohort. CONCLUSIONS: Pretreatment rCBV is a potential predictive imaging biomarker in BEV-treated rGB but not alkylating chemotherapy-treated rGB, which is superior to volumetric analysis of conventional anatomic MRI and predicts 6-month PFS and 12-month OS in 80% of BEV-treated patients. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Kickingereder, Philipp AU - Kickingereder P AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Wiestler, Benedikt AU - Wiestler B AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Burth, Sina AU - Burth S AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Wick, Antje AU - Wick A AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Nowosielski, Martha AU - Nowosielski M AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Heiland, Sabine AU - Heiland S AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Schlemmer, Heinz-Peter AU - Schlemmer HP AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Wick, Wolfgang AU - Wick W AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Bendszus, Martin AU - Bendszus M AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). FAU - Radbruch, Alexander AU - Radbruch A AD - Department of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany (P.K., S.B., S.H., M.B., A.R.); Neurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany (B.W., A.W., W.W.); German Cancer Consortium (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ, Heidelberg, Germany (B.W., W.W.); Department of Neurology, Medical University Innsbruck, Innsbruck, Austria (M.N.); Department of Radiology, DKFZ, Heidelberg, Germany (H.-P.S., A.R.). LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150309 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Biomarkers, Tumor) RN - 0 (Contrast Media) RN - 2S9ZZM9Q9V (Bevacizumab) SB - IM CIN - Neuro Oncol. 2015 Aug;17(8):1046-7. PMID: 25910842 MH - Adult MH - Aged MH - Aged, 80 and over MH - Angiogenesis Inhibitors/*therapeutic use MH - Antineoplastic Agents, Alkylating/therapeutic use MH - Bevacizumab/*therapeutic use MH - Biomarkers, Tumor MH - Brain Neoplasms/blood supply/*diagnosis/*drug therapy/mortality MH - Cerebral Cortex/*blood supply MH - Contrast Media MH - Disease-Free Survival MH - Female MH - Glioblastoma/blood supply/*diagnosis/*drug therapy/mortality MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Treatment Outcome PMC - PMC4490872 OID - NLM: PMC4490872 [Available on 08/01/16] OTO - NOTNLM OT - bevacizumab OT - biomarker OT - cerebral blood volume OT - glioblastoma OT - rCBV EDAT- 2015/03/11 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/03/11 06:00 PMCR- 2016/08/01 00:00 PHST- 2014/12/09 [received] PHST- 2015/02/03 [accepted] PHST- 2015/03/09 [aheadofprint] AID - nov028 [pii] AID - 10.1093/neuonc/nov028 [doi] PST - ppublish SO - Neuro Oncol. 2015 Aug;17(8):1139-47. doi: 10.1093/neuonc/nov028. Epub 2015 Mar 9. PMID- 25748080 OWN - NLM STAT- MEDLINE DA - 20150606 DCOM- 20160301 IS - 1879-0461 (Electronic) IS - 1040-8428 (Linking) VI - 95 IP - 1 DP - 2015 Jul TI - HER2-positive metastatic breast cancer: a changing scenario. PG - 78-87 LID - 10.1016/j.critrevonc.2015.02.002 [doi] LID - S1040-8428(15)00026-8 [pii] AB - Adjuvant trastuzumab (AT) dramatically improved HER2-positive breast cancer prognosis. Relapsed disease after AT has different patterns and information is available from observational studies. In this Review Chemotherapy regimens combined to anti-HER2 blockade are discussed, focusing in particular the role of anthracyclines, taxanes and capecitabine. The use of trastuzumab beyond progression and the role of other anti-HER2 agents like lapatinib, pertuzumab and T-DM1 are explored, as also dual blockade and in trastuzumab resistant Patients. Metastatic "de novo" HER2 Luminal (co-expression of HER2 and hormone receptors) Patients are eligible for anastrozole and trastuzumab but if pretreated with trastuzumab they are also eligible for lapatinib and letrozole. In any case endocrine treatment plays a complementary role to chemotherapy which remains pivotal. The last topic explored is treatment options for patients with brain metastases where both trastuzumab given concurrent with radiotherapy or lapatinib and capecitabine appear as potentially active. CI - Copyright (c) 2015 Elsevier Ireland Ltd. All rights reserved. FAU - Mustacchi, G AU - Mustacchi G AD - Medical Oncology, Department of Medical Sciences, University of Trieste, Italy. Electronic address: gmustacchi@units.it. FAU - Biganzoli, L AU - Biganzoli L AD - Department of Oncology, New Hospital of Prato, Italy. FAU - Pronzato, P AU - Pronzato P AD - Department of Oncology, San Martino Hospital and National Institute for Cancer Research, Genova, Italy. FAU - Montemurro, F AU - Montemurro F AD - Department of Oncology, Institute for Cancer Research and Treatment, Candiolo (TO), Italy. FAU - Dambrosio, M AU - Dambrosio M AD - Department of Oncology, Multimedica, Sesto San Giovanni (MI), Italy. FAU - Minelli, M AU - Minelli M AD - Department of Oncology, S. Eugenio Hospital, Roma, Italy. FAU - Molteni, L AU - Molteni L AD - Department of Oncology, Multimedica, Castellanza (VA), Italy. FAU - Scaltriti, L AU - Scaltriti L AD - Department of Oncology, Civil Hospital, Guastalla (MN), Italy. LA - eng PT - Journal Article PT - Review DEP - 20150220 PL - Netherlands TA - Crit Rev Oncol Hematol JT - Critical reviews in oncology/hematology JID - 8916049 RN - 0 (Anthracyclines) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Quinazolines) RN - 0 (Taxoids) RN - 0VUA21238F (lapatinib) RN - 14083FR882 (Maytansine) RN - 380610-27-5 (pertuzumab) RN - 6804DJ8Z9U (Capecitabine) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) RN - SE2KH7T06F (ado-trastuzumab emtansine) SB - IM MH - Anthracyclines/therapeutic use MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - Antineoplastic Agents/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Brain/drug effects/pathology MH - Brain Neoplasms/*drug therapy/pathology/*secondary MH - Breast/drug effects/pathology MH - Breast Neoplasms/*drug therapy/*pathology MH - Capecitabine/therapeutic use MH - Chemotherapy, Adjuvant/methods MH - Female MH - Humans MH - Maytansine/analogs & derivatives/therapeutic use MH - Neoplasm Metastasis/drug therapy/pathology MH - Neoplasm Recurrence, Local/drug therapy/pathology MH - Quinazolines/therapeutic use MH - Receptor, ErbB-2/*analysis MH - Taxoids/therapeutic use MH - Trastuzumab/therapeutic use OTO - NOTNLM OT - Breast cancer OT - HER2 OT - Metastatic disease OT - Trastuzumab EDAT- 2015/03/10 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/03/10 06:00 PHST- 2014/09/11 [received] PHST- 2014/12/18 [revised] PHST- 2015/02/04 [accepted] PHST- 2015/02/20 [aheadofprint] AID - S1040-8428(15)00026-8 [pii] AID - 10.1016/j.critrevonc.2015.02.002 [doi] PST - ppublish SO - Crit Rev Oncol Hematol. 2015 Jul;95(1):78-87. doi: 10.1016/j.critrevonc.2015.02.002. Epub 2015 Feb 20. PMID- 25716885 OWN - NLM STAT- MEDLINE DA - 20150226 DCOM- 20160315 LR - 20150304 IS - 1559-131X (Electronic) IS - 1357-0560 (Linking) VI - 32 IP - 4 DP - 2015 Apr TI - Liposomal cytarabine in the prophylaxis and treatment of CNS lymphoma: toxicity analysis in a retrospective case series study conducted at Polish Lymphoma Research Group Centers. PG - 90 LID - 10.1007/s12032-015-0520-3 [doi] AB - Lymphomas with primary or secondary involvement of central nervous system (CNS) have poor prognosis despite specific treatment protocols which include whole brain radiotherapy and high-dose systemic and/or intrathecal chemotherapy. Toxicity of intrathecal liposomal cytarabine-based regimens collected between November 2006 and January 2012 was assessed retrospectively. Data from 120 adult lymphoma patients with, or at high risk of CNS involvement who received intrathecal liposomal cytarabine-based regimens at six Polish Lymphoma Research Group centres between November 2006 and January 2012 were assessed retrospectively. Patients were divided into three cohorts: A (high risk of CNS disease, n = 88), B (cerebrospinal fluid pleocytosis without neurological symptoms or pathological imaging findings, n = 7), and C (CNS disease/neurological involvement; n = 25). In all examined groups, toxicity of treatment was found to be acceptable (including the prophylactic setting). None of the patients in cohorts A or B who took intrathecal liposomal cytarabine 50 mg, repeated every 2-4 weeks (mean 3.8 doses) had experienced a CNS relapse at a median follow-up time of 3 years. Patients in cohort C had a 76 % overall neurological response rate (including a 40 % complete response rate) and median overall survival of 4.8 years. Regimens incorporating liposomal cytarabine seem to be safe and effective treatments for lymphomas with CNS involvement. FAU - Jurczak, Wojciech AU - Jurczak W AD - Department of Haematology, Jagiellonian University, 36 Kopernika str., 30-501, Krakow, Poland. FAU - Kroll-Balcerzak, Renata AU - Kroll-Balcerzak R FAU - Giebel, Sebastian AU - Giebel S FAU - Machaczka, Maciej AU - Machaczka M FAU - Giza, Agnieszka AU - Giza A FAU - Ogorka, Tomasz AU - Ogorka T FAU - Fornagiel, Szymon AU - Fornagiel S FAU - Rybka, Justyna AU - Rybka J FAU - Wrobel, Tomasz AU - Wrobel T FAU - Kumiega, Beata AU - Kumiega B FAU - Skotnicki, Aleksander B AU - Skotnicki AB FAU - Komarnicki, Mieczyslaw AU - Komarnicki M LA - eng PT - Journal Article DEP - 20150226 PL - United States TA - Med Oncol JT - Medical oncology (Northwood, London, England) JID - 9435512 RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (Drug Carriers) RN - 0 (Liposomes) RN - 04079A1RDZ (Cytarabine) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antimetabolites, Antineoplastic/*administration & dosage MH - Central Nervous System Neoplasms/*drug therapy/mortality/pathology MH - Cytarabine/*administration & dosage MH - Drug Carriers MH - Female MH - Follow-Up Studies MH - Humans MH - Injections, Spinal MH - Liposomes/*administration & dosage MH - Lymphoma, Large B-Cell, Diffuse/*drug therapy/mortality/pathology MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/*prevention & control MH - Neoplasm Staging MH - Prognosis MH - Remission Induction MH - Retrospective Studies MH - Survival Rate MH - Young Adult PMC - PMC4341025 OID - NLM: PMC4341025 EDAT- 2015/02/27 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/02/27 06:00 PHST- 2014/09/11 [received] PHST- 2015/02/13 [accepted] PHST- 2015/02/26 [aheadofprint] AID - 10.1007/s12032-015-0520-3 [doi] PST - ppublish SO - Med Oncol. 2015 Apr;32(4):90. doi: 10.1007/s12032-015-0520-3. Epub 2015 Feb 26. PMID- 25691693 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Changes in the EGFR amplification and EGFRvIII expression between paired primary and recurrent glioblastomas. PG - 935-41 LID - 10.1093/neuonc/nov013 [doi] AB - BACKGROUND: The efficacy of novel targeted therapies is often tested at the time of tumor recurrence. However, for glioblastoma (GBM) patients, surgical resections at recurrence are performed only in a minority of patients; therefore, molecular data are predominantly derived from the initial tumor. Molecular data of the initial tumor for patient selection into personalized medicine trials can therefore be used only when the specific genetic change is retained in the recurrent tumor. METHODS: In this study we determined whether EGFR amplification and expression of the most common mutation in GBMs (EGFRvIII) is retained at tumor recurrence. Because retention of genetic changes may be dependent on the initial treatment, we only used a cohort of GBM samples that were uniformly treated according to the current standard of care (ie, chemo-irradiation with temozolomide). RESULTS: Our data show that, in spite of some quantitative differences, the EGFR amplification status remains stable in the majority (84%) of tumors evaluated. EGFRvIII expression remained similar in 79% of GBMs. However, within the tumors expressing EGFRvIII at initial diagnosis, approximately one-half lose their EGFRvIII expression at tumor recurrence. CONCLUSIONS: The relative stability of EGFR amplification indicates that molecular data obtained in the primary tumor can be used to predict the EGFR status of the recurrent tumor, but care should be taken in extrapolating EGFRvIII expression from the primary tumor, particularly when expressed at first diagnosis. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - van den Bent, Martin J AU - van den Bent MJ AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - Gao, Ya AU - Gao Y AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - Kerkhof, Melissa AU - Kerkhof M AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - Kros, Johan M AU - Kros JM AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - Gorlia, Thierry AU - Gorlia T AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - van Zwieten, Kitty AU - van Zwieten K AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - Prince, Jory AU - Prince J AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - van Duinen, Sjoerd AU - van Duinen S AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - Sillevis Smitt, Peter A AU - Sillevis Smitt PA AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - Taphoorn, Martin AU - Taphoorn M AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). FAU - French, Pim J AU - French PJ AD - Department of Neurology, Erasmus MC, Rotterdam, Netherlands (M.J.v.d.B., Y.G., K.v.Z., J.P., P.A.S.S., P.J.F.); Department of Pathology, Erasmus MC, Rotterdam, Netherlands (J.M.K.); Department of Neurology, Haaglanden MC, The Hague, Netherlands (M.K., M.T.); EORTC Headquarters, Brussels, Belgium (T.G.); Pathology Department, Leiden University Medical Center, Leiden, Netherlands (S.v.D.). LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150216 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (epidermal growth factor receptor VIII) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (Receptor, Epidermal Growth Factor) SB - IM CIN - Neuro Oncol. 2015 Jul;17(7):907-9. PMID: 25972456 MH - Adult MH - Aged MH - Brain Neoplasms/*genetics/metabolism MH - Female MH - Gene Amplification MH - Glioblastoma/*genetics/metabolism MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/diagnosis/*metabolism MH - Receptor, Epidermal Growth Factor/*genetics/*metabolism OTO - NOTNLM OT - EGFR OT - EGFRvIII OT - glioblastoma OT - recurrent tumors EDAT- 2015/02/19 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/02/19 06:00 PHST- 2014/11/10 [received] PHST- 2015/01/13 [accepted] PHST- 2015/02/16 [aheadofprint] AID - nov013 [pii] AID - 10.1093/neuonc/nov013 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):935-41. doi: 10.1093/neuonc/nov013. Epub 2015 Feb 16. PMID- 25688120 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 LR - 20151104 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Variation over time and interdependence between disease progression and death among patients with glioblastoma on RTOG 0525. PG - 999-1006 LID - 10.1093/neuonc/nov009 [doi] AB - BACKGROUND: We assessed the longitudinal hazard characteristics for death and progression in patients with glioblastoma, evaluated the impact of prognostic factors and treatment on the hazard within different time intervals to determine if effects are time varying, and quantified the influence of progression on survival. METHODS: Among patients randomized to Radiation Therapy Oncology Group trial 0525, which compared dose-dense with standard-dose temozolomide, we estimated the hazards of death and treatment failure (death or progression) over time and their interdependence. RESULTS: The peak hazard of death was reached at around 16 months with a slow decline after that; the hazard of progression/death reached a peak at around 6 months and decreased dramatically thereafter. The survival advantages for patients with MGMT gene promoter methylation and recursive partitioning analysis class III were substantial in the first 2 years, but lessened thereafter. The progression-free survival benefit of dose-dense over standard-dose temozolomide occurred in the first 6 months (hazard ratio: 0.70; 95% CI: 0.58-0.86; P < .001), although it diminished thereafter. After adjusting for recursive partitioning analysis class and MGMT methylation status, the hazard ratio of death for patients who had progressed over nonprogressors was 6.59 (95% CI: 5.15-8.43; P < .001). CONCLUSION: After the peak hazard of death, a consistently high hazard remains, but it is lower than in the peak period. The progression hazard peak is earlier, and then hazard consistently declines. The rate of dying after disease progression is about 6.59 times the rate for nonprogressors, suggesting that progression-free survival may be a relevant clinical endpoint. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Wang, Meihua AU - Wang M AD - Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (M.W., J.J.D., M.W.); Department of Public Health Sciences, University of Chicago, Chicago, Illinois (J.J.D.); Winship Cancer Institute of Emory University, Atlanta, Georgia (W.C.); Department of Radiation Oncology, Northwestern University, Chicago, Illinois (M.M.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.). FAU - Dignam, James J AU - Dignam JJ AD - Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (M.W., J.J.D., M.W.); Department of Public Health Sciences, University of Chicago, Chicago, Illinois (J.J.D.); Winship Cancer Institute of Emory University, Atlanta, Georgia (W.C.); Department of Radiation Oncology, Northwestern University, Chicago, Illinois (M.M.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.). FAU - Won, Minhee AU - Won M AD - Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (M.W., J.J.D., M.W.); Department of Public Health Sciences, University of Chicago, Chicago, Illinois (J.J.D.); Winship Cancer Institute of Emory University, Atlanta, Georgia (W.C.); Department of Radiation Oncology, Northwestern University, Chicago, Illinois (M.M.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.). FAU - Curran, Walter AU - Curran W AD - Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (M.W., J.J.D., M.W.); Department of Public Health Sciences, University of Chicago, Chicago, Illinois (J.J.D.); Winship Cancer Institute of Emory University, Atlanta, Georgia (W.C.); Department of Radiation Oncology, Northwestern University, Chicago, Illinois (M.M.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.). FAU - Mehta, Minesh AU - Mehta M AD - Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (M.W., J.J.D., M.W.); Department of Public Health Sciences, University of Chicago, Chicago, Illinois (J.J.D.); Winship Cancer Institute of Emory University, Atlanta, Georgia (W.C.); Department of Radiation Oncology, Northwestern University, Chicago, Illinois (M.M.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.). FAU - Gilbert, Mark R AU - Gilbert MR AD - Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (M.W., J.J.D., M.W.); Department of Public Health Sciences, University of Chicago, Chicago, Illinois (J.J.D.); Winship Cancer Institute of Emory University, Atlanta, Georgia (W.C.); Department of Radiation Oncology, Northwestern University, Chicago, Illinois (M.M.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.). LA - eng GR - U10 CA021661/CA/NCI NIH HHS/United States GR - U10 CA037422/CA/NCI NIH HHS/United States GR - U10 CA180822/CA/NCI NIH HHS/United States GR - U10 CA180868/CA/NCI NIH HHS/United States GR - U10 CA21661/CA/NCI NIH HHS/United States GR - U10 CA37422/CA/NCI NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural DEP - 20150216 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Tumor Suppressor Proteins) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) RN - EC 2.1.1.- (DNA Modification Methylases) RN - EC 2.1.1.63 (MGMT protein, human) RN - EC 6.5.1.- (DNA Repair Enzymes) SB - IM MH - Antineoplastic Agents, Alkylating/administration & dosage/therapeutic use MH - Brain Neoplasms/drug therapy/genetics/*mortality MH - DNA Methylation MH - DNA Modification Methylases/genetics MH - DNA Repair Enzymes/genetics MH - Dacarbazine/administration & dosage/analogs & derivatives/therapeutic use MH - *Disease Progression MH - Glioblastoma/drug therapy/genetics/*mortality MH - Humans MH - Proportional Hazards Models MH - Tumor Suppressor Proteins/genetics OTO - NOTNLM OT - glioblastoma OT - hazard of death OT - hazard of failure (progression or death) EDAT- 2015/02/18 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/02/18 06:00 PHST- 2013/09/15 [received] PHST- 2015/01/03 [accepted] PHST- 2015/02/16 [aheadofprint] AID - nov009 [pii] AID - 10.1093/neuonc/nov009 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):999-1006. doi: 10.1093/neuonc/nov009. Epub 2015 Feb 16. PMID- 25680731 OWN - NLM STAT- MEDLINE DA - 20150808 DCOM- 20160229 IS - 1432-1084 (Electronic) IS - 0938-7994 (Linking) VI - 25 IP - 9 DP - 2015 Sep TI - Association of dynamic susceptibility contrast enhanced MR Perfusion parameters with prognosis in elderly patients with glioblastomas. PG - 2738-44 LID - 10.1007/s00330-015-3640-4 [doi] AB - OBJECTIVES: We aimed to evaluate the prognostic value of dynamic susceptibility contrast (DSC) MR perfusion in elderly patients with glioblastomas (GBM). METHODS: Thirty five patients aged >/=65 and 35 aged <65 years old, (referred to as elderly and younger, respectively) were included in this retrospective study. The median relative cerebral volume (rCBV) from the enhancing region (rCBVER-Med) and immediate peritumoral region (rCBVIPR-Med) and maximum rCBV from the enhancing region of the tumor (rCBVER-Max) were compared and correlated with survival data. Analysis was repeated after rCBVs were dichotomized into high and low values and after excluding elderly patients who did not receive postoperative chemoradiation (34.3%). Kaplan-Meyer survival curves and parametric and semi-parametric regression tests were used for analysis. RESULTS: All rCBV parameters were higher in elderly compared to younger patients (p < 0.05). After adjustment for age, none were independently associated with shorter survival (p > 0.05). After rCBV dichotomization into high and low values, high rCBV in elderly was independently associated with shorter survival compared to low rCBV in elderly, or any rCBV in younger patients (p < 0.05). CONCLUSION: rCBV can be an imaging biomarker to identify a subgroup of GBM patients in the elderly with worse prognosis compared to others. KEY POINTS: * GBM perfusion parameters are higher in elderly compared to younger patients. * rCBV can identify a subgroup of elderly patients with worse prognosis. * rCBV can be an imaging biomarker for prognostication in GBM. * The identified elderly patients may benefit from anti-angiogenic treatment. FAU - Jabehdar Maralani, Pejman AU - Jabehdar Maralani P AD - Department of Medical Imaging, Sunnybrook Health Sciences Center, University of Toronto, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada, pejman.maralani@sunnybrook.ca. FAU - Melhem, Elias R AU - Melhem ER FAU - Wang, Sumei AU - Wang S FAU - Herskovits, Edward H AU - Herskovits EH FAU - Voluck, Matthew R AU - Voluck MR FAU - Kim, Sang Joon AU - Kim SJ FAU - Learned, Kim O AU - Learned KO FAU - O'Rourke, Donald M AU - O'Rourke DM FAU - Mohan, Suyash AU - Mohan S LA - eng PT - Journal Article DEP - 20150214 PL - Germany TA - Eur Radiol JT - European radiology JID - 9114774 RN - 0 (Contrast Media) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain/pathology MH - Brain Neoplasms/*diagnosis MH - *Contrast Media MH - Female MH - Glioblastoma/*diagnosis MH - Humans MH - Image Enhancement/*methods MH - Magnetic Resonance Angiography/*methods MH - Male MH - Middle Aged MH - Prognosis MH - Retrospective Studies MH - Young Adult EDAT- 2015/02/15 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/02/15 06:00 PHST- 2014/11/16 [received] PHST- 2015/01/21 [accepted] PHST- 2014/12/22 [revised] PHST- 2015/02/14 [aheadofprint] AID - 10.1007/s00330-015-3640-4 [doi] PST - ppublish SO - Eur Radiol. 2015 Sep;25(9):2738-44. doi: 10.1007/s00330-015-3640-4. Epub 2015 Feb 14. PMID- 25665807 OWN - NLM STAT- MEDLINE DA - 20150620 DCOM- 20160315 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 7 DP - 2015 Jul TI - Phase 1 dose-escalation study of the antiplacental growth factor monoclonal antibody RO5323441 combined with bevacizumab in patients with recurrent glioblastoma. PG - 1007-15 LID - 10.1093/neuonc/nov019 [doi] AB - BACKGROUND: We conducted a phase 1 dose-escalation study of RO5323441, a novel antiplacental growth factor (PlGF) monoclonal antibody, to establish the recommended dose for use with bevacizumab and to investigate the pharmacokinetics, pharmacodynamics, safety/tolerability, and preliminary clinical efficacy of the combination. METHODS: Twenty-two participants with histologically confirmed glioblastoma in first relapse were treated every 2 weeks with RO5323441 (625 mg, 1250 mg, or 2500 mg) plus bevacizumab (10 mg/kg). A standard 3 + 3 dose-escalation trial design was used. RESULTS: RO5323441 combined with bevacizumab was generally well tolerated, and the maximum tolerated dose was not reached. Two participants experienced dose-limiting toxicities (grade 3 meningitis associated with spinal fluid leak [1250 mg] and grade 3 cerebral infarction [2500 mg]). Common adverse events included hypertension (14 participants, 64%), headache (12 participants, 55%), dysphonia (11 participants, 50%) and fatigue (6 participants, 27%).The pharmacokinetics of RO5323441 were linear, over-the-dose range, and bevacizumab exposure was unaffected by RO5323441 coadministration. Modulation of plasmatic angiogenic proteins, with increases in VEGFA and decreases in FLT4, was observed. Dynamic contrast-enhanced/diffusion-weighted MRI revealed large decreases in vascular parameters that were maintained through the dosing period. Combination therapy achieved an overall response rate of 22.7%, including one complete response, and median progression-free and overall survival of 3.5 and 8.5 months, respectively. CONCLUSION: The toxicity profile of RO5323441 plus bevacizumab was acceptable and manageable. The observed clinical activity of the combination does not appear to improve on that obtained with single-agent bevacizumab in patients with recurrent glioblastoma. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Lassen, Ulrik AU - Lassen U AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Chinot, Olivier L AU - Chinot OL AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - McBain, Catherine AU - McBain C AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Mau-Sorensen, Morten AU - Mau-Sorensen M AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Larsen, Vibeke Andree AU - Larsen VA AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Barrie, Maryline AU - Barrie M AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Roth, Patrick AU - Roth P AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Krieter, Oliver AU - Krieter O AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Wang, Ka AU - Wang K AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Habben, Kai AU - Habben K AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Tessier, Jean AU - Tessier J AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Lahr, Angelika AU - Lahr A AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). FAU - Weller, Michael AU - Weller M AD - Department of Oncology, Rigshospitalet, Copenhagen, Denmark (U.L., M.M.-S.); Department of Radiology, Rigshospitalet, Copenhagen, Denmark (V.A.L.); Aix-Marseille University A.P.-H.M., Department of Neuro-Oncology, University Hospital Timone, Marseille, France (O.L.C., M.B.); Department of Clinical Oncology, The Christie Hospital N.H.S Foundation Trust, Manchester, England (C.M.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (P.R., M.W.); Roche Diagnostics GmbH, Penzberg, Germany (O.K., K.H., A.L.); Hoffmann La Roche Pharmaceuticals, Nutley, NewJersey (K.W.); F. Hoffmann-La Roche Ltd, Basel, Switzerland (J.T.). LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20150209 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antibodies, Monoclonal) RN - 0 (Pregnancy Proteins) RN - 0 (TB-403 monoclonal antibody) RN - 144589-93-5 (placenta growth factor) RN - 2S9ZZM9Q9V (Bevacizumab) SB - IM MH - Adult MH - Aged MH - Angiogenesis Inhibitors/*administration & dosage/adverse effects/pharmacokinetics/therapeutic use MH - Antibodies, Monoclonal/*administration & dosage/adverse effects/pharmacokinetics/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage/adverse effects/pharmacokinetics/therapeutic use MH - Bevacizumab/*administration & dosage/adverse effects/therapeutic use MH - Brain Neoplasms/*drug therapy/mortality MH - Female MH - Glioblastoma/*drug therapy/mortality MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/drug therapy/mortality MH - Pregnancy Proteins/blood/immunology MH - Treatment Outcome OTO - NOTNLM OT - RO5323441 OT - bevacizumab OT - dose-escalation study OT - glioblastoma, placental growth factor EDAT- 2015/02/11 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/02/11 06:00 PHST- 2014/10/24 [received] PHST- 2015/01/21 [accepted] PHST- 2015/02/09 [aheadofprint] AID - nov019 [pii] AID - 10.1093/neuonc/nov019 [doi] PST - ppublish SO - Neuro Oncol. 2015 Jul;17(7):1007-15. doi: 10.1093/neuonc/nov019. Epub 2015 Feb 9. PMID- 25646027 OWN - NLM STAT- MEDLINE DA - 20150704 DCOM- 20160324 LR - 20160203 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 8 DP - 2015 Aug TI - Dynamic susceptibility contrast MRI measures of relative cerebral blood volume as a prognostic marker for overall survival in recurrent glioblastoma: results from the ACRIN 6677/RTOG 0625 multicenter trial. PG - 1148-56 LID - 10.1093/neuonc/nou364 [doi] AB - BACKGROUND: The study goal was to determine whether changes in relative cerebral blood volume (rCBV) derived from dynamic susceptibility contrast (DSC) MRI are predictive of overall survival (OS) in patients with recurrent glioblastoma multiforme (GBM) when measured 2, 8, and 16 weeks after treatment initiation. METHODS: Patients with recurrent GBM (37/123) enrolled in ACRIN 6677/RTOG 0625, a multicenter, randomized, phase II trial of bevacizumab with irinotecan or temozolomide, consented to DSC-MRI plus conventional MRI, 21 with DSC-MRI at baseline and at least 1 postbaseline scan. Contrast-enhancing regions of interest were determined semi-automatically using pre- and postcontrast T1-weighted images. Mean tumor rCBV normalized to white matter (nRCBV) and standardized rCBV (sRCBV) were determined for these regions of interest. The OS rates for patients with positive versus negative changes from baseline in nRCBV and sRCBV were compared using Wilcoxon rank-sum and Kaplan-Meier survival estimates with log-rank tests. RESULTS: Patients surviving at least 1 year (OS-1) had significantly larger decreases in nRCBV at week 2 (P = .0451) and sRCBV at week 16 (P = .014). Receiver operating characteristic analysis found the percent changes of nRCBV and sRCBV at week 2 and sRCBV at week 16, but not rCBV data at week 8, to be good prognostic markers for OS-1. Patients with positive change from baseline rCBV had significantly shorter OS than those with negative change at both week 2 and week 16 (P = .0015 and P = .0067 for nRCBV and P = .0251 and P = .0004 for sRCBV, respectively). CONCLUSIONS: Early decreases in rCBV are predictive of improved survival in patients with recurrent GBM treated with bevacizumab. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Schmainda, Kathleen M AU - Schmainda KM AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). FAU - Zhang, Zheng AU - Zhang Z AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). FAU - Prah, Melissa AU - Prah M AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). FAU - Snyder, Bradley S AU - Snyder BS AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). FAU - Gilbert, Mark R AU - Gilbert MR AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). FAU - Sorensen, A Gregory AU - Sorensen AG AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). FAU - Barboriak, Daniel P AU - Barboriak DP AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). FAU - Boxerman, Jerrold L AU - Boxerman JL AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin (K.M.S., M.P.); Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, Rhode Island (Z.Z., B.S.S.); Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.R.G.); Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts (A.G.S.); Department of Radiology, Duke University Medical Center, Durham, North Carolina (D.P.B.); Department of Diagnostic Imaging, Rhode Island Hospital, Providence, Rhode Island (J.L.B.); Alpert Medical School of Brown University, Providence, Rhode Island (J.L.B.). LA - eng GR - R01 CA082500/CA/NCI NIH HHS/United States GR - U01 CA176110/CA/NCI NIH HHS/United States GR - U01-CA079778/CA/NCI NIH HHS/United States GR - U01-CA080098/CA/NCI NIH HHS/United States GR - U10 CA023318/CA/NCI NIH HHS/United States GR - U10 CA066636/CA/NCI NIH HHS/United States GR - U10 CA180794/CA/NCI NIH HHS/United States GR - U10 CA180820/CA/NCI NIH HHS/United States GR - U10 CA180868/CA/NCI NIH HHS/United States PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural DEP - 20150202 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (Contrast Media) RN - 2S9ZZM9Q9V (Bevacizumab) RN - 7673326042 (irinotecan) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) RN - XT3Z54Z28A (Camptothecin) SB - IM MH - Adult MH - Aged MH - Angiogenesis Inhibitors/*therapeutic use MH - Antineoplastic Agents, Alkylating/therapeutic use MH - Antineoplastic Agents, Phytogenic/therapeutic use MH - Bevacizumab/*therapeutic use MH - Brain Neoplasms/blood supply/*diagnosis/drug therapy/*mortality MH - Camptothecin/analogs & derivatives/therapeutic use MH - Cerebral Cortex/*blood supply MH - Contrast Media MH - Dacarbazine/analogs & derivatives/therapeutic use MH - Female MH - Glioblastoma/blood supply/*diagnosis/drug therapy/*mortality MH - Humans MH - Kaplan-Meier Estimate MH - Magnetic Resonance Imaging/methods MH - Male MH - Middle Aged MH - Prognosis MH - Treatment Outcome MH - Young Adult PMC - PMC4490871 OID - NLM: PMC4490871 [Available on 08/01/16] OTO - NOTNLM OT - MRI OT - bevacizumab OT - overall survival OT - rCBV OT - recurrent glioblastoma EDAT- 2015/02/04 06:00 MHDA- 2016/03/25 06:00 CRDT- 2015/02/04 06:00 PMCR- 2016/08/01 00:00 PHST- 2014/09/24 [received] PHST- 2014/12/24 [accepted] PHST- 2015/02/02 [aheadofprint] AID - nou364 [pii] AID - 10.1093/neuonc/nou364 [doi] PST - ppublish SO - Neuro Oncol. 2015 Aug;17(8):1148-56. doi: 10.1093/neuonc/nou364. Epub 2015 Feb 2. PMID- 25633990 OWN - NLM STAT- MEDLINE DA - 20150603 DCOM- 20160310 IS - 1532-2807 (Electronic) IS - 1219-4956 (Linking) VI - 21 IP - 3 DP - 2015 Jul TI - Expression of cytokeratins in glioblastoma multiforme. PG - 817-9 LID - 10.1007/s12253-015-9896-9 [doi] AB - Little is known about the cytokeratin (CK) expressions in glioblastoma multiforme (GBM). The aim is to explore the CK expression in GM using immunohistochemistry (IHC). IHC study in 30 cases (median = 68 years, SE = 12.6) of GBM in brain. CK expression using AE1/3 antidody was seen in 29/30 (97 %) cases. There were no expressions of CK34BE12, CK5, CK6, CK7, CK8, CK14, CK 18, CK19, and CK20. Expression of p53 and glial fibrillary acidic protein (GFAP) were recognized in all 30 cases (100 %). All cases showed Ki-67 antigen labeling, index of which ranged from 6 to 43 % (m +/- SD = 24 + 16). The IHC using CKAE1/3 in GBM very frequently shows positive reaction. The expression may cause difficulty in pathologic diagnosis in GBM, particularly in discrimination between GBM and metastatic carcinoma. The CK positivity in GM may be due to CK molecules other than CK34BE12, CK5, CK6, CK7, CK8, CK14, CK18, CK19 and CK20. GBM frequently expression p53 and high Ki-67 labeling. FAU - Terada, Tadashi AU - Terada T AD - Department of Pathology, Shizuoka City Shimizu Hospital, Miyakami 1231, Shimizu-Ku, Shizuoka, 424-8636, Japan, piyo0111jp@yahoo.co.jp. LA - eng PT - Journal Article DEP - 20150130 PL - Netherlands TA - Pathol Oncol Res JT - Pathology oncology research : POR JID - 9706087 RN - 0 (Biomarkers, Tumor) RN - 0 (Ki-67 Antigen) RN - 68238-35-7 (Keratins) SB - IM MH - Aged MH - Biomarkers, Tumor/*metabolism MH - Brain Neoplasms/*metabolism/pathology MH - Female MH - Follow-Up Studies MH - Glioblastoma/*metabolism/pathology MH - Humans MH - Immunoenzyme Techniques MH - Keratins/*metabolism MH - Ki-67 Antigen/*metabolism MH - Male MH - Neoplasm Grading MH - Prognosis EDAT- 2015/01/31 06:00 MHDA- 2016/03/11 06:00 CRDT- 2015/01/31 06:00 PHST- 2014/12/05 [received] PHST- 2015/01/06 [accepted] PHST- 2015/01/30 [aheadofprint] AID - 10.1007/s12253-015-9896-9 [doi] PST - ppublish SO - Pathol Oncol Res. 2015 Jul;21(3):817-9. doi: 10.1007/s12253-015-9896-9. Epub 2015 Jan 30. PMID- 25612810 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - Radiation therapy in pediatric pineal tumors. PG - 212-5 LID - 10.1016/j.neuchi.2014.11.002 [doi] LID - S0028-3770(14)00277-X [pii] AB - Pineal tumor management in pediatric patients must be based on close co-operation between oncologists, surgeons, radiation oncologists, neurologists, ophthalmologists, and endocrinologists. Radiation therapy (RT) remains critical in most situations and should be assessed as soon as the diagnosis is made, in order to optimize the radiation technique. This paper will focus on RT modalities, indications, as well as modalities in main pediatric pineal tumors (germ cell tumors and pineal parenchyma tumors). RT modalities are presently being debated and new RT techniques (intensity-modulated RT, proton therapy etc.) that are now available for pineal lesions need to be evaluated. Radiation strategies are also controversial for germ cell tumors: cranio-spinal radiation versus chemotherapy followed by focal radiation, which also requires discussion. CI - Copyright (c) 2015. Published by Elsevier Masson SAS. FAU - Claude, L AU - Claude L AD - Radiation Oncology Department, centre Leon-Berard, 28, rue Laennec, 69008 Lyon, France. Electronic address: line.claude@lyon.unicancer.fr. FAU - Faure-Conter, C AU - Faure-Conter C AD - Department of Pediatric Oncology, institut d'hemato oncologie pediatrique, 69008 Lyon, France. FAU - Frappaz, D AU - Frappaz D AD - Department of Pediatric Oncology, institut d'hemato oncologie pediatrique, 69008 Lyon, France. FAU - Mottolese, C AU - Mottolese C AD - Department of Neurosurgery, hopital neurologique, 69500 Bron, France. FAU - Carrie, C AU - Carrie C AD - Radiation Oncology Department, centre Leon-Berard, 28, rue Laennec, 69008 Lyon, France. LA - eng PT - Journal Article PT - Review DEP - 20150119 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Brain Neoplasms/pathology/*radiotherapy MH - *Combined Modality Therapy/methods MH - Humans MH - Neoplasms, Germ Cell and Embryonal/pathology/*radiotherapy MH - Pineal Gland/*pathology MH - Pinealoma/*radiotherapy MH - Treatment Outcome OTO - NOTNLM OT - Germinoma OT - Germinome OT - Pineal tumors OT - Pinealoblastoma OT - Pinealoblastome OT - Radiotherapy OT - Radiotherapie OT - Tumeurs pineale EDAT- 2015/01/24 06:00 MHDA- 2016/03/12 06:00 CRDT- 2015/01/24 06:00 PHST- 2013/04/22 [received] PHST- 2014/01/12 [revised] PHST- 2014/11/11 [accepted] PHST- 2015/01/19 [aheadofprint] AID - S0028-3770(14)00277-X [pii] AID - 10.1016/j.neuchi.2014.11.002 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):212-5. doi: 10.1016/j.neuchi.2014.11.002. Epub 2015 Jan 19. PMID- 25588856 OWN - NLM STAT- MEDLINE DA - 20150528 DCOM- 20160315 IS - 1724-6008 (Electronic) IS - 0393-6155 (Linking) VI - 30 IP - 2 DP - 2015 Apr-Jun TI - MGMT promoter methylation and glioblastoma: a comparison of analytical methods and of tumor specimens. PG - e208-16 LID - 10.5301/jbm.5000126 [doi] LID - DCE17C11-FAA0-44CF-867D-853215EC9296 [pii] AB - It is already well known that hypermethylation of the O6-methylguanine DNA methyltransferase (MGMT) gene promoter is a predictive biomarker of response to temozolomide treatment and of favorable outcomes in terms of overall survival (OS) and progression-free survival (PFS) in glioblastoma (GBM) patients. Nevertheless, MGMT methylation status has not currently been introduced into routine clinical practice, as the choice of the ideal technique and tissue sample specimen is still controversial. The aim of this study was to compare 2 analytical methods, methylation-specific polymerase chain reaction (MSP) and pyrosequencing (PSQ), and their use on 2 different tissue type samples, snap-frozen and formalin-fixed paraffin-embedded (FFPE), obtained from a single-center and uniformly treated cohort of 46 GBM patients. We obtained methylation data from all frozen tissues, while no results were obtained for 5 FFPE samples. The highest concordance for methylation was found on frozen tissues (88.5%, 23/26 samples), using PSQ (76.7%, 23/30 samples). Moreover, we confirmed that OS and PFS for patients carrying methylation of the MGMT promoter were longer than for patients with an unmethylated promoter. In conclusion, we considered MSP a limited technique for FFPE tissues due to the high risk of false-positive results; in contrast, our data indicated PSQ as the most powerful method to stratify methylated/unmethylated patients as it allows reaching quantitative results with high sensitivity and specificity. Furthermore, frozen tumor tissues were shown to be the best specimens for MGMT methylation analysis, due to the low DNA degradation and homogeneity in methylation throughout the tumor. FAU - Lattanzio, Laura AU - Lattanzio L AD - 1 Laboratory of Cancer Genetics and Translational Oncology, S. Croce University Hospital, Cuneo - Italy. FAU - Borgognone, Marzia AU - Borgognone M FAU - Mocellini, Cristina AU - Mocellini C FAU - Giordano, Fabrizio AU - Giordano F FAU - Favata, Ermanno AU - Favata E FAU - Fasano, Gaetano AU - Fasano G FAU - Vivenza, Daniela AU - Vivenza D FAU - Monteverde, Martino AU - Monteverde M FAU - Tonissi, Federica AU - Tonissi F FAU - Ghiglia, Annalisa AU - Ghiglia A FAU - Fillini, Claudia AU - Fillini C FAU - Bernucci, Claudio AU - Bernucci C FAU - Merlano, Marco AU - Merlano M FAU - Lo Nigro, Cristiana AU - Lo Nigro C LA - eng PT - Journal Article DEP - 20150526 PL - Italy TA - Int J Biol Markers JT - The International journal of biological markers JID - 8712411 RN - 0 (Tumor Suppressor Proteins) RN - EC 2.1.1.- (DNA Modification Methylases) RN - EC 2.1.1.63 (MGMT protein, human) RN - EC 6.5.1.- (DNA Repair Enzymes) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*genetics MH - DNA Methylation/*genetics MH - DNA Modification Methylases/*genetics MH - DNA Repair Enzymes/*genetics MH - Female MH - Glioblastoma/*genetics MH - Humans MH - Male MH - Middle Aged MH - Tumor Suppressor Proteins/*genetics MH - Young Adult EDAT- 2015/01/16 06:00 MHDA- 2016/03/16 06:00 CRDT- 2015/01/16 06:00 PHST- 2014/12/25 [aheadofprint] PHST- 2014/10/07 [accepted] AID - DCE17C11-FAA0-44CF-867D-853215EC9296 [pii] AID - 10.5301/jbm.5000126 [doi] PST - epublish SO - Int J Biol Markers. 2015 May 26;30(2):e208-16. doi: 10.5301/jbm.5000126. PMID- 25572162 OWN - NLM STAT- MEDLINE DA - 20150318 DCOM- 20160229 IS - 1432-1459 (Electronic) IS - 0340-5354 (Linking) VI - 262 IP - 3 DP - 2015 Mar TI - Patient outcome in the Belgian medical need program on bevacizumab for recurrent glioblastoma. PG - 742-51 LID - 10.1007/s00415-014-7633-z [doi] AB - Bevacizumab (BEV) has demonstrated anti-tumor activity in patients with recurrent glioblastoma (rGB). Given the unmet need for active therapeutic options in rGB patients, a medical need program was initiated by the Belgian competent authorities. Between November 2010 and February 2013, a total of 313 patients with rGB initiated treatment with BEV administered at a dose of 10 mg/kg every 2 weeks. All patients had failed prior treatment with at least radiation therapy and temozolomide and the majority of patients (70 %) were treated with corticosteroids at baseline. Patients received a median of 6 BEV administrations (range 1-53). Overall, BEV was well tolerated. During BEV treatment the WHO-Performance Score (WHO-PS) improved in 59 patients (19 %) and stabilized for at least 6 weeks in an additional 139 (44 %) patients. Corticosteroid treatment could be stopped in 16 % or reduced in dose in 32 % of patients. The best objective tumor response rate using RANO criteria (investigator's assessment) was 3.5 % CR, 22 % PR, 38 % SD and 37 % PD. The median and 6-month PFS were 13 weeks (95 % CI 12.7-14) and 27.3 % (95 % CI 22.3-32.5), median and 6-month OS rates were 26 weeks (23-29) and 52 % (46.4-58.6), respectively. WHO-PS (0-1 vs. 2-3) and baseline steroid use were significantly correlated with PFS and OS. Our observations support the use of BEV as a monotherapy for patients with rGB who have no alternative treatment options. Optimal benefit from BEV treatment is likely to be obtained when treatment is initiated before the performance status deteriorates to two or less. FAU - Duerinck, Johnny AU - Duerinck J AD - Department of Neurosurgery, UZ Brussel, Brussels, Belgium, duerinckj@gmail.com. FAU - Clement, Paul M AU - Clement PM FAU - Bouttens, Frank AU - Bouttens F FAU - Andre, Chantal AU - Andre C FAU - Neyns, Bart AU - Neyns B FAU - Staelens, Yves AU - Staelens Y FAU - Van Fraeyenhove, Frank AU - Van Fraeyenhove F FAU - Baurain, Jean-Francois AU - Baurain JF FAU - Luce, Sylvie AU - Luce S FAU - D'hondt, Lionel AU - D'hondt L FAU - Joosens, Eric AU - Joosens E FAU - Specenier, Pol AU - Specenier P FAU - Verschaeve, Vincent AU - Verschaeve V FAU - Filleul, Bertrand AU - Filleul B FAU - Vroman, Philippe AU - Vroman P FAU - Stragier, Barbara AU - Stragier B FAU - Rogiers, Anne AU - Rogiers A LA - eng PT - Journal Article PT - Multicenter Study DEP - 20150109 PL - Germany TA - J Neurol JT - Journal of neurology JID - 0423161 RN - 0 (Angiogenesis Inhibitors) RN - 2S9ZZM9Q9V (Bevacizumab) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Angiogenesis Inhibitors/*therapeutic use MH - Belgium MH - Bevacizumab/*therapeutic use MH - Brain Neoplasms/*drug therapy MH - Child MH - Child, Preschool MH - Female MH - Glioblastoma/*drug therapy MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Statistics, Nonparametric MH - *Treatment Outcome MH - Young Adult EDAT- 2015/01/13 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/01/10 06:00 PHST- 2014/10/23 [received] PHST- 2014/12/26 [accepted] PHST- 2014/12/24 [revised] PHST- 2015/01/09 [aheadofprint] AID - 10.1007/s00415-014-7633-z [doi] PST - ppublish SO - J Neurol. 2015 Mar;262(3):742-51. doi: 10.1007/s00415-014-7633-z. Epub 2015 Jan 9. PMID- 25546348 OWN - NLM STAT- MEDLINE DA - 20150622 DCOM- 20160316 IS - 1600-0609 (Electronic) IS - 0902-4441 (Linking) VI - 95 IP - 1 DP - 2015 Jul TI - Haematopoietic stem cell transplantation for treatment of primary CNS lymphoma: single-centre experience and literature review. PG - 75-82 LID - 10.1111/ejh.12482 [doi] AB - Primary central nervous system lymphoma (PCNSL) is a rare and malignant tumour type. Established treatment approaches include high-dose methotrexate (HD-MTX)-based chemotherapy and whole-brain radiotherapy (WBRT). WBRT is associated with significant neurotoxicity and autologous haematopoietic stem cell transplantation (ASCT) has been proposed as an alternative treatment - either in the 1st line setting after HD-MTX-based chemotherapy or as salvage treatment for relapsed/refractory PCNSL. We here report our single-centre experience with five PCNSL patients, who had achieved an objective response after a high-dose methotrexate-based induction therapy and consecutively received a high-dose chemotherapy, consisting of carmustine and thiotepa, followed by ASCT. We also provide a literature review on ASCL for PCNSL. Our data, with three of five patients in continuous complete remission and four of five patients alive after a median follow-up time of 8 months, as well as previously published results, show that ASCT is a safe treatment option that is able to induce tumour remissions in patients with PCNSL. However, controlled trials are needed to compare the long-term efficacy and tolerability of ASCT with other treatment approaches and also to establish the optimal sequence of treatment regimens in PCNSL patients. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Bojic, Marija AU - Bojic M AD - Unit for Bone Marrow and Stem Cell Transplantation, Department of Medicine I, Medical University of Vienna, Vienna, Austria. FAU - Berghoff, Anna S AU - Berghoff AS AD - Department of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria. FAU - Troch, Marlene AU - Troch M AD - Unit for Bone Marrow and Stem Cell Transplantation, Department of Medicine I, Medical University of Vienna, Vienna, Austria. FAU - Agis, Hermine AU - Agis H AD - Department of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria. FAU - Sperr, Wolfgang R AU - Sperr WR AD - Department of Medicine I, Clinical Division of Haematology and Hemostaseology, Medical University of Vienna, Vienna, Austria. FAU - Widhalm, Georg AU - Widhalm G AD - Department of Neurosurgery, Medical University of Vienna, Vienna, Austria. FAU - Wohrer, Adelheid AU - Wohrer A AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Kalhs, Peter AU - Kalhs P AD - Unit for Bone Marrow and Stem Cell Transplantation, Department of Medicine I, Medical University of Vienna, Vienna, Austria. FAU - Preusser, Matthias AU - Preusser M AD - Department of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria. FAU - Rabitsch, Werner AU - Rabitsch W AD - Unit for Bone Marrow and Stem Cell Transplantation, Department of Medicine I, Medical University of Vienna, Vienna, Austria. LA - eng PT - Journal Article PT - Review DEP - 20150323 PL - England TA - Eur J Haematol JT - European journal of haematology JID - 8703985 RN - 905Z5W3GKH (Thiotepa) RN - U68WG3173Y (Carmustine) RN - YL5FZ2Y5U1 (Methotrexate) SB - IM MH - Adult MH - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage MH - Carmustine/therapeutic use MH - Central Nervous System Neoplasms/mortality/pathology/*therapy MH - Female MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Induction Chemotherapy/*methods MH - Lymphoma, Non-Hodgkin/mortality/pathology/*therapy MH - Male MH - Methotrexate/*therapeutic use MH - Middle Aged MH - Retrospective Studies MH - Thiotepa/therapeutic use MH - Transplantation, Autologous OTO - NOTNLM OT - autologous haematopoietic stem cell transplantation OT - high-dose chemotherapy OT - primary central nervous system lymphoma OT - review EDAT- 2014/12/30 06:00 MHDA- 2016/03/17 06:00 CRDT- 2014/12/30 06:00 PHST- 2014/03/11 [accepted] PHST- 2015/03/23 [aheadofprint] AID - 10.1111/ejh.12482 [doi] PST - ppublish SO - Eur J Haematol. 2015 Jul;95(1):75-82. doi: 10.1111/ejh.12482. Epub 2015 Mar 23. PMID- 25528743 OWN - NLM STAT- MEDLINE DA - 20150319 DCOM- 20160321 IS - 1432-1750 (Electronic) IS - 0341-2040 (Linking) VI - 193 IP - 2 DP - 2015 Apr TI - A new tool predicting survival after radiosurgery alone for one or two cerebral metastases from lung cancer. PG - 299-302 LID - 10.1007/s00408-014-9676-4 [doi] AB - Radiosurgery is frequently used for patients with few cerebral metastases. Decisions regarding personalized treatment should include the patient's survival prognosis. Prognostic tools should be available for estimating the remaining lifetime for each primary tumor and treatment. We designed such a tool for patients receiving radiosurgery alone for cerebral metastases from lung cancer. Ten variables were analyzed in 98 patients. On multivariate analysis, extra-cranial spread was significantly associated with worse survival (p < 0.001). A trend was observed for poorer performance status (p = 0.08) and greater diameter of cerebral lesions (p = 0.07). Points for the tool were derived from 12-month survival rates of these variables and added, resulting in sum scores of 10-16 points. Three groups were built, 10-12, 14-15, and 16 points with 12-month survival rates of 22, 52, and 79% (p < 0.001). This new tool enables physicians to estimate the survival of lung cancer patients with few cerebral metastases which should impact individualized treatment choices. FAU - Rades, Dirk AU - Rades D AD - Department of Radiation Oncology, University of Lubeck, Ratzeburger Allee 160, 23538, Lubeck, Germany, rades.dirk@gmx.net. FAU - Huttenlocher, Stefan AU - Huttenlocher S FAU - Dziggel, Liesa AU - Dziggel L FAU - Khoa, Mai Trong AU - Khoa MT FAU - Van Thai, Pham AU - Van Thai P FAU - Hornung, Dagmar AU - Hornung D FAU - Schild, Steven E AU - Schild SE LA - eng PT - Journal Article DEP - 20141221 PL - United States TA - Lung JT - Lung JID - 7701875 SB - IM MH - Brain Neoplasms/mortality/pathology/*secondary/*surgery MH - *Decision Support Techniques MH - Female MH - Health Status Indicators MH - Humans MH - Lung Neoplasms/*pathology MH - Male MH - Middle Aged MH - Prognosis MH - *Radiosurgery MH - Risk Assessment/methods MH - Survival Analysis MH - Tumor Burden EDAT- 2014/12/22 06:00 MHDA- 2016/03/22 06:00 CRDT- 2014/12/22 06:00 PHST- 2014/09/10 [received] PHST- 2014/12/15 [accepted] PHST- 2014/12/21 [aheadofprint] AID - 10.1007/s00408-014-9676-4 [doi] PST - ppublish SO - Lung. 2015 Apr;193(2):299-302. doi: 10.1007/s00408-014-9676-4. Epub 2014 Dec 21. PMID- 25523732 OWN - NLM STAT- MEDLINE DA - 20141219 DCOM- 20160311 IS - 1681-7168 (Electronic) IS - 1022-386X (Linking) VI - 24 IP - 12 DP - 2014 Dec TI - Treatment updates regarding anaplastic oligodendroglioma and anaplastic oligoastrocytoma. PG - 935-9 LID - 12.2014/JCPSP.935939 [doi] AB - Anaplastic Oligodendroglioma / Anaplastic Oligoastrocytoma (AO/AOA) is a WHO Grade-III primary brain tumor. These tumors comprise about 5 - 10% of all gliomas, which make them the third most common primary brain tumors after glioblastoma multiforme and astrocytomas. For many years standard of treatment remained Maximum Safe Resection (MSR) followed by Radiotherapy (RT). These tumors have also been known to be sensitive to alkylator-based chemotherapy particularly the subset having 1p/19q co-deletion signature. There is robust data showing that these tumors are responsive to chemotherapy in recurrent or progressive setting. Recently, up front chemotherapy has been added to standard post-surgery RT. It has been found that subset of AO/AOA having 1p/19q co-deletion responded very well to the addition of chemotherapy. This substantial benefit in terms of median Overall Survival (OS) and median Progression Free Survival (PFS) have intrigued the personalized treatment of AO/AOA on the basis of molecular signature markers. FAU - Khan, Khurshid Ahmed AU - Khan KA AD - Department of Oncology, The Aga Khan University Hospital, Karachi. FAU - Abbasi, Ahmed Nadeem AU - Abbasi AN AD - Department of Oncology, The Aga Khan University Hospital, Karachi. FAU - Ali, Nasir AU - Ali N AD - Department of Oncology, The Aga Khan University Hospital, Karachi. LA - eng PT - Journal Article PT - Review PL - Pakistan TA - J Coll Physicians Surg Pak JT - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JID - 9606447 RN - 0 (Antineoplastic Agents) SB - IM MH - Antineoplastic Agents/therapeutic use MH - Astrocytoma/genetics/mortality/*therapy MH - Brain Neoplasms/genetics/mortality/*therapy MH - Chromosomes, Human, Pair 1/*genetics MH - Chromosomes, Human, Pair 19/*genetics MH - Combined Modality Therapy MH - Humans MH - Oligodendroglioma/genetics/mortality/*therapy MH - Prognosis MH - Radiotherapy MH - Survival Rate EDAT- 2014/12/20 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/12/20 06:00 PHST- 2013/04/19 [received] PHST- 2014/06/06 [accepted] AID - 040579197 [pii] AID - 12.2014/JCPSP.935939 [doi] PST - ppublish SO - J Coll Physicians Surg Pak. 2014 Dec;24(12):935-9. doi: 12.2014/JCPSP.935939. PMID- 25499149 OWN - NLM STAT- MEDLINE DA - 20150606 DCOM- 20160303 IS - 1938-0690 (Electronic) IS - 1525-7304 (Linking) VI - 16 IP - 4 DP - 2015 Jul TI - Prophylactic Cranial Irradiation for Patients With Locally Advanced Non-Small-Cell Lung Cancer at High Risk for Brain Metastases. PG - 292-7 LID - 10.1016/j.cllc.2014.11.005 [doi] LID - S1525-7304(14)00241-1 [pii] AB - BACKGROUND: Although there is no proven survival benefit of prophylactic cranial irradiation (PCI) for patients with locally advanced (LA) non-small-cell lung cancer (NSCLC), some speculate that PCI might be helpful for certain subpopulations at higher risk of brain metastases (< 60 years, adenocarcinoma, or stage IIIB). In this study we evaluated the effect of PCI on survival among these high-risk LA-NSCLC patients on a national scale. MATERIALS AND METHODS: Using the Surveillance, Epidemiology, and End Results database, we included all adult patients with primary stage III NSCLC, diagnosed from 1988 to 1997 (years during which PCI was recorded) with follow-up until 2008. The Kaplan-Meier estimator, log-rank test, and Cox proportional hazard regression were used to evaluate the survival effect of PCI. Sequential landmark analysis excluding patients from 1 to 6 months after diagnosis was used to account for immortal time bias. RESULTS: A total of 17,852 patients were included in the analysis, among whom 326 (1.8%) received PCI. Patients younger than 60 years and those with adenocarcinoma were significantly more likely to receive PCI. After adjustment for available covariates, there was no statistically significant survival difference between PCI and non-PCI patients (hazard ratio, 1.04; 95% confidence interval, 0.93-1.16). Similar results were found in all subgroup analyses of high-risk patients. Sequential landmark analysis suggested a potential survival detriment associated with PCI when analyzing only patients who survived at least 3 months after diagnosis. CONCLUSION: Our population-based analysis suggested no overall survival benefit of PCI for LA-NSCLC patients, even among a group of patients who were at higher risk for brain metastases. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Park, Henry S AU - Park HS AD - Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT. Electronic address: henry.park@yale.edu. FAU - Decker, Roy H AU - Decker RH AD - Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT. FAU - Wilson, Lynn D AU - Wilson LD AD - Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT. FAU - Yu, James B AU - Yu JB AD - Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141122 PL - United States TA - Clin Lung Cancer JT - Clinical lung cancer JID - 100893225 SB - IM MH - Adenocarcinoma/pathology MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*prevention & control/secondary MH - Carcinoma, Non-Small-Cell Lung/*pathology MH - Cranial Irradiation/*methods MH - Female MH - Humans MH - Lung Neoplasms/*pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Risk Factors MH - SEER Program MH - Survival Rate OTO - NOTNLM OT - Adenocarcinoma OT - Bulky OT - SEER OT - Whole brain radiation therapy OT - Young EDAT- 2014/12/17 06:00 MHDA- 2016/03/05 06:00 CRDT- 2014/12/16 06:00 PHST- 2014/10/01 [received] PHST- 2014/11/13 [revised] PHST- 2014/11/18 [accepted] PHST- 2014/11/22 [aheadofprint] AID - S1525-7304(14)00241-1 [pii] AID - 10.1016/j.cllc.2014.11.005 [doi] PST - ppublish SO - Clin Lung Cancer. 2015 Jul;16(4):292-7. doi: 10.1016/j.cllc.2014.11.005. Epub 2014 Nov 22. PMID- 25495874 OWN - NLM STAT- MEDLINE DA - 20141225 DCOM- 20160307 LR - 20150123 IS - 1756-0500 (Electronic) IS - 1756-0500 (Linking) VI - 7 DP - 2014 TI - Management and outcome in adult intramedullary spinal cord tumours: a 20-year single institution experience. PG - 908 LID - 10.1186/1756-0500-7-908 [doi] AB - BACKGROUND: Several uncertainties remain concerning the management of intramedullary spinal cord tumours (IMSCTs). These include the timing and extent of resection, its interrelated functional outcome, and the adequate use and timing of radiation therapy and/or chemotherapy. In this retrospective study we report on all adult cases involving IMSCTs treated from 1987 to 2007 in our institution to validate our treatment strategy for IMSCTs. Pre- and post-operative functional performance was classified according to the McCormick scale. RESULTS: A total of 70 adult cases with IMSCTs consisting of ependymoma (39), astrocytoma (11), carcinoma metastasis (8), haemangioblastoma (5), cavernoma (3) and others (4) were reviewed. Mean age was 46.8 years (range, 18-79 years), and mean follow-up was 4.5 years (range, 1-195 months). The proportion of localisation in descending order was thoracic (36%), cervical (33%), cervicothoracic (19%) and conus region (13%), with 45 gross total resections, 22 partial resections and three biopsies. Surgery-related morbidity with worsening postoperative symptoms occurred immediately in 13 patients (18.6%). The preoperative McCormick grade correlated significantly with the early postoperative grade and the grade at follow-up (chi2-test; p=0.001). None of the patients with preserved intraoperative evoked potentials exhibited significant postoperative deterioration. The degree of resection was correlated with progression-free survival (Duncan test; p=0.05). Most patients with malignant tumours, namely anaplastic ependymoma (3), astrocytoma (2) or metastatic lesions (5), underwent postoperative radiation therapy. Six patients (one anaplastic ependymoma, two anaplastic astrocytomas and three metastatic lesions) received postoperative chemotherapy. CONCLUSIONS: IMSCTs should be operated on when symptoms are mild. We recommend evoked potential-guided microsurgical total resection of ependymomas and other benign lesions; partial resection or biopsy followed by adjuvant therapy should be confined to patients with high-grade astrocytomas, whereas resection or biopsy with adjuvant therapy is the best option for metastatic lesions. FAU - Bostrom, Azize AU - Bostrom A FAU - Kanther, Nina-Christine AU - Kanther NC FAU - Grote, Alexander AU - Grote A FAU - Bostrom, Jan AU - Bostrom J AD - Department of Neurosurgery, University of Bonn Medical Center, Sigmund-Freud-Str, 25, Bonn 53105, Germany. Jan.Bostroem@ukb.uni-bonn.de. LA - eng PT - Journal Article DEP - 20141215 PL - England TA - BMC Res Notes JT - BMC research notes JID - 101462768 RN - 0 (Antineoplastic Agents) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Agents/therapeutic use MH - Astrocytoma/diagnosis/mortality/surgery/*therapy MH - Carcinoma/diagnosis/mortality/surgery/*therapy MH - Combined Modality Therapy MH - Disease Management MH - Ependymoma/diagnosis/mortality/surgery/*therapy MH - Evoked Potentials MH - Female MH - Follow-Up Studies MH - Gamma Rays/therapeutic use MH - Hemangioblastoma/diagnosis/mortality/surgery/*therapy MH - Hemangioma, Cavernous/diagnosis/mortality/surgery/*therapy MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Retrospective Studies MH - Spinal Cord Neoplasms/diagnosis/mortality/surgery/*therapy MH - Survival Analysis PMC - PMC4302119 OID - NLM: PMC4302119 EDAT- 2014/12/17 06:00 MHDA- 2016/03/08 06:00 CRDT- 2014/12/16 06:00 PHST- 2014/03/16 [received] PHST- 2014/12/11 [accepted] PHST- 2014/12/15 [aheadofprint] AID - 1756-0500-7-908 [pii] AID - 10.1186/1756-0500-7-908 [doi] PST - epublish SO - BMC Res Notes. 2014 Dec 15;7:908. doi: 10.1186/1756-0500-7-908. PMID- 25465488 OWN - NLM STAT- MEDLINE DA - 20141226 DCOM- 20160321 IS - 1878-4119 (Electronic) IS - 1010-5182 (Linking) VI - 43 IP - 1 DP - 2015 Jan TI - Use of submandibular gland flap for repairing defects after tumor resection in the infratemporal region. PG - 87-91 LID - 10.1016/j.jcms.2014.10.014 [doi] LID - S1010-5182(14)00291-1 [pii] AB - OBJECTIVE: To investigate the application of submandibular gland flap with facial artery and vein pedicle, for repairing defects following tumor resection in the infratemporal region. PATIENTS AND METHODS: Fifteen patients, including eight males and seven females ranging in age from 21 to 73 years, underwent surgical resection of tumors in the infratemporal region. Tumors were exposed using the submandibular incision approach and completely resected after pulling and rotating the mandible laterally. Mandibular osteotomy was performed for larger tumors or those that were not completely exposed. After tumor resection, the submandibular gland flap was used to fill up the residual defect following tumor resection. RESULTS: The incisions healed well without exudation or infection (primary healing) postoperatively in all the patients. Long-term follow-up showed no tumor recurrence in all cases. Seven of the patients who underwent mandibular ramus osteotomy had numbness of the lower lip due to inferior alveolar nerve injury. No other complications were observed postoperatively. CONCLUSION: The submandibular gland flap with facial artery and vein pedicle is a reliable, effective, and easy approach for repairing the defects caused by tumor resection in the infratemporal region, and has great potential for application in the clinical setting. CI - Copyright (c) 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. FAU - Yang, Bin AU - Yang B AD - Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China. FAU - Su, Ming AU - Su M AD - Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China. FAU - Li, Hua AU - Li H AD - Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China. FAU - Li, Jinzhong AU - Li J AD - Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China. FAU - Ouyang, Jiajie AU - Ouyang J AD - Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China. FAU - Han, Zhengxue AU - Han Z AD - Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China. Electronic address: hanf1989@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141024 PL - Scotland TA - J Craniomaxillofac Surg JT - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JID - 8704309 SB - D SB - IM MH - Adenoma, Pleomorphic/surgery MH - Adult MH - Aged MH - Female MH - Follow-Up Studies MH - Head and Neck Neoplasms/*surgery MH - Humans MH - Lip Diseases/epidemiology MH - Longitudinal Studies MH - Male MH - Mandible/surgery MH - Meningioma/surgery MH - Middle Aged MH - Osteotomy/methods MH - Paraganglioma/surgery MH - Paresthesia/etiology MH - Parotid Neoplasms/surgery MH - Postoperative Complications MH - Submandibular Gland/*transplantation MH - Surgical Flaps/blood supply/*transplantation MH - Trigeminal Nerve Injuries/etiology MH - Young Adult OTO - NOTNLM OT - Defects OT - Infratemporal region OT - Repair OT - Submandibular gland FLAP EDAT- 2014/12/04 06:00 MHDA- 2016/03/22 06:00 CRDT- 2014/12/04 06:00 PHST- 2013/12/24 [received] PHST- 2014/09/03 [revised] PHST- 2014/10/21 [accepted] PHST- 2014/10/24 [aheadofprint] AID - S1010-5182(14)00291-1 [pii] AID - 10.1016/j.jcms.2014.10.014 [doi] PST - ppublish SO - J Craniomaxillofac Surg. 2015 Jan;43(1):87-91. doi: 10.1016/j.jcms.2014.10.014. Epub 2014 Oct 24. PMID- 25407774 OWN - NLM STAT- MEDLINE DA - 20150622 DCOM- 20160315 IS - 1750-3639 (Electronic) IS - 1015-6305 (Linking) VI - 25 IP - 4 DP - 2015 Jul TI - Prognostic Relevance of Histomolecular Classification of Diffuse Adult High-Grade Gliomas with Necrosis. PG - 418-28 LID - 10.1111/bpa.12227 [doi] AB - Diffuse adult high-grade gliomas (HGGs) with necrosis encompass anaplastic oligodendrogliomas (AOs) with necrosis (grade III), glioblastomas (GBM, grade IV) and glioblastomas with an oligodendroglial component (GBMO, grade IV). Here, we aimed to search for prognostic relevance of histological classification and molecular alterations of these tumors. About 210 patients were included (63 AO, 56 GBM and 91 GBMO). GBMO group was split into "anaplastic oligoastrocytoma (AOA) with necrosis grade IV/GBMO," restricted to tumors showing intermingled astrocytic and oligodendroglial component, and "GBM/GBMO" based on tumors presenting oligodendroglial foci and features of GBM. Genomic arrays, IDH1 R132H expression analyses and IDH direct sequencing were performed. 1p/19q co-deletion characterized AO, whereas no IDH1 R132H expression and intact 1p/19q characterized both GBM and GBM/GBMO. AOA with necrosis/GBMO mainly demonstrated IDH1 R132H expression and intact 1p/19q. Other IDH1 or IDH2 mutations were extremely rare. Both histological and molecular classifications were predictive of progression free survival (PFS) and overall survival (OS) (P < 10(-4) ). Diffuse adult HGGs with necrosis can be split into three histomolecular groups of prognostic relevance: 1p/19q co-deleted AO, IDH1 R132H-GBM and 1p/19q intact IDH1 R132H+ gliomas that might be classified as IDH1 R132H+ GBM. Because of histomolecular heterogeneity, we suggest to remove the name GBMO. CI - (c) 2014 International Society of Neuropathology. FAU - Figarella-Branger, Dominique AU - Figarella-Branger D AD - Service d'Anatomie Pathologique et de Neuropathologie, Hopital de la Timone, APHM, Marseille, France. AD - INSERM, CRO2 UMR_S 911, Aix-Marseille Universite, Marseille, France. FAU - Mokhtari, Karima AU - Mokhtari K AD - Departement de Neuropathologie Raymond Escourolle, Groupe Hospitalier Pitie-Salpetriere, AP-HP, Paris, France. AD - Centre de Recherche de l'Institut du Cerveau et de la Moelle Epiniere (CRICM), UMR 7225, Universite Pierre et Marie Curie-Paris 6, Paris, France. AD - INSERM U1127, Paris, France. FAU - Colin, Carole AU - Colin C AD - INSERM, CRO2 UMR_S 911, Aix-Marseille Universite, Marseille, France. FAU - Uro-Coste, Emmanuelle AU - Uro-Coste E AD - Service d'Anatomie Pathologique et Histologie-Cytologie, Hopital Rangueil, CHU Toulouse, Toulouse, France. AD - INSERM U1037, Centre de Recherche en Cancerologie de Toulouse, Universite de Toulouse, Toulouse, France. FAU - Jouvet, Anne AU - Jouvet A AD - Centre de Pathologie et de Neuropathologie Est, Hospices Civils de Lyon, Bron, France. FAU - Dehais, Caroline AU - Dehais C AD - Service de Neurologie 2-Mazarin, Groupe Hospitalier Pitie-Salpetriere, AP-HP, Paris, France. FAU - Carpentier, Catherine AU - Carpentier C AD - Centre de Recherche de l'Institut du Cerveau et de la Moelle Epiniere (CRICM), UMR 7225, Universite Pierre et Marie Curie-Paris 6, Paris, France. AD - INSERM U1127, Paris, France. FAU - Villa, Chiara AU - Villa C AD - Departement de Neuropathologie Raymond Escourolle, Groupe Hospitalier Pitie-Salpetriere, AP-HP, Paris, France. AD - Service d'Anatomie Pathologique, Hopital Foch, Suresnes, France. FAU - Maurage, Claude-Alain AU - Maurage CA AD - Service Anatomie Pathologique, Pole Pathologie Biologique, CHU Lille, Lille, France. FAU - Eimer, Sandrine AU - Eimer S AD - Service de Pathologie-Neuropathologie, Hopital Pellegrin, CHU Bordeaux, Bordeaux, France. AD - EA2406, Histologie et Pathologie Moleculaire des Tumeurs, Universite Bordeaux Segalen, Bordeaux, France. FAU - Polivka, Marc AU - Polivka M AD - Service d'Anatomie et Cytologie Pathologique, Hopital Lariboisiere, AP-HP, Paris, France. FAU - Vignaud, Jean-Michel AU - Vignaud JM AD - Laboratoire d'Anatomie Pathologique, Hopital Central, CHU Nancy, Nancy, France. FAU - Laquerriere, Annie AU - Laquerriere A AD - Laboratoire de Pathologie, Hopital Charles Nicolle, CHU Rouen, Rouen, France. FAU - Sevestre, Henri AU - Sevestre H AD - Service d'Anatomie et Cytologie Pathologiques, CHU Amiens, Amiens, France. FAU - Lechapt-Zalcman, Emmanuelle AU - Lechapt-Zalcman E AD - Service d'Anatomie Pathologique, Hopital de la Cote de Nacre, CHU Caen, Caen, France. AD - GIP CYCERON, CERVOxy, UMR 6301 ISTCT, CNRS, Caen, France. FAU - Quintin-Roue, Isabelle AU - Quintin-Roue I AD - Service Anatomie Pathologique, Hopital de la Cavale Blanche, CHU Brest, Brest, France. FAU - Aubriot-Lorton, Marie-Helene AU - Aubriot-Lorton MH AD - Service Anatomie et Cytologie Pathologiques, Plateau Technique de Biologie G. Mack, CHU Dijon, Dijon, France. FAU - Diebold, Marie-Daniele AU - Diebold MD AD - Laboratoire d'Anatomie et Cytologie Pathologiques, Hopital Robert Debre, CHU Reims, Reims, France. FAU - Viennet, Gabriel AU - Viennet G AD - Service Anatomie et Cytologie Pathologiques, Hopital Jean Minjoz, CHU Besancon, Besancon, France. FAU - Adam, Clovis AU - Adam C AD - Service Anatomie et Cytologie Pathologiques, Hopital Bicetre, AP-HP, Kremlin-Bicetre, France. FAU - Loussouarn, Delphine AU - Loussouarn D AD - Service d'Anatomie Pathologique B, Hopital Laennec, CHU Nantes, Nantes, France. FAU - Michalak, Sophie AU - Michalak S AD - Departement Pathologie Cellulaire et Tissulaire, CHU Angers, Angers, France. FAU - Rigau, Valerie AU - Rigau V AD - Laboratoire d'Anatomie et Cytologie Pathologiques, Hopital Gui de Chaulliac, CHU Montpellier, Montpellier, France. FAU - Heitzmann, Anne AU - Heitzmann A AD - Service d'Anatomie Pathologique, Hopital la Source, CHR Orleans, Orleans, France. FAU - Vandenbos, Fanny AU - Vandenbos F AD - Laboratoire d'Anatomie et Cytologie Pathologiques, Hopital Pasteur, CHU Nice, Nice, France. FAU - Forest, Fabien AU - Forest F AD - Service d'Anatomie et Cytologie Pathologiques, Hopital Nord, CHU Saint-Etienne, Saint-Etienne, France. FAU - Chiforeanu, Danchristian AU - Chiforeanu D AD - Service d'Anatomie et Cytologie Pathologiques, Hopital Pontchaillou, CHU Rennes, Renens, France. FAU - Tortel, Marie-Claire AU - Tortel MC AD - Service Anatomie Pathologique, Hopitaux Civils de Colmar, Colmar, France. FAU - Labrousse, Francois AU - Labrousse F AD - Service Anatomie Pathologique, Hopital Dupuytren, CHU Limoges, Limoges, France. FAU - Chenard, Marie-Pierre AU - Chenard MP AD - Service d'Anatomie Pathologique, Hopital Hautepierre, CHU Strasbourg, Strasbourg, France. FAU - Nguyen, Anh Tuan AU - Nguyen AT AD - Service Anatomie Pathologique, HIA Saint-Anne, Toulon, France. FAU - Varlet, Pascale AU - Varlet P AD - Departement de Neuropathologie, CH Sainte-Anne, Paris, France. FAU - Kemeny, Jean Louis AU - Kemeny JL AD - Service d'Anatomie et Cytologie Pathologiques, Hopital Gabriel Montpied, CHU Clermont-Ferrand, Clermont-Ferrand, France. FAU - Levillain, Pierre-Marie AU - Levillain PM AD - Laboratoire d'Anatomie et Cytologie Pathologiques, Hopital la Miletrie, CHU Poitiers, Poitiers, France. FAU - Cazals-Hatem, Dominique AU - Cazals-Hatem D AD - Service d'Anatomie et Cytologie Pathologique, Hopital Beaujon, AP-HP, Clichy, France. FAU - Richard, Pomone AU - Richard P AD - Laboratoire d'Anatomie et Cytologie Pathologiques des Feuillants, Toulouse, France. FAU - Delattre, Jean-Yves AU - Delattre JY AD - Centre de Recherche de l'Institut du Cerveau et de la Moelle Epiniere (CRICM), UMR 7225, Universite Pierre et Marie Curie-Paris 6, Paris, France. AD - INSERM U1127, Paris, France. AD - Service de Neurologie 2-Mazarin, Groupe Hospitalier Pitie-Salpetriere, AP-HP, Paris, France. CN - POLA Network LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20141231 PL - Switzerland TA - Brain Pathol JT - Brain pathology (Zurich, Switzerland) JID - 9216781 RN - 0 (Ki-67 Antigen) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 1.1.1.41 (isocitrate dehydrogenase 2, human) RN - EC 1.1.1.42. (IDH1 protein, human) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (Receptor, Epidermal Growth Factor) RN - Chromosome 1, monosomy 1p SB - IM MH - Adult MH - Brain Neoplasms/classification/*diagnosis/*genetics/*metabolism MH - Chromosome Aberrations MH - Chromosome Deletion MH - Chromosomes, Human, Pair 1/genetics MH - Female MH - Follow-Up Studies MH - Gene Expression Profiling MH - Glioma/classification/*diagnosis/*genetics/*metabolism MH - Humans MH - Isocitrate Dehydrogenase/genetics MH - Ki-67 Antigen/metabolism MH - Male MH - Middle Aged MH - Mutation/genetics MH - Necrosis MH - Oligonucleotide Array Sequence Analysis MH - Prognosis MH - Receptor, Epidermal Growth Factor/genetics MH - Survival Analysis OTO - NOTNLM OT - 1p/19q co-deletion OT - GBMO OT - IDH1 R132H immunoexpression OT - adult high-grade gliomas OT - necrosis IR - Desenclos C FIR - Desenclos, Christine IR - Menei P FIR - Menei, Philippe IR - Al Nader E FIR - Al Nader, Edmond IR - Godard J FIR - Godard, Joel IR - Carpentier A FIR - Carpentier, Antoine IR - Loiseau H FIR - Loiseau, Hugues IR - Dam-Hieu P FIR - Dam-Hieu, Phong IR - Guillamo JS FIR - Guillamo, Jean Sebastien IR - Durando X FIR - Durando, Xavier IR - Verelle P FIR - Verelle, Pierre IR - Faillot T FIR - Faillot, Thierry IR - Gaultier C FIR - Gaultier, Claude IR - Le Guerinel C FIR - Le Guerinel, Caroline IR - Ghiringhelli F FIR - Ghiringhelli, Francois IR - Lacroix C FIR - Lacroix, Catherine IR - Parker F FIR - Parker, Fabrice IR - Dubois F FIR - Dubois, Francois IR - Ramirez C FIR - Ramirez, Carole IR - Gueye EM FIR - Gueye, Edouard Marcel IR - Honnorat J FIR - Honnorat, Jerome IR - Ducray F FIR - Ducray, Francois IR - Chinot O FIR - Chinot, Olivier IR - Bauchet L FIR - Bauchet, Luc IR - Beauchesne P FIR - Beauchesne, Patrick IR - Campone M FIR - Campone, Mario IR - Fontaine D FIR - Fontaine, Denys IR - Blechet C FIR - Blechet, Claire IR - Fesneau M FIR - Fesneau, Melanie IR - Elouadhani-Hamdi S FIR - Elouadhani-Hamdi, Selma IR - Ricard D FIR - Ricard, Damien IR - Colin P FIR - Colin, Philippe IR - Vauleon E FIR - Vauleon, Elodie IR - Langlois O FIR - Langlois, Olivier IR - Fotso MJ FIR - Fotso, Marie Janette Motsuo IR - Peoc'h M FIR - Peoc'h, Michel IR - Andraud M FIR - Andraud, Marie IR - Runavot G FIR - Runavot, Gwenaelle IR - Noel G FIR - Noel, Georges IR - Barrascout E FIR - Barrascout, Edouardo IR - Desse N FIR - Desse, Nicolas IR - Amiel-Benouaich A FIR - Amiel-Benouaich, Alexandra IR - Carpiuc I FIR - Carpiuc, Ioana IR - Cohen-Moyal E FIR - Cohen-Moyal, Elisabeth IR - Dhermain F FIR - Dhermain, Frederic EDAT- 2014/11/20 06:00 MHDA- 2016/03/16 06:00 CRDT- 2014/11/20 06:00 PHST- 2014/07/31 [received] PHST- 2014/11/07 [accepted] PHST- 2014/12/31 [aheadofprint] AID - 10.1111/bpa.12227 [doi] PST - ppublish SO - Brain Pathol. 2015 Jul;25(4):418-28. doi: 10.1111/bpa.12227. Epub 2014 Dec 31. PMID- 25407559 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160309 LR - 20151125 IS - 1437-7772 (Electronic) IS - 1341-9625 (Linking) VI - 20 IP - 4 DP - 2015 Aug TI - A Phase III study of radiation therapy (RT) and O(6)-benzylguanine + BCNU versus RT and BCNU alone and methylation status in newly diagnosed glioblastoma and gliosarcoma: Southwest Oncology Group (SWOG) study S0001. PG - 650-8 LID - 10.1007/s10147-014-0769-0 [doi] AB - AIMS: To determine the efficacy of methylguanine methyltransferase (MGMT) depletion + BCNU [1,3-bis(2-chloroethyl)-1- nitrosourea: carmustine] therapy and the impact of methylation status in adults with glioblastoma multiforme (GBM) and gliosarcoma. METHODS: Methylation analysis was performed on GBM patients with adequate tissue samples. Patients with newly diagnosed GBM or gliosarcoma were eligible for this Phase III open-label clinical trial. At registration, patients were randomized to Arm 1, which consisted of therapy with O(6)-benzylguanine (O(6)-BG) + BCNU 40 mg/m(2) (reduced dose) + radiation therapy (RT) (O6BG + BCNU arm), or Arm 2, which consisted of therapy with BCNU 200 mg/m(2) + RT (BCNU arm). RESULTS: A total of 183 patients with newly diagnosed GBM or gliosarcoma from 42 U.S. institutions were enrolled in this study. Of these, 90 eligible patients received O(6)-BG + BCNU + RT and 89 received BCNU + RT. The trial was halted at the first interim analysis in accordance with the guidelines for stopping the study due to futility (<40 % improvement among patients on the O6BG + BCNU arm). Following adjustment for stratification factors, there was no significant difference in overall survival (OS) or progression-free survival (PFS) between the two groups (one sided p = 0.94 and p = 0.88, respectively). Median OS was 11 [95 % confidence interval (CI) 8-13] months for patients in the O6BG + BCNU arm and 10 (95 % CI 8-12) months for those in the BCNU arm. PFS was 4 months for patients in each arm. Adverse events were reported in both arms, with significantly more grade 4 and 5 events in the experimental arm. CONCLUSIONS: The addition of O(6)-BG to the standard regimen of radiation and BCNU for the treatment patients with newly diagnosed GBM and gliosarcoma did not provide added benefit and in fact caused additional toxicity. FAU - Blumenthal, Deborah T AU - Blumenthal DT AD - Neuro-oncology Service, Department of Oncology, Tel-Aviv Sourasky Medical Center-Tel-Aviv University, 6 Weizmann Street, 64239, Tel Aviv, Israel, deborahblumenthal@gmail.com. FAU - Rankin, Cathryn AU - Rankin C FAU - Stelzer, Keith J AU - Stelzer KJ FAU - Spence, Alexander M AU - Spence AM FAU - Sloan, Andrew E AU - Sloan AE FAU - Moore, Dennis F Jr AU - Moore DF Jr FAU - Padula, Gilbert D A AU - Padula GD FAU - Schulman, Susan B AU - Schulman SB FAU - Wade, Mark L AU - Wade ML FAU - Rushing, Elisabeth J AU - Rushing EJ LA - eng SI - ClinicalTrials.gov/NCT00017147 GR - CA04919/CA/NCI NIH HHS/United States GR - CA12644/CA/NCI NIH HHS/United States GR - CA13612/CA/NCI NIH HHS/United States GR - CA20319/CA/NCI NIH HHS/United States GR - CA22433/CA/NCI NIH HHS/United States GR - CA32102/CA/NCI NIH HHS/United States GR - CA35090/CA/NCI NIH HHS/United States GR - CA35128/CA/NCI NIH HHS/United States GR - CA35176/CA/NCI NIH HHS/United States GR - CA35178/CA/NCI NIH HHS/United States GR - CA35192/CA/NCI NIH HHS/United States GR - CA35261/CA/NCI NIH HHS/United States GR - CA35262/CA/NCI NIH HHS/United States GR - CA35281/CA/NCI NIH HHS/United States GR - CA35431/CA/NCI NIH HHS/United States GR - CA37981/CA/NCI NIH HHS/United States GR - CA38926/CA/NCI NIH HHS/United States GR - CA42777/CA/NCI NIH HHS/United States GR - CA45377/CA/NCI NIH HHS/United States GR - CA45450/CA/NCI NIH HHS/United States GR - CA45560/CA/NCI NIH HHS/United States GR - CA45807/CA/NCI NIH HHS/United States GR - CA45808/CA/NCI NIH HHS/United States GR - CA46113/CA/NCI NIH HHS/United States GR - CA46282/CA/NCI NIH HHS/United States GR - CA46368/CA/NCI NIH HHS/United States GR - CA52654/CA/NCI NIH HHS/United States GR - CA58861/CA/NCI NIH HHS/United States GR - CA67575/CA/NCI NIH HHS/United States GR - CA74647/CA/NCI NIH HHS/United States GR - CA74811/CA/NCI NIH HHS/United States GR - CA76462/CA/NCI NIH HHS/United States GR - CA95860/CA/NCI NIH HHS/United States GR - U10 CA032102/CA/NCI NIH HHS/United States GR - U10 CA180819/CA/NCI NIH HHS/United States GR - U10 CA180888/CA/NCI NIH HHS/United States PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural DEP - 20141119 PL - Japan TA - Int J Clin Oncol JT - International journal of clinical oncology JID - 9616295 RN - 0 (Antineoplastic Agents) RN - 5Z93L87A1R (Guanine) RN - 9B710FV2AE (O-(6)-methylguanine) RN - U68WG3173Y (Carmustine) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Brain Neoplasms/metabolism/*therapy MH - Carmustine/administration & dosage MH - Combined Modality Therapy MH - DNA Methylation MH - Female MH - Glioblastoma/metabolism/*therapy MH - Gliosarcoma/metabolism/*therapy MH - Guanine/administration & dosage/analogs & derivatives MH - Humans MH - Male MH - Middle Aged MH - Radiotherapy MH - Young Adult PMC - PMC4465052 MID - NIHMS695802 OID - NLM: NIHMS695802 OID - NLM: PMC4465052 EDAT- 2014/11/20 06:00 MHDA- 2016/03/10 06:00 CRDT- 2014/11/20 06:00 PHST- 2014/09/09 [received] PHST- 2014/10/20 [accepted] PHST- 2014/11/19 [aheadofprint] AID - 10.1007/s10147-014-0769-0 [doi] PST - ppublish SO - Int J Clin Oncol. 2015 Aug;20(4):650-8. doi: 10.1007/s10147-014-0769-0. Epub 2014 Nov 19. PMID- 25355681 OWN - NLM STAT- MEDLINE DA - 20150704 DCOM- 20160324 LR - 20150708 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 8 DP - 2015 Aug TI - Programmed death ligand 1 expression and tumor-infiltrating lymphocytes in glioblastoma. PG - 1064-75 LID - 10.1093/neuonc/nou307 [doi] AB - BACKGROUND: Immune checkpoint inhibitors targeting programmed cell death 1 (PD1) or its ligand (PD-L1) showed activity in several cancer types. METHODS: We performed immunohistochemistry for CD3, CD8, CD20, HLA-DR, phosphatase and tensin homolog (PTEN), PD-1, and PD-L1 and pyrosequencing for assessment of the O6-methylguanine-methyltransferase (MGMT) promoter methylation status in 135 glioblastoma specimens (117 initial resection, 18 first local recurrence). PD-L1 gene expression was analyzed in 446 cases from The Cancer Genome Atlas. RESULTS: Diffuse/fibrillary PD-L1 expression of variable extent, with or without interspersed epithelioid tumor cells with membranous PD-L1 expression, was observed in 103 of 117 (88.0%) newly diagnosed and 13 of 18 (72.2%) recurrent glioblastoma specimens. Sparse-to-moderate density of tumor-infiltrating lymphocytes (TILs) was found in 85 of 117 (72.6%) specimens (CD3+ 78/117, 66.7%; CD8+ 52/117, 44.4%; CD20+ 27/117, 23.1%; PD1+ 34/117, 29.1%). PD1+ TIL density correlated positively with CD3+ (P < .001), CD8+ (P < .001), CD20+ TIL density (P < .001), and PTEN expression (P = .035). Enrichment of specimens with low PD-L1 gene expression levels was observed in the proneural and G-CIMP glioblastoma subtypes and in specimens with high PD-L1 gene expression in the mesenchymal subtype (P = 5.966e-10). No significant differences in PD-L1 expression or TIL density between initial and recurrent glioblastoma specimens or correlation of PD-L1 expression or TIL density with patient age or outcome were evident. CONCLUSION: TILs and PD-L1 expression are detectable in the majority of glioblastoma samples but are not related to outcome. Because the target is present, a clinical study with specific immune checkpoint inhibitors seems to be warranted in glioblastoma. CI - (c) The Author(s) 2014. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Berghoff, Anna Sophie AU - Berghoff AS AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Kiesel, Barbara AU - Kiesel B AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Widhalm, Georg AU - Widhalm G AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Rajky, Orsolya AU - Rajky O AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Ricken, Gerda AU - Ricken G AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Wohrer, Adelheid AU - Wohrer A AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Dieckmann, Karin AU - Dieckmann K AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Filipits, Martin AU - Filipits M AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Brandstetter, Anita AU - Brandstetter A AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Weller, Michael AU - Weller M AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Kurscheid, Sebastian AU - Kurscheid S AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Hegi, Monika E AU - Hegi ME AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Zielinski, Christoph C AU - Zielinski CC AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Marosi, Christine AU - Marosi C AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Hainfellner, Johannes A AU - Hainfellner JA AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Preusser, Matthias AU - Preusser M AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). FAU - Wick, Wolfgang AU - Wick W AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria (A.S.B., G.R., A.W., J.A.H.); Department of Medicine I, Medical University of Vienna, Vienna, Austria (A.S.B., O.R., M.F., A.B., C.C.Z., C.M., M.P.); Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria (A.S.B., B.K., G.W., O.R., G.R., A.W., K.D., M.F., A.B., C.C.Z., C.M., J.A.H., M.P.); Department of Neurosurgery, Medical University of Vienna, Vienna, Austria (B.K., G.W.); Department of Radiotherapy, Medical University of Vienna, Vienna, Austria (K.D.); Department of Neurology, University Hospital Zurich, Zurich, Switzerland (M.W.); Laboratory of Brain Tumor Biology and Genetics, Service of Neurosurgery, Department of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, Switzerland (S.K., M.E.H.); Neurology Clinic and National Center for Tumor Disease, University of Heidelberg, Heidelberg, Germany (W.W.); Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany (W.W.). LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141029 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antigens, CD274) RN - 0 (CD274 protein, human) RN - EC 3.1.3.48 (PTEN protein, human) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) SB - IM CIN - Neuro Oncol. 2015 Aug;17(8):1043-5. PMID: 25964311 MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD274/*metabolism MH - Brain Neoplasms/*metabolism/mortality MH - Glioblastoma/*metabolism/mortality MH - Humans MH - Kaplan-Meier Estimate MH - Lymphocytes, Tumor-Infiltrating/*metabolism MH - Middle Aged MH - PTEN Phosphohydrolase/metabolism MH - Young Adult PMC - PMC4490866 OID - NLM: PMC4490866 [Available on 08/01/16] OTO - NOTNLM OT - glioblastoma OT - immune checkpoint OT - programmed death 1 OT - programmed death ligand 1 EDAT- 2014/10/31 06:00 MHDA- 2016/03/25 06:00 CRDT- 2014/10/31 06:00 PMCR- 2016/08/01 00:00 PHST- 2014/07/30 [received] PHST- 2014/10/04 [accepted] PHST- 2014/10/29 [aheadofprint] AID - nou307 [pii] AID - 10.1093/neuonc/nou307 [doi] PST - ppublish SO - Neuro Oncol. 2015 Aug;17(8):1064-75. doi: 10.1093/neuonc/nou307. Epub 2014 Oct 29. PMID- 25336382 OWN - NLM STAT- MEDLINE DA - 20150807 DCOM- 20160309 IS - 1437-7772 (Electronic) IS - 1341-9625 (Linking) VI - 20 IP - 4 DP - 2015 Aug TI - Frequency of brain metastases in non-small-cell lung cancer, and their association with epidermal growth factor receptor mutations. PG - 674-9 LID - 10.1007/s10147-014-0760-9 [doi] AB - BACKGROUND: The brain is a frequent site of metastases from non-small-cell lung cancer (NSCLC). We analyzed the frequency of brain metastases (BMs) from NSCLC in the era of magnetic resonance images, and evaluated the correlation between epidermal growth factor receptor (EGFR) mutations and BMs among East Asian patients. METHODS: Frequency, number, and size of BMs, and survival of 1,127 NSCLC patients were retrospectively reviewed. Mutation status of EGFR was evaluated in all cases, and its association with BMs was statistically evaluated. RESULTS: EGFR mutations were found for 331 cases (29.4 %). BM was the cause of primary symptoms for 52 patients (4.6 %), and found before initiation of treatment for 102 other patients (9.1 %); In addition to these 154 patients, 107 patients (9.5 %) developed BMs, giving a total of 261 patients (23.2 %) who developed BMs from 1,127 with NSCLC. BM frequency was higher among EGFR-mutated cases (31.4 %) than EGFR-wild cases (19.7 %; odds ratio: 1.86; 95 % confidence interval (CI) 1.39-2.49; P < 0.001). BMs from EGFR-mutated NSCLC were small, but often became disseminated. EGFR mutations accounted for 39.9 % of BMs, but patient survival after BMs was significantly longer for EGFR-mutated cases than for EGFR-wild cases (hazard ratio: 2.23; 95 % CI 1.62-3.10; P < 0.001). CONCLUSIONS: Patients with EGFR-mutated NSCLC were more likely to develop BMs, but apparently also survived longer after BMs. FAU - Iuchi, Toshihiko AU - Iuchi T AD - Division of Neurological Surgery, Chiba Cancer Center, Chiba, 260-8717, Japan, tiuchi@chiba-cc.jp. FAU - Shingyoji, Masato AU - Shingyoji M FAU - Itakura, Meiji AU - Itakura M FAU - Yokoi, Sana AU - Yokoi S FAU - Moriya, Yasumitsu AU - Moriya Y FAU - Tamura, Hajime AU - Tamura H FAU - Yoshida, Yasushi AU - Yoshida Y FAU - Ashinuma, Hironori AU - Ashinuma H FAU - Kawasaki, Koichiro AU - Kawasaki K FAU - Hasegawa, Yuzo AU - Hasegawa Y FAU - Sakaida, Tsukasa AU - Sakaida T FAU - Iizasa, Toshihiko AU - Iizasa T LA - eng PT - Journal Article DEP - 20141022 PL - Japan TA - Int J Clin Oncol JT - International journal of clinical oncology JID - 9616295 RN - EC 2.7.10.1 (Receptor, Epidermal Growth Factor) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Asian Continental Ancestry Group MH - Brain Neoplasms/diagnosis/*genetics/secondary MH - Carcinoma, Non-Small-Cell Lung/*genetics/secondary MH - Female MH - Humans MH - Lung Neoplasms/*genetics/pathology MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Mutation MH - Receptor, Epidermal Growth Factor/*genetics EDAT- 2014/10/23 06:00 MHDA- 2016/03/10 06:00 CRDT- 2014/10/23 06:00 PHST- 2014/06/03 [received] PHST- 2014/10/08 [accepted] PHST- 2014/10/22 [aheadofprint] AID - 10.1007/s10147-014-0760-9 [doi] PST - ppublish SO - Int J Clin Oncol. 2015 Aug;20(4):674-9. doi: 10.1007/s10147-014-0760-9. Epub 2014 Oct 22. PMID- 25311043 OWN - NLM STAT- MEDLINE DA - 20150423 DCOM- 20160307 IS - 1360-046X (Electronic) IS - 0268-8697 (Linking) VI - 29 IP - 2 DP - 2015 Apr TI - Improvement in treatment results of glioblastoma over the last three decades and beneficial factors. PG - 206-12 LID - 10.3109/02688697.2014.967750 [doi] AB - BACKGROUND: The purpose of this study is to elucidate the trend of glioblastoma outcome and scrutinize the factors contributing to better outcome over three decades. METHODS: Survival time and the influencing factors were retrospectively analyzed in 223 newly diagnosed primary glioblastoma patients during 1980-2010. Appraised factors included age, sex, tumor site, year of surgery, extent of resections, use of surgery supporting system, Karnofsky Performance Status (KPS), chemotherapy, conventional external beam radiotherapy (EBRT), and CyberKnife stereotactic radiotherapy (CK-SRT) use. RESULTS: The median survival time (MST) in all patients was 13.6 months. The MSTs for 4 periods were 9.8 (1980-1990), 13.7 (1991-2000), 12.9 (2001-2005), and 15.8 months (2006-2010), respectively (p=0.0047). Total resection, subtotal resection, partial resection, and biopsy had MSTs of 31.8, 13.9, 11.4, and 7.0 months, respectively (p<0.0001). Regarding chemotherapy, MSTs of the temozolomide base group and nimustine hydrochloride (ACNU) base group were 16.9 and 14.6 months, respectively, whereas the MST of patients without chemotherapy was only 9.8 months (p<0.0001). The MSTs for 40-Gy EBRT plus CK-SRT and 60-Gy EBRT were 19.1 and 10.7 months, respectively (p<0.0001). But in sub-selected patients, treated during 2001-2010, whose resection rate was total resection or subtotal resection, EBRT was completed and postoperative KPS was greater than or equal to 70, the MST with and without CK-SRT was 26.6 and 18.3 months, respectively (p=0.1529). According to the Cox proportional hazards model, degree of resection, KPS, ACNU use, temozolomide use, bevacizumab use, EBRT dose, and CK-SRT use were good prognostic factors. Use of neuronavigation and use of intraoperative magnetic resonance imaging were related to higher resection rate, but not determined as prognostic factors. CONCLUSIONS: We observed a gradual improvement in glioblastoma outcome, presumably because of improvements in therapeutic modalities for surgery, anticancer agents, and radiation, but the efficacy of CK-SRT remains unclear. FAU - Kawano, Hiroto AU - Kawano H AD - Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University , Kagoshima City, Kagoshima , Japan. FAU - Hirano, Hirofumi AU - Hirano H FAU - Yonezawa, Hajime AU - Yonezawa H FAU - Yunoue, Shunji AU - Yunoue S FAU - Yatsushiro, Kazutaka AU - Yatsushiro K FAU - Ogita, Mikio AU - Ogita M FAU - Hiraki, Yoshiyuki AU - Hiraki Y FAU - Uchida, Hiroyuki AU - Uchida H FAU - Habu, Mika AU - Habu M FAU - Fujio, Shingo AU - Fujio S FAU - Oyoshi, Tatsuki AU - Oyoshi T FAU - Bakhtiar, Yuriz AU - Bakhtiar Y FAU - Sugata, Sei AU - Sugata S FAU - Yamahata, Hitoshi AU - Yamahata H FAU - Hanaya, Ryousuke AU - Hanaya R FAU - Tokimura, Hiroshi AU - Tokimura H FAU - Arita, Kazunori AU - Arita K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141014 PL - England TA - Br J Neurosurg JT - British journal of neurosurgery JID - 8800054 RN - 0 (Antineoplastic Agents, Alkylating) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) SB - IM MH - Antineoplastic Agents, Alkylating/*therapeutic use MH - Brain Neoplasms/*therapy MH - Chemotherapy, Adjuvant/methods MH - Dacarbazine/analogs & derivatives/therapeutic use MH - Female MH - Glioblastoma/*therapy MH - Humans MH - Karnofsky Performance Status MH - Male OTO - NOTNLM OT - CyberKnife OT - chemotherapy OT - extent of resection OT - glioblastoma OT - outcome EDAT- 2014/10/15 06:00 MHDA- 2016/03/08 06:00 CRDT- 2014/10/15 06:00 PHST- 2014/10/14 [aheadofprint] AID - 10.3109/02688697.2014.967750 [doi] PST - ppublish SO - Br J Neurosurg. 2015 Apr;29(2):206-12. doi: 10.3109/02688697.2014.967750. Epub 2014 Oct 14. PMID- 25244574 OWN - NLM STAT- MEDLINE DA - 20150622 DCOM- 20160314 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 42 IP - 1 DP - 2015 Jul TI - Association of overall survival in patients with newly diagnosed glioblastoma with contrast-enhanced perfusion MRI: Comparison of intraindividually matched T1 - and T2 (*) -based bolus techniques. PG - 87-96 LID - 10.1002/jmri.24756 [doi] AB - BACKGROUND: To compare intraindividual dynamic susceptibility contrast (DSC) and dynamic contrast enhanced (DCE) MR perfusion parameters and determine the association of DCE parameters with overall survival (OS) with the established predictive DSC parameter cerebral blood volume (CBV) in patients with newly diagnosed glioblastoma. METHODS: Perfusion data were analyzed retrospectively, and included scans performed preoperatively at 3.0 Tesla in 37 patients (25 males, 12 females, 39-83 years, median 65) later diagnosed with glioblastoma. All patients received standard treatment consisting of surgery and radiochemotherapy. Images were spatially coregistered and maximum region of interest-based DCE and DSC parameter measurements compared and thresholds identified using multivariate linear regression, Pearson's correlation coefficients and using receiver operating characteristic analysis. Survival analysis was performed using Kaplan-Meier curves. RESULTS: While both, elevated volume transfer constant (K(trans) ) (>0.29 min(-1) ; P = 0.041) and CBV (>23.7 mL/100 mL; P < 0.001) were significantly associated with OS, elevated CBV was associated with worse OS compared with elevated K(trans) . K(trans) was significantly correlated with the leakage correction factor K2 but not with CBV. CONCLUSION: The combined use of DSC and DCE MR perfusion may provide additional information of prognostic value for glioblastoma patient survival prediction. As K(trans) was not tightly coupled to CBV, both parameters may reflect different stages in the pathogenetic sequence of glioblastoma growth. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Bonekamp, David AU - Bonekamp D AD - Department of Neuroradiology, University Hospital Heidelberg, Germany. AD - Division of Experimental Radiology, Department of Neuroradiology, University Hospital Heidelberg, Germany. FAU - Deike, Katerina AU - Deike K AD - Department of Neuroradiology, University Hospital Heidelberg, Germany. FAU - Wiestler, Benedikt AU - Wiestler B AD - Department of Neurooncology, University Hospital Heidelberg, Germany. AD - German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Wick, Wolfgang AU - Wick W AD - Department of Neurooncology, University Hospital Heidelberg, Germany. AD - German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Bendszus, Martin AU - Bendszus M AD - Department of Neuroradiology, University Hospital Heidelberg, Germany. FAU - Radbruch, Alexander AU - Radbruch A AD - Department of Neuroradiology, University Hospital Heidelberg, Germany. AD - German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Heiland, Sabine AU - Heiland S AD - Division of Experimental Radiology, Department of Neuroradiology, University Hospital Heidelberg, Germany. LA - eng PT - Comparative Study PT - Journal Article DEP - 20140922 PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 RN - 0 (Contrast Media) RN - 0 (Organometallic Compounds) RN - 0 (gadoterate meglumine) RN - 6HG8UB2MUY (Meglumine) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*diagnosis/*mortality MH - Computer Simulation MH - Contrast Media MH - Female MH - Germany/epidemiology MH - Glioblastoma/*diagnosis/*mortality MH - Humans MH - Image Enhancement/methods MH - Imaging, Three-Dimensional/methods/statistics & numerical data MH - Incidence MH - Magnetic Resonance Angiography/methods/*statistics & numerical data MH - Male MH - Meglumine MH - Middle Aged MH - Models, Biological MH - Organometallic Compounds MH - Prognosis MH - Reproducibility of Results MH - Risk Assessment/methods MH - Sensitivity and Specificity MH - *Survival Analysis OTO - NOTNLM OT - cerebral blood volume OT - dynamic contrast enhanced MRI OT - dynamic susceptibility contrast MRI OT - glioblastoma OT - magnetic resonance imaging OT - overall survival OT - perfusion imaging OT - volume transfer constant EDAT- 2014/09/23 06:00 MHDA- 2016/03/15 06:00 CRDT- 2014/09/23 06:00 PHST- 2014/07/24 [received] PHST- 2014/08/27 [accepted] PHST- 2014/09/22 [aheadofprint] AID - 10.1002/jmri.24756 [doi] PST - ppublish SO - J Magn Reson Imaging. 2015 Jul;42(1):87-96. doi: 10.1002/jmri.24756. Epub 2014 Sep 22. PMID- 25238707 OWN - NLM STAT- MEDLINE DA - 20141201 DCOM- 20160309 IS - 1728-7731 (Electronic) IS - 1726-4901 (Linking) VI - 77 IP - 12 DP - 2014 Dec TI - Intraspinal tumors: analysis of 184 patients treated surgically. PG - 626-9 LID - 10.1016/j.jcma.2014.08.002 [doi] LID - S1726-4901(14)00185-3 [pii] AB - BACKGROUND: Intraspinal tumors are rare central nervous system neoplasms. The reported clinical features of intraspinal tumors have varied in previous studies. We present here the cases of 184 patients with intraspinal tumors treated surgically in our hospital and a review of the literature. METHODS: We conducted a retrospective review of 184 patients with intraspinal tumors who underwent surgical treatment in our institution between 2002 and 2013. Their age, sex, initial presentation, tumor location, level of affected vertebral column, histological diagnosis, and primary origin of the metastatic tumor were reviewed and analyzed. RESULTS: Of these 184 patients, 97 (52.7%) were men and 87 (47.3%) were women. The mean age was 56.3 years (range 7-83 years). A total of 102 (55.4%) had primary tumors, while 82 (44.6%) patients had developed metastatic tumors. The histological diagnosis of the primary tumors included 55 (53.9%) schwannomas, 16 (15.7%) meningiomas, six (5.9%) ependymomas, five (4.9%) neurofibromas, three (2.9%) hemangiomas, two (2.0%) hemagioblastomas, and 15 (14.7%) other tumor types. The most common primary sites of the metastatic tumors were the lung and breast. CONCLUSION: Primary tumors were more numerous than metastastic tumors in our series of patients. For the primary tumors, our study showed a higher proportion of nerve sheath cell tumors (schwannomas and neurofibromas) and fewer meningiomas and neuroepithelial tumors compared with reports from non-Asian countries. In addition, the lung was the most common origin of the metastatic tumors and more than half of these tumors were located at the thoracic spine. Back pain and radicular pain were the most common presentations in patients with intraspinal tumors. CI - Copyright (c) 2014. Published by Elsevier Taiwan. FAU - Wu, Yu-Lun AU - Wu YL AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. FAU - Chang, Chia-Yuan AU - Chang CY AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. Electronic address: jychang0425@vghks.gov.tw. FAU - Hsu, Shu-Shoug AU - Hsu SS AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. FAU - Yip, Chi-Man AU - Yip CM AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. FAU - Liao, Wei-Chuan AU - Liao WC AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. FAU - Chen, Jun-Yih AU - Chen JY AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. FAU - Liu, Su-Hao AU - Liu SH AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. FAU - Chen, Chih-Hao AU - Chen CH AD - Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC. LA - eng PT - Journal Article DEP - 20140916 PL - China (Republic : 1949- ) TA - J Chin Med Assoc JT - Journal of the Chinese Medical Association : JCMA JID - 101174817 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Metastasis MH - Retrospective Studies MH - Spinal Cord Neoplasms/pathology/*surgery OTO - NOTNLM OT - central nervous system neoplasms OT - spinal cord neoplasms OT - spinal neoplasms EDAT- 2014/09/23 06:00 MHDA- 2016/03/10 06:00 CRDT- 2014/09/21 06:00 PHST- 2014/01/22 [received] PHST- 2014/08/06 [accepted] PHST- 2014/09/16 [aheadofprint] AID - S1726-4901(14)00185-3 [pii] AID - 10.1016/j.jcma.2014.08.002 [doi] PST - ppublish SO - J Chin Med Assoc. 2014 Dec;77(12):626-9. doi: 10.1016/j.jcma.2014.08.002. Epub 2014 Sep 16. PMID- 25219590 OWN - NLM STAT- MEDLINE DA - 20150619 DCOM- 20160324 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 56 IP - 5 DP - 2015 May TI - The role of radiation therapy in the management of primary central nervous system lymphoma. PG - 1197-204 LID - 10.3109/10428194.2014.961014 [doi] AB - Primary central nervous system lymphoma (PCNSL) is an aggressive neoplasm with a poor prognosis. Early studies of whole brain radiation therapy (WBRT) alone revealed a robust initial response but high rates of local recurrence with long-term follow-up. The addition of high-dose methotrexate (HDMTX)-based chemotherapy improved the durability of disease control. However, delayed neurotoxicity emerged as an important complication, mainly in elderly patients. Therefore, researchers have investigated eliminating WBRT or reducing its dose. Multiple studies of chemotherapy alone have demonstrated inferior disease control. On the other hand, a phase III trial reported that WBRT may be deferred until relapse without compromising survival; however, this trial is fraught with flaws. A recent study of immunochemotherapy and dose-reduced WBRT demonstrated excellent outcomes. Currently, this regimen is being studied in a multi-institutional trial by the Radiation Therapy Oncology Group. WBRT maintains an important position in the armamentarium against PCNSL. This article aims to describe its evolving role. FAU - Milgrom, Sarah A AU - Milgrom SA AD - Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center , New York, NY , USA. FAU - Yahalom, Joachim AU - Yahalom J LA - eng PT - Journal Article PT - Review DEP - 20141021 PL - England TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 SB - IM CIN - Leuk Lymphoma. 2015 May;56(5):1185-7. PMID: 25284499 MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Central Nervous System Neoplasms/diagnosis/*radiotherapy MH - Combined Modality Therapy MH - Disease Management MH - Humans MH - Lymphoma/diagnosis/*radiotherapy MH - Radiotherapy/adverse effects/methods OTO - NOTNLM OT - PCNSL OT - Primary CNS lymphoma OT - RT OT - WBRT OT - radiation therapy OT - whole brain radiation therapy EDAT- 2014/09/16 06:00 MHDA- 2016/03/25 06:00 CRDT- 2014/09/16 06:00 PHST- 2014/10/21 [aheadofprint] AID - 10.3109/10428194.2014.961014 [doi] PST - ppublish SO - Leuk Lymphoma. 2015 May;56(5):1197-204. doi: 10.3109/10428194.2014.961014. Epub 2014 Oct 21. PMID- 25143323 OWN - NLM STAT- MEDLINE DA - 20150613 DCOM- 20160307 IS - 1752-8976 (Electronic) IS - 1470-3203 (Linking) VI - 16 IP - 2 DP - 2015 Jun TI - Angiotensin-converting enzyme insertion/deletion gene polymorphisms is associated with risk of glioma in a Chinese population. PG - 443-7 LID - 10.1177/1470320313495910 [doi] AB - INTRODUCTION: The insertion/deletion (I/D) polymorphism of the angiotensin-converting enzyme (ACE) gene has recently been linked to the pathogenesis and progression of human cancers. The aim of this study was to evaluate the potential association between ACE I/D polymorphism and glioma in a Chinese population. MATERIALS AND METHODS: A case-control study involving patients with 800 glioma and 800 controls was conducted. Polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) assay was applied to assess the ACE I/D genotypes. RESULTS: Glioma cases had a significantly higher frequency of DD genotype [odds ratio (OR) = 1.61, 95% confidence interval (CI) = 1.12, 2.32; p = 0.01] than controls. When stratified by the grade of glioma, cases with WHO IV glioma had a significantly higher frequency of DD genotype (OR = 1.51, 95% CI = 1.03, 2.21; p = 0.03). When stratified by the histology of glioma, there was no significant difference in the distribution of each genotype. CONCLUSION: Our study suggested that the ACE DD genotype was associated with a higher glioma risk in this Chinese population. To the best of our knowledge, this is the first report describing the potential association between ACE I/D polymorphism and glioma. Additional studies are needed to confirm this finding. CI - (c) The Author(s) 2014. FAU - Lian, MinXue AU - Lian M AD - Department of Neurosurgery, First Affiliated Hospital of Xi'an Jiaotong University, PR China. FAU - Jiang, HaiTao AU - Jiang H AD - Department of Neurosurgery, First Affiliated Hospital of Xi'an Jiaotong University, PR China. FAU - Wang, Hui AU - Wang H AD - Department of Neurological Geriatrics, Second Affiliated Hospital of Xi'an Jiaotong University, PR China. FAU - Guo, ShiWen AU - Guo S AD - Department of Neurosurgery, First Affiliated Hospital of Xi'an Jiaotong University, PR China swguojtu@hotmail.com. LA - eng PT - Journal Article DEP - 20140820 PL - England TA - J Renin Angiotensin Aldosterone Syst JT - Journal of the renin-angiotensin-aldosterone system : JRAAS JID - 100971636 RN - EC 3.4.15.1 (ACE protein, human) RN - EC 3.4.15.1 (Peptidyl-Dipeptidase A) SB - IM MH - Asian Continental Ancestry Group/*genetics MH - Brain Neoplasms/enzymology/*genetics MH - Case-Control Studies MH - China MH - Female MH - Gene Frequency MH - Genetic Association Studies MH - *Genetic Predisposition to Disease MH - Glioma/enzymology/*genetics MH - Humans MH - INDEL Mutation/*genetics MH - Male MH - Middle Aged MH - Peptidyl-Dipeptidase A/*genetics MH - *Polymorphism, Genetic MH - Risk Factors OTO - NOTNLM OT - Glioma OT - angiotensin-converting enzyme OT - gene polymorphism EDAT- 2014/08/22 06:00 MHDA- 2016/03/08 06:00 CRDT- 2014/08/22 06:00 PHST- 2014/08/20 [aheadofprint] AID - 1470320313495910 [pii] AID - 10.1177/1470320313495910 [doi] PST - ppublish SO - J Renin Angiotensin Aldosterone Syst. 2015 Jun;16(2):443-7. doi: 10.1177/1470320313495910. Epub 2014 Aug 20. PMID- 25140039 OWN - NLM STAT- MEDLINE DA - 20150627 DCOM- 20160318 LR - 20160301 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 3 DP - 2015 Mar TI - Phase I/randomized phase II study of afatinib, an irreversible ErbB family blocker, with or without protracted temozolomide in adults with recurrent glioblastoma. PG - 430-9 LID - 10.1093/neuonc/nou160 [doi] AB - BACKGROUND: This phase I/II trial evaluated the maximum tolerated dose (MTD) and pharmacokinetics of afatinib plus temozolomide as well as the efficacy and safety of afatinib as monotherapy (A) or with temozolomide (AT) vs temozolomide monotherapy (T) in patients with recurrent glioblastoma (GBM). METHODS: Phase I followed a traditional 3 + 3 dose-escalation design to determine MTD. Treatment cohorts were: afatinib 20, 40, and 50 mg/day (plus temozolomide 75 mg/m(2)/day for 21 days per 28-day cycle). In phase II, participants were randomized (stratified by age and KPS) to receive A, T or AT; A was dosed at 40 mg/day and T at 75 mg/m(2) for 21 of 28 days. Primary endpoint was progression-free survival rate at 6 months (PFS-6). Participants were treated until intolerable adverse events (AEs) or disease progression. RESULTS: Recommended phase II dose was 40 mg/day (A) + T based on safety data from phase I (n = 32). Most frequent AEs in phase II (n = 119) were diarrhea (71% [A], 82% [AT]) and rash (71% [A] and 69% [AT]). Afatinib and temozolomide pharmacokinetics were unaffected by coadministration. Independently assessed PFS-6 rate was 3% (A), 10% (AT), and 23% (T). Median PFS was longer in afatinib-treated participants with epidermal growth factor receptor (EFGR) vIII-positive tumors versus EGFRvIII-negative tumors. Best overall response included partial response in 1 (A), 2 (AT), and 4 (T) participants and stable disease in 14 (A), 14 (AT), and 21 (T) participants. CONCLUSIONS: Afatinib has a manageable safety profile but limited single-agent activity in unselected recurrent GBM patients. CI - (c) The Author(s) 2014. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Reardon, David A AU - Reardon DA AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Nabors, Louis B AU - Nabors LB AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Mason, Warren P AU - Mason WP AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Perry, James R AU - Perry JR AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Shapiro, William AU - Shapiro W AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Kavan, Petr AU - Kavan P AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Mathieu, David AU - Mathieu D AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Phuphanich, Surasak AU - Phuphanich S AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Cseh, Agnieszka AU - Cseh A AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Fu, Yali AU - Fu Y AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Cong, Julie AU - Cong J AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Wind, Sven AU - Wind S AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). FAU - Eisenstat, David D AU - Eisenstat DD AD - Dana-Farber Cancer Institute, Boston, Massachusetts (D.A.R.); University of Alabama, Birmingham, Alabama (L.B.N.); Princess Margaret Hospital, Toronto, Ontario, Canada (W.P.M.); Odette Cancer Centre, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.R.P.); Barrow Neurological Institute, Phoenix, Arizona (W.S.); Department of Medical Oncology, McGill University, Montreal, Quebec, Canada (P.K.); Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada (D.M.); Johnnie Cochran Brain Tumor Center, Cedars-Sinai Medical Center, Los Angeles, California (S.P., A.C.); Boehringer Ingelheim R.C.V GmbH & Co KG, 1120 Vienna, Austria (A.C.); Boehringer Ingelheim Pharmaceuticals, Ridgefield, Connecticut (Y.F., J.C.); Boehringer Ingelheim Pharma GmbH & Co. K.G., 88400 Biberach, Germany (S.S.W.); CancerCare Manitoba, Winnipeg, Manitoba, Canada (D.D.E.). CN - BI 1200 36 Trial Group and the Canadian Brain Tumour Consortium LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140819 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antineoplastic Agents) RN - 0 (BIBW 2992) RN - 0 (Quinazolines) RN - 7GR28W0FJI (Dacarbazine) RN - 85622-93-1 (temozolomide) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents/*administration & dosage/adverse effects/*pharmacokinetics MH - Brain Neoplasms/*drug therapy/mortality MH - Dacarbazine/administration & dosage/*analogs & derivatives/therapeutic use MH - Drug Therapy, Combination MH - Female MH - Glioblastoma/*drug therapy/mortality MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Maximum Tolerated Dose MH - Middle Aged MH - Quinazolines/*administration & dosage/adverse effects/*pharmacokinetics MH - Receptor, ErbB-2/antagonists & inhibitors MH - Treatment Outcome PMC - PMC4483093 OID - NLM: PMC4483093 OTO - NOTNLM OT - EGFRvIII OT - ErbB family OT - afatinib OT - glioblastoma OT - temozolomide IR - Reardon D FIR - Reardon, David IR - Wen P FIR - Wen, Patrick IR - Mikkelson T FIR - Mikkelson, Tom IR - Portnow J FIR - Portnow, Jana IR - Giglio P FIR - Giglio, Pierre IR - Lai R FIR - Lai, Rose IR - New P FIR - New, Pamela IR - Shapiro W FIR - Shapiro, William IR - Phuphanich S FIR - Phuphanich, Surasak IR - Nabors L FIR - Nabors, Louis IR - Fink K FIR - Fink, Karen IR - Chowdhary S FIR - Chowdhary, Sajeel IR - Madison M FIR - Madison, Michael IR - Taylor L FIR - Taylor, Lynn IR - Hadjipanayis C FIR - Hadjipanayis, Constantinos IR - Madarnas Y FIR - Madarnas, Yolanda IR - Kavan P FIR - Kavan, Petr IR - Perry J FIR - Perry, James IR - Mason W FIR - Mason, Warren IR - Easaw J FIR - Easaw, Jacob IR - Vallieres I FIR - Vallieres, Isabelle IR - Mathieu D FIR - Mathieu, David IR - Hirte H FIR - Hirte, Hal IR - Whitlock P FIR - Whitlock, Pierre IR - Eisenstat D FIR - Eisenstat, David IR - MacNeil MV FIR - MacNeil, Mary V IR - Bolonna A FIR - Bolonna, Anusha IR - Reardon DA FIR - Reardon, David A IR - Cseh A FIR - Cseh, Agnieszka IR - Fu Y FIR - Fu, Yali IR - Cong J FIR - Cong, Julie IR - Wind S FIR - Wind, Sven IR - Eisenstat DD FIR - Eisenstat, David D IR - Nabors LB FIR - Nabors, Louis B IR - Mason WP FIR - Mason, Warren P IR - Perry JR FIR - Perry, James R IR - Shapiro W FIR - Shapiro, William IR - Kavan P FIR - Kavan, Petr IR - Mathieu D FIR - Mathieu, David IR - Phuphanich S FIR - Phuphanich, Surasak EDAT- 2014/08/21 06:00 MHDA- 2016/03/19 06:00 CRDT- 2014/08/21 06:00 PHST- 2014/04/07 [received] PHST- 2014/07/07 [accepted] PHST- 2014/08/19 [aheadofprint] AID - nou160 [pii] AID - 10.1093/neuonc/nou160 [doi] PST - ppublish SO - Neuro Oncol. 2015 Mar;17(3):430-9. doi: 10.1093/neuonc/nou160. Epub 2014 Aug 19. PMID- 25140035 OWN - NLM STAT- MEDLINE DA - 20150627 DCOM- 20160318 LR - 20160301 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 3 DP - 2015 Mar TI - Identification of 9 serum microRNAs as potential noninvasive biomarkers of human astrocytoma. PG - 383-91 LID - 10.1093/neuonc/nou169 [doi] AB - BACKGROUND: Circulating microRNAs (miRNAs) are emerging as promising biomarkers for human cancer. In the current study, we investigated the potential use of serum miRNAs as biomarkers for diagnosis and prognosis in a cohort of Chinese astrocytoma patients. METHODS: An initial screening of the circulating miRNA expression profile was performed on pooled serum samples from 10 preoperative patients and 10 healthy controls using a TaqMan low-density array. The selected serum miRNAs were then validated in 90 preoperative patients and 110 healthy controls who were randomly divided into a training set and a validation set. An additional double-blind test was performed in 50 astrocytomas and 50 controls to assess the serum miRNA-based biomarker accuracy in predicting astrocytoma. The differentially expressed miRNAs were evaluated in paired preoperative and postoperative serum samples from 73 astrocytoma patients. The correlation of the miRNA levels with survival in astrocytoma samples was estimated. RESULTS: Nine serum miRNAs were significantly increased in the astrocytoma patients. The biomarker composed of these 9 miRNAs had high sensitivity, specificity, and accuracy. These 9 miRNAs were markedly decreased in the serum after operation. The upregulation of miR-20a-5p, miR-106a-5p, and miR-181b-5p was associated with advanced clinical stages of astrocytoma. Kaplan-Meier survival analysis showed that the high expression of miR-19a-3p, miR-106a-5p, and miR-181b-5p was significantly associated with poor patient survival. Finally, the combined 3-miRNAs panel was an important prognostic predictor, independent of other clinicopathological factors. CONCLUSIONS: The results indicated the potential of serum miRNAs as novel diagnostic and prognostic biomarkers for human astrocytoma. CI - (c) The Author(s) 2014. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Zhi, Feng AU - Zhi F AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Shao, Naiyuan AU - Shao N AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Wang, Rong AU - Wang R AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Deng, Danni AU - Deng D AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Xue, Lian AU - Xue L AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Wang, Qiang AU - Wang Q AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Zhang, Yi AU - Zhang Y AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Shi, Yimin AU - Shi Y AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Xia, Xiwei AU - Xia X AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Wang, Suinuan AU - Wang S AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Lan, Qing AU - Lan Q AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). FAU - Yang, Yilin AU - Yang Y AD - Modern Medical Research Center, Third Affiliated Hospital of Soochow University, Changzhou, China (F.Z., D.D., L.X., Y.Y.); Department of Neurosurgery, Third Affiliated Hospital of Soochow University, Changzhou, China (N.S., R.W., Q.W., Y.Z., Y.S., X.X., S.W.); Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, China (N.S., Q.L.). LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140818 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Biomarkers, Tumor) RN - 0 (MicroRNAs) SB - IM MH - Asian Continental Ancestry Group MH - Astrocytoma/blood/*diagnosis/mortality MH - Biomarkers, Tumor/*blood MH - Brain Neoplasms/blood/*diagnosis/mortality MH - China MH - Female MH - Gene Expression Profiling MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - MicroRNAs/*blood MH - Middle Aged MH - Neoplasm Grading PMC - PMC4483096 OID - NLM: PMC4483096 OTO - NOTNLM OT - astrocytoma OT - diagnosis OT - prognosis OT - serum microRNA EDAT- 2014/08/21 06:00 MHDA- 2016/03/19 06:00 CRDT- 2014/08/21 06:00 PHST- 2013/12/08 [received] PHST- 2014/07/14 [accepted] PHST- 2014/08/18 [aheadofprint] AID - nou169 [pii] AID - 10.1093/neuonc/nou169 [doi] PST - ppublish SO - Neuro Oncol. 2015 Mar;17(3):383-91. doi: 10.1093/neuonc/nou169. Epub 2014 Aug 18. PMID- 25121770 OWN - NLM STAT- MEDLINE DA - 20150627 DCOM- 20160318 LR - 20160301 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 3 DP - 2015 Mar TI - Clinical course and progression-free survival of adult intracranial and spinal ependymoma patients. PG - 440-7 LID - 10.1093/neuonc/nou162 [doi] AB - BACKGROUND: Ependymomas are rare CNS tumors. Previous studies describing the clinical course of ependymoma patients were restricted to small sample sizes, often with patients at a specific institution. METHODS: Clinically annotated ependymoma tissue samples from 19 institutions were centrally reviewed. Patients were all adults aged 18 years or older at the time of diagnosis. Potential prognostic clinical factors identified on univariate analysis were included in a multivariate Cox proportional hazards model with backwards selection to model progression-free survival. RESULTS: The 282 adult ependymoma patients were equally male and female with a mean age of 43 years (range, 18-80y) at diagnosis. The majority were grade II (78%) with the tumor grade for 20 cases being reclassified on central review (half to higher grade). Tumor locations were spine (46%), infratentorial (35%), and supratentorial (19%). Tumor recurrence occurred in 26% (n = 74) of patients with a median time to progression of 14 years. A multivariate Cox proportional hazards model identified supratentorial location (P < .01), grade III (anaplastic; P < .01), and subtotal resection, followed or not by radiation (P < .01), as significantly increasing risk of early progression. CONCLUSIONS: We report findings from an ongoing, multicenter collaboration from a collection of clinically annotated adult ependymoma tumor samples demonstrating distinct predictors of progression-free survival. This unique resource provides the opportunity to better define the clinical course of ependymoma for clinical and translational studies. CI - (c) The Author(s) 2014. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Vera-Bolanos, Elizabeth AU - Vera-Bolanos E AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Aldape, Kenneth AU - Aldape K AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Yuan, Ying AU - Yuan Y AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Wu, Jimin AU - Wu J AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Wani, Khalida AU - Wani K AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Necesito-Reyes, Mary Jo AU - Necesito-Reyes MJ AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Colman, Howard AU - Colman H AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Dhall, Girish AU - Dhall G AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Lieberman, Frank S AU - Lieberman FS AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Metellus, Philippe AU - Metellus P AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Mikkelsen, Tom AU - Mikkelsen T AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Omuro, Antonio AU - Omuro A AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Partap, Sonia AU - Partap S AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Prados, Michael AU - Prados M AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Robins, H Ian AU - Robins HI AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Soffietti, Riccardo AU - Soffietti R AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Wu, Jing AU - Wu J AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Gilbert, Mark R AU - Gilbert MR AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. FAU - Armstrong, Terri S AU - Armstrong TS AD - Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (E.V.-B., M.R.G.); Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (K.A., K.W.); Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (Y.Y., J.W.); Office of Multicenter Clinical Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas (M.J.N.-R.); Department of Neurosurgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah (H.C.); Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California (G.D.); Departments of Neurology and Medicine (Medical Oncology), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (F.S.L.); Department of Neurosurgery, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France (P.M.); Departments of Neurology & Neurosurgery, Henry Ford Hospital, Detroit, Michigan (T.M.); Department of Neurology, Memorial-Sloan Kettering Cancer Center, New York, New York (A.O.); Department of Neurology, Stanford University & Lucile Packard Children's Hospital, Palo Alto, California (S.P.); Department of Neuro-Oncology, UCSF Helen Diller Comprehensive Cancer Center, San Francisco, California (M.P.); Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (H.I.R.); Department of Neuroscience, University San Giovanni Battista Hospital, Turin, Italy (R.S.); Department of Neurosurgery, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina (J.W.); Department of Family Health, School of Nursing, The University of Texas Health Science Center-Houston, Houston, Texas (T.S.A.); CERN Foundation, Dayton, Ohio. CN - CERN Foundation LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20140813 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/diagnosis/*epidemiology/mortality MH - Disease-Free Survival MH - Ependymoma/diagnosis/*epidemiology/mortality MH - Female MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Proportional Hazards Models MH - Spinal Cord Neoplasms/*diagnosis/epidemiology/mortality MH - Young Adult PMC - PMC4483095 OID - NLM: PMC4483095 OTO - NOTNLM OT - adult OT - ependymoma OT - progression-free survival EDAT- 2014/08/15 06:00 MHDA- 2016/03/19 06:00 CRDT- 2014/08/15 06:00 PHST- 2014/01/23 [received] PHST- 2014/07/09 [accepted] PHST- 2014/08/13 [aheadofprint] AID - nou162 [pii] AID - 10.1093/neuonc/nou162 [doi] PST - ppublish SO - Neuro Oncol. 2015 Mar;17(3):440-7. doi: 10.1093/neuonc/nou162. Epub 2014 Aug 13. PMID- 25110819 OWN - NLM STAT- MEDLINE DA - 20150619 DCOM- 20160325 LR - 20150620 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 56 IP - 5 DP - 2015 May TI - Incidence of and risk factors for involvement of the central nervous system in acute myeloid leukemia. PG - 1392-7 LID - 10.3109/10428194.2014.953148 [doi] AB - It is thought that the low incidence of central nervous system (CNS) involvement in acute myeloid leukemia (AML) does not justify routine CNS prophylaxis, as high-dose cytarabine eliminates CNS disease. To investigate whether chemotherapy that does not include high-dose cytarabine increases the risk of CNS involvement, the medical records of 1412 newly diagnosed patients with AML were reviewed. In 1370 patients, lumbar puncture (LP) was performed only if clinically indicated, and CNS disease was detected in 45 (3.3%) patients. Another 42 patients underwent routine LP as part of an investigational protocol, and in eight (19%) CNS disease was detected (p < 0.0001). Risk factors included high lactate dehydrogenase, African-American ethnicity and young age. Patients receiving high-dose cytarabine and those who did not had similar rates of CNS involvement. Disease-free survival (DFS) and overall survival were shorter in patients with CNS involvement. It remains to be determined whether routine CNS prophylaxis would improve DFS. FAU - Rozovski, Uri AU - Rozovski U AD - Department of Leukemia, The University of Texas M. D. Anderson Cancer Center , Houston, TX , USA. FAU - Ohanian, Maro AU - Ohanian M FAU - Ravandi, Farhad AU - Ravandi F FAU - Garcia-Manero, Guillermo AU - Garcia-Manero G FAU - Faderl, Stefan AU - Faderl S FAU - Pierce, Sherry AU - Pierce S FAU - Cortes, Jorge AU - Cortes J FAU - Estrov, Zeev AU - Estrov Z LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20141103 PL - England TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 04079A1RDZ (Cytarabine) SB - IM CIN - Leuk Lymphoma. 2015 Jul;56(7):2190-2. PMID: 25641427 MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use MH - Central Nervous System Neoplasms/diagnosis/*epidemiology/*secondary MH - Cytarabine/administration & dosage MH - Female MH - Humans MH - Incidence MH - Leukemia, Myeloid, Acute/*complications/*epidemiology MH - Male MH - Middle Aged MH - Odds Ratio MH - Prognosis MH - Risk Factors MH - Survival Analysis MH - Young Adult PMC - PMC4417664 MID - NIHMS629662 OID - NLM: NIHMS629662 OID - NLM: PMC4417664 OTO - NOTNLM OT - Acute myeloid leukemia OT - central nervous system OT - cytarabine OT - lumbar puncture OT - risk factors EDAT- 2014/08/12 06:00 MHDA- 2016/03/26 06:00 CRDT- 2014/08/12 06:00 PHST- 2014/11/03 [aheadofprint] AID - 10.3109/10428194.2014.953148 [doi] PST - ppublish SO - Leuk Lymphoma. 2015 May;56(5):1392-7. doi: 10.3109/10428194.2014.953148. Epub 2014 Nov 3. PMID- 25088906 OWN - NLM STAT- MEDLINE DA - 20140913 DCOM- 20160309 IS - 1728-7731 (Electronic) IS - 1726-4901 (Linking) VI - 77 IP - 9 DP - 2014 Sep TI - Risk of meningioma in patients with head injury: a nationwide population-based study. PG - 457-62 LID - 10.1016/j.jcma.2014.06.005 [doi] LID - S1726-4901(14)00144-0 [pii] AB - BACKGROUND: Head injury has been suggested to correlate with meningioma. However, results of studies investigating the relationship between head injury and meningioma were inconsistent. Therefore, we conducted this study to assess the association between head injury and meningioma, and to determine the possible risk factors. METHODS: Head injury patients aged 18 years and older, without antecedent diagnosis of brain tumor, and who were followed up for more than 30 days between January 1, 2001, and December 31, 2010, were recruited from the Taiwan National Health Insurance Research Database. Hazard ratios (HRs) of meningioma risk for head injury patients compared with an age- and sex-matched cohort were calculated by Cox proportional regression analysis. The difference in cumulative incidence between head injury patients and the matched cohort was analyzed using the Kaplan-Meier method and tested with the log-rank test. RESULTS: Each cohort (i.e., the head injury cohort and the matched cohort) consisted of 75,292 individuals with a mean age of 44.7 years, and 52.3% of these patients were male. The incidence rates of meningioma were 3.99/10(5) person-years and 3.23/10(5) person-years in the head injury cohort and the comparison cohort, respectively, with a Charlson Comorbidity Index score-adjusted HR of 1.27 (p = 0.514). There were no associations between head injury and risk of meningioma, neither overall nor in stratified analyses according to severity of head injury, age, and sex of patients. CONCLUSION: Head injury, regardless of severity, patient sex, or age, is unlikely to be a cause of meningioma. CI - Copyright (c) 2014. Published by Elsevier B.V. FAU - Kuan, Ai-Seon AU - Kuan AS AD - Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC. FAU - Chen, Yung-Tai AU - Chen YT AD - Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Division of Nephrology, Department of Medicine, Taipei City Hospital, Heping Fuyou Branch, Taipei, Taiwan, ROC. FAU - Teng, Chung-Jen AU - Teng CJ AD - Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Institute of Public Health, National Yang-Ming University, Taipei, Taiwan, ROC; Division of Oncology and Hematology, Department of Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan, ROC. FAU - Wang, Shuu-Jiun AU - Wang SJ AD - Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC. FAU - Chen, Ming-Teh AU - Chen MT AD - Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC. Electronic address: mtchen@vghtpe.gov.tw. LA - eng PT - Journal Article DEP - 20140731 PL - China (Republic : 1949- ) TA - J Chin Med Assoc JT - Journal of the Chinese Medical Association : JCMA JID - 101174817 SB - IM CIN - J Chin Med Assoc. 2014 Sep;77(9):451-2. PMID: 25175003 MH - Adult MH - Aged MH - Cohort Studies MH - Craniocerebral Trauma/*complications MH - Female MH - Humans MH - Male MH - Meningeal Neoplasms/*etiology MH - Meningioma/*etiology MH - Middle Aged MH - Proportional Hazards Models MH - Risk OTO - NOTNLM OT - Taiwan National Health Insurance Research Database OT - head injury OT - meningioma OT - population-based study EDAT- 2014/08/05 06:00 MHDA- 2016/03/10 06:00 CRDT- 2014/08/05 06:00 PHST- 2014/01/20 [received] PHST- 2014/03/05 [accepted] PHST- 2014/07/31 [aheadofprint] AID - S1726-4901(14)00144-0 [pii] AID - 10.1016/j.jcma.2014.06.005 [doi] PST - ppublish SO - J Chin Med Assoc. 2014 Sep;77(9):457-62. doi: 10.1016/j.jcma.2014.06.005. Epub 2014 Jul 31. PMID- 25087230 OWN - NLM STAT- MEDLINE DA - 20150627 DCOM- 20160318 LR - 20160301 IS - 1523-5866 (Electronic) IS - 1522-8517 (Linking) VI - 17 IP - 3 DP - 2015 Mar TI - New concepts in the management of diffuse low-grade glioma: Proposal of a multistage and individualized therapeutic approach. PG - 332-42 LID - 10.1093/neuonc/nou153 [doi] AB - Diffuse low-grade glioma grows, migrates along white matter tracts, and progresses to high-grade glioma. Rather than a "wait and see" policy, an aggressive attitude is now recommended, with early surgery as the first therapy. Intraoperative mapping, with maximal resection according to functional boundaries, is associated with a longer overall survival (OS) while minimizing morbidity. However, most studies have investigated the role of only one specific treatment (surgery, radiotherapy, chemotherapy) without taking a global view of managing the cumulative time while preserving quality of life (QoL) versus time to anaplastic transformation. Our aim is to switch towards a more holistic concept based upon the anticipation of a personalized and long-term multistage therapeutic approach, with online adaptation of the strategy over the years using feedback from clinical, radiological, and histomolecular monitoring. This dynamic strategy challenges the traditional approach by proposing earlier therapy, by repeating treatments, and by reversing the classical order of therapies (eg, neoadjuvant chemotherapy when maximal resection is impossible, no early radiotherapy) to improve OS and QoL. New individualized management strategies should deal with the interactions between the course of this chronic disease, reaction brain remapping, and oncofunctional modulation elicited by serial treatments. This philosophy supports a personalized, functional, and preventive neuro-oncology. CI - (c) The Author(s) 2014. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Duffau, Hugues AU - Duffau H AD - Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France (H.D.); National Institute for Health and Medical Research (INSERM.), U1051 Laboratory, Team Brain Plasticity, Stem Cells and Glial Tumors, Institute for Neurosciences of Montpellier, Montpellier University Medical Center, Montpellier, France (H.D.); Department of Neurology, CHU Poitiers, Poitiers, France (L.T.). FAU - Taillandier, Luc AU - Taillandier L AD - Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France (H.D.); National Institute for Health and Medical Research (INSERM.), U1051 Laboratory, Team Brain Plasticity, Stem Cells and Glial Tumors, Institute for Neurosciences of Montpellier, Montpellier University Medical Center, Montpellier, France (H.D.); Department of Neurology, CHU Poitiers, Poitiers, France (L.T.). LA - eng PT - Journal Article PT - Review DEP - 20140802 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 SB - IM MH - Brain Neoplasms/mortality/physiopathology/psychology/*therapy MH - Disease Progression MH - Glioma/mortality/physiopathology/psychology/*therapy MH - Humans MH - Neurosurgical Procedures MH - Precision Medicine MH - Quality of Life MH - Treatment Outcome PMC - PMC4483091 OID - NLM: PMC4483091 OTO - NOTNLM OT - awake surgery OT - diffuse low-grade gliomas OT - individualized management OT - multistage therapeutic approach OT - quality of life EDAT- 2014/08/05 06:00 MHDA- 2016/03/19 06:00 CRDT- 2014/08/04 06:00 PHST- 2014/02/16 [received] PHST- 2014/07/02 [accepted] PHST- 2014/08/02 [aheadofprint] AID - nou153 [pii] AID - 10.1093/neuonc/nou153 [doi] PST - ppublish SO - Neuro Oncol. 2015 Mar;17(3):332-42. doi: 10.1093/neuonc/nou153. Epub 2014 Aug 2. PMID- 25081587 OWN - NLM STAT- MEDLINE DA - 20150518 DCOM- 20160308 IS - 1559-1182 (Electronic) IS - 0893-7648 (Linking) VI - 51 IP - 3 DP - 2015 TI - MicroRNAs as Potential Biomarkers for Diagnosing Cancers of Central Nervous System: a Meta-analysis. PG - 1452-61 LID - 10.1007/s12035-014-8822-6 [doi] AB - Recent studies have shown abnormal microRNA (miRNA) expression levels in the central nervous system (CNS) of cancer patients, suggesting that miRNAs may serve as promising biomarkers for cancers of CNS. However, other studies have arrived at conflicting results. Therefore, this meta-analysis aims to systematically measure the potential diagnostic value of miRNAs for CNS cancers. Electronic databases as well as other sources were searched until to April 12, 2014 for relevant articles. Data from different studies were pooled using the random-effects model. The pooled sensitivity, specificity, positive likelihood ratio (PLR), negative LR (NLR), diagnostic odds ratio (DOR), together with the summary receiver operator characteristic (SROC) curve, and area under the SROC curve (AUC) value were used to estimate overall diagnostic performance. Twenty-three studies from 6 articles were included in the current meta-analysis with a total of 299 CNS cancer patients and 418 controls. The pooled sensitivity, specificity, PLR, NLR, DOR, and AUC were 0.85 (95% CI, 0.80-0.89), 0.83 (95% CI, 0.76-0.88), 5.1 (95% CI, 3.4-7.5), 0.18 (95% CI, 0.12-0.26), 28 (95% CI, 14-58), and 0.91 (95% CI, 0.88-0.93), respectively. Subgroup analyses showed that cerebrospinal fluid (CSF)-based miRNAs assays yielded more accurate results and seemed to be more sensitive in diagnosing of primary central nervous system lymphoma (PCNSL). In conclusion, miRNAs may be suitable for serving as noninvasive biomarkers for CNS cancers detection. However, further validation based on a larger sample of patients and controls is still required. FAU - Wei, Dong AU - Wei D AD - Department of Neurology, Xijing Hospital, The Fourth Military Medical University, 127 Changle Western Road, Xi'an, Shaanxi Province, 710032, China. FAU - Wan, Qun AU - Wan Q FAU - Li, Li AU - Li L FAU - Jin, Haifeng AU - Jin H FAU - Liu, Yonghong AU - Liu Y FAU - Wang, Yangang AU - Wang Y FAU - Zhang, Guangyun AU - Zhang G LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20140801 PL - United States TA - Mol Neurobiol JT - Molecular neurobiology JID - 8900963 RN - 0 (Biomarkers, Tumor) RN - 0 (MicroRNAs) SB - IM MH - Biomarkers, Tumor/*genetics MH - Central Nervous System Neoplasms/*diagnosis/*genetics MH - Humans MH - MicroRNAs/*genetics MH - ROC Curve MH - Sensitivity and Specificity EDAT- 2014/08/02 06:00 MHDA- 2016/03/10 06:00 CRDT- 2014/08/02 06:00 PHST- 2014/06/10 [received] PHST- 2014/07/16 [accepted] PHST- 2014/08/01 [aheadofprint] AID - 10.1007/s12035-014-8822-6 [doi] PST - ppublish SO - Mol Neurobiol. 2015;51(3):1452-61. doi: 10.1007/s12035-014-8822-6. Epub 2014 Aug 1. PMID- 25016433 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - History of the pineal region tumor. PG - 61-4 LID - 10.1016/j.neuchi.2013.03.005 [doi] LID - S0028-3770(13)00031-3 [pii] AB - The pineal gland has interested humans from millenniums. In this paper we review back in the history and the evolution of the pineal gland surgery. Originally, this surgery used to carry a high rate of morbidity and mortality. Nowadays the development of the anesthetic, radiological, surgical and intensive care techniques have been responsible of an improvement of the surgical results and better quality of life. It is always interesting to know from where we come. CI - Copyright (c) 2014. Published by Elsevier Masson SAS. FAU - Mottolese, C AU - Mottolese C AD - Department of Paediatric Neurosurgery, Pierre-Wertheimer Hospital, CHU de Lyon, 59, boulevard Pinel, 69003 Lyon, France. Electronic address: carmine.mottolese@chu-lyon.fr. FAU - Szathmari, A AU - Szathmari A AD - Department of Paediatric Neurosurgery, Pierre-Wertheimer Hospital, CHU de Lyon, 59, boulevard Pinel, 69003 Lyon, France. LA - eng PT - Historical Article PT - Journal Article PT - Review DEP - 20140709 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Biopsy/methods MH - Brain Neoplasms/diagnosis/*pathology/surgery MH - History, 16th Century MH - History, 17th Century MH - History, 18th Century MH - History, 19th Century MH - History, Ancient MH - Humans MH - Neurosurgical Procedures/*history MH - Pineal Gland/*pathology MH - Pinealoma/diagnosis/*pathology/*surgery MH - Quality of Life OTO - NOTNLM OT - Histoire de la chirurgie de la glande pineale et de la region pineale OT - Histoire de la glande pineale OT - History of pineal and pineal region surgery OT - History of pineal tumor EDAT- 2014/07/14 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/07/14 06:00 PHST- 2013/03/25 [received] PHST- 2013/03/27 [revised] PHST- 2013/03/30 [accepted] PHST- 2014/07/09 [aheadofprint] AID - S0028-3770(13)00031-3 [pii] AID - 10.1016/j.neuchi.2013.03.005 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):61-4. doi: 10.1016/j.neuchi.2013.03.005. Epub 2014 Jul 9. PMID- 24933478 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - Pineal tumours: Experience of the French National Register and the Lyon School, results and considerations. PG - 223-35 LID - 10.1016/j.neuchi.2014.02.006 [doi] LID - S0028-3770(14)00045-9 [pii] AB - The experience of the French National Register of pineal tumours and the experience of the Lyon School are reported. Data were collected from 26 French neurosurgical centres from 1989 in Lyons and in other centres from 1997. For radiological and pathological studies, 517 cases were considered while only 452 with sufficient clinical and follow-up data were retained for further analysis. These data highlight the importance of the initial diagnosis for a therapeutic strategy that can be completely different in cases of pineal or germ cell tumours. As regards the latter, chemotherapy and radiotherapy can avoid surgery. Pineocytomas are benign lesions and their complete removal guarantees the cure. Pineal parenchymal tumours with intermediate differentiation (PTT-ID) require complete removal and complementary treatment in cases of histological abnormalities with approximately 66% of patients who remain alive. Pineoblastomas have a poor prognosis and the rate of survival in the French National Register is only 33% of cases. Germinomas can be treated with chemotherapy or radiotherapy alone and generally the indication for surgical removal is limited to residual tumours. The rate of survival is 64% at 10 years. For papillary tumours of the pineal region (PTPR) complete removal is a good prognostic factor. Radiotherapy seems to be effective in cases of residual tumours. The experience and results with radiosurgery treatment have been limited in the French national and Lyon experience. CI - Copyright (c) 2014. Published by Elsevier Masson SAS. FAU - Mottolese, C AU - Mottolese C AD - Neurological and Neurosurgical Hospital << P. Wertheimer >>, 59, boulevard Pinel, 69677 Bron, France. Electronic address: carmine.mottolese@chu-lyon.fr. FAU - Beuriat, P A AU - Beuriat PA AD - Neurological and Neurosurgical Hospital << P. Wertheimer >>, 59, boulevard Pinel, 69677 Bron, France. FAU - Szathmari, A AU - Szathmari A AD - Neurological and Neurosurgical Hospital << P. Wertheimer >>, 59, boulevard Pinel, 69677 Bron, France. LA - eng PT - Journal Article DEP - 20140602 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Brain Neoplasms/pathology/*therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neoplasms, Germ Cell and Embryonal/pathology/*therapy MH - Pineal Gland/*pathology MH - Pinealoma/diagnosis/*therapy MH - *Radiosurgery MH - Supratentorial Neoplasms/pathology/*therapy MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Germ cell tumours OT - Gliomes de la glande pineale OT - Papillary tumours French National Register of pineal tumours OT - Pineal tumours OT - Pineoblastomas OT - Pineocytomas OT - Pinealoblastomes OT - Pinealocytomes OT - Registre francais des tumeurs de la pineale OT - Tumeur germinales OT - Tumeurs papillaires OT - Tumeurs pineales EDAT- 2014/06/17 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/06/17 06:00 PHST- 2013/06/06 [received] PHST- 2013/11/21 [revised] PHST- 2014/02/18 [accepted] PHST- 2014/06/02 [aheadofprint] AID - S0028-3770(14)00045-9 [pii] AID - 10.1016/j.neuchi.2014.02.006 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):223-35. doi: 10.1016/j.neuchi.2014.02.006. Epub 2014 Jun 2. PMID- 24913502 OWN - NLM STAT- MEDLINE DA - 20150311 DCOM- 20160314 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 56 IP - 3 DP - 2015 Mar TI - Intrathecal methotrexate prophylaxis and central nervous system relapse in patients with diffuse large B-cell lymphoma following rituximab plus cyclophosphamide, doxorubicin, vincristine and prednisone. PG - 725-9 LID - 10.3109/10428194.2014.931953 [doi] AB - This study evaluated the efficacy of central nervous system (CNS) prophylaxis using intrathecal methotrexate (IT-MTX) in patients with diffuse large B-cell lymphoma (DLBCL). We retrospectively studied 322 patients who achieved first complete remission (CR) after rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) therapy. The CNS prophylaxis consisted of four doses of IT-MTX (15 mg) with hydrocortisone (25 mg) administered after CR was achieved. Forty patients (12%) received CNS prophylaxis (group A) and 282 patients (88%) did not (group B). Three patients in group A (8%) and eight in group B (3%) experienced isolated CNS relapse during the first CR, although this difference was not statistically significant (p = 0.14). Ten of 11 CNS relapses occurred in the brain parenchyma with (n = 3) or without (n = 7) leptomeningeal involvement, and the remaining patient had exclusive leptomeningeal involvement. In patients with DLBCL attaining CR after R-CHOP, IT-MTX administration was insufficient to prevent CNS relapse. FAU - Tomita, Naoto AU - Tomita N AD - Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine , Yokohama , Japan. FAU - Takasaki, Hirotaka AU - Takasaki H FAU - Ishiyama, Yasufumi AU - Ishiyama Y FAU - Kishimoto, Kumiko AU - Kishimoto K FAU - Ishibashi, Daisuke AU - Ishibashi D FAU - Koyama, Satoshi AU - Koyama S FAU - Ishii, Yoshimi AU - Ishii Y FAU - Takahashi, Hiroyuki AU - Takahashi H FAU - Numata, Ayumi AU - Numata A FAU - Watanabe, Reina AU - Watanabe R FAU - Tachibana, Takayoshi AU - Tachibana T FAU - Ohshima, Rika AU - Ohshima R FAU - Hagihara, Maki AU - Hagihara M FAU - Hashimoto, Chizuko AU - Hashimoto C FAU - Takemura, Sachiya AU - Takemura S FAU - Taguchi, Jun AU - Taguchi J FAU - Fujimaki, Katsumichi AU - Fujimaki K FAU - Sakai, Rika AU - Sakai R FAU - Motomura, Shigeki AU - Motomura S FAU - Ishigatsubo, Yoshiaki AU - Ishigatsubo Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140806 PL - England TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 4F4X42SYQ6 (Rituximab) RN - 5J49Q6B70F (Vincristine) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - VB0R961HZT (Prednisone) RN - YL5FZ2Y5U1 (Methotrexate) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Central Nervous System Neoplasms/*drug therapy MH - Cyclophosphamide/administration & dosage MH - Doxorubicin/administration & dosage MH - Female MH - Humans MH - Injections, Spinal MH - Kaplan-Meier Estimate MH - Lymphoma, Large B-Cell, Diffuse/*drug therapy MH - Male MH - Methotrexate/administration & dosage MH - Middle Aged MH - Neoplasm Recurrence, Local MH - Prednisone/administration & dosage MH - Remission Induction MH - Retrospective Studies MH - Rituximab/administration & dosage MH - Treatment Outcome MH - Vincristine/administration & dosage MH - Young Adult OTO - NOTNLM OT - Central nervous system OT - R-CHOP OT - diffuse large B-cell lymphoma OT - intrathecal methotrexate EDAT- 2014/06/11 06:00 MHDA- 2016/03/15 06:00 CRDT- 2014/06/11 06:00 PHST- 2014/08/06 [aheadofprint] AID - 10.3109/10428194.2014.931953 [doi] PST - ppublish SO - Leuk Lymphoma. 2015 Mar;56(3):725-9. doi: 10.3109/10428194.2014.931953. Epub 2014 Aug 6. PMID- 24907165 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - Update on the management of pineal cysts: Case series and a review of the literature. PG - 201-7 LID - 10.1016/j.neuchi.2013.08.010 [doi] LID - S0028-3770(13)00267-1 [pii] AB - OBJECTIVE: The natural history of pineal cysts still remains unclear. Incidental pineal cysts have become more common which raises the question of their management. Symptomatic pineal cysts may require a surgical solution but therapeutic indications have not yet been clearly established. METHOD: From 1986 to 2012, 26 patients with pineal cysts were identified. Their medical records were retrospectively assessed focusing on the initial symptoms, imaging characteristics of the cyst, management strategy, operative technique and their complications, as well as the latest follow-up. A systematic review of the literature is also presented. RESULTS: Twenty-six patients with pineal cysts were identified. The mean age was 23.5 years ranging from 7 to 49 years. Symptoms included intracranial hypertension with obstructive hydrocephalus in 18 cases and oculomotor anomalies in 12 cases. Two adult cases presented with non-specific headaches and did not require surgery. Twenty patients were operated via a suboccipital transtentorial approach with total removal of the cyst in 70% of the cases, while the remaining 4 cases were treated with an intraventricular endoscopic marsupialization associating a third ventriculostomy. Four patients required a preoperative ventriculo-peritoneal shunt due to life-threatening obstructive hydrocephalus. Overall, peri-operative mortality was nil. In the two non-operated patients, the cyst remained stable and no recurrences were observed in all operated patients with a mean follow-up of 144 months. CONCLUSION: In the majority of incidental pineal cysts, a clinical and imaging follow-up is sufficient but occasionally not required especially in adults as very rare cases of increase in size have been reported. CI - Copyright (c) 2014. Published by Elsevier Masson SAS. FAU - Berhouma, M AU - Berhouma M AD - Department of Neurosurgery B, Pierre-Wertheimer Neurological and Neurosurgical Hospital, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France. Electronic address: berhouma.moncef@gmail.com. FAU - Ni, H AU - Ni H AD - Department of Neurosurgery B, Pierre-Wertheimer Neurological and Neurosurgical Hospital, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France. FAU - Delabar, V AU - Delabar V AD - Department of Neurosurgery B, Pierre-Wertheimer Neurological and Neurosurgical Hospital, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France. FAU - Tahhan, N AU - Tahhan N AD - Department of Neurosurgery B, Pierre-Wertheimer Neurological and Neurosurgical Hospital, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France. FAU - Memou Salem, S AU - Memou Salem S AD - Department of Neurosurgery B, Pierre-Wertheimer Neurological and Neurosurgical Hospital, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France. FAU - Mottolese, C AU - Mottolese C AD - Department of Neurosurgery B, Pierre-Wertheimer Neurological and Neurosurgical Hospital, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France. FAU - Vallee, B AU - Vallee B AD - Department of Neurosurgery B, Pierre-Wertheimer Neurological and Neurosurgical Hospital, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France; Research and Education Unit of Medicine, Claude-Bernard University Lyon 1, 59, boulevard Pinel, 69500 Bron, France. LA - eng PT - Journal Article PT - Review DEP - 20140603 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Brain Neoplasms/*surgery MH - Central Nervous System Cysts/*surgery MH - Humans MH - Hydrocephalus/*surgery MH - Neoplasm Recurrence, Local/*surgery MH - *Ventriculoperitoneal Shunt/methods MH - Ventriculostomy/methods OTO - NOTNLM OT - Diagnostic and operative techniques OT - Diagnostic et techniques operatoires OT - Endoscopie OT - Endoscopy OT - Glande pineale OT - Histoire naturelle OT - IRM OT - Kyste pineal OT - MRI OT - Natural history OT - Pineal cyst OT - Pineal gland EDAT- 2014/06/08 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/06/08 06:00 PHST- 2013/03/26 [received] PHST- 2013/08/13 [revised] PHST- 2013/08/30 [accepted] PHST- 2014/06/03 [aheadofprint] AID - S0028-3770(13)00267-1 [pii] AID - 10.1016/j.neuchi.2013.08.010 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):201-7. doi: 10.1016/j.neuchi.2013.08.010. Epub 2014 Jun 3. PMID- 24874928 OWN - NLM STAT- MEDLINE DA - 20141218 DCOM- 20160324 IS - 1651-226X (Electronic) IS - 0284-186X (Linking) VI - 54 IP - 1 DP - 2015 Jan TI - Survival and prognostic factors in patients treated with stereotactic radiotherapy for brain metastases. PG - 107-14 LID - 10.3109/0284186X.2014.921724 [doi] AB - BACKGROUND: Stereotactic radiation therapy (SRT) of brain metastases is used with good effect around the world, but no consensus exists regarding which prognostic factors that are related to favourable or unfavourable prognosis after the treatment. A better definition of these factors will ensure a more precise application of the treatment. MATERIAL AND METHODS: A consecutive cohort of the 198 patients treated for brain metastases with SRT without concurrent whole-brain radiation therapy at our department from 2001 to 2012 was retrospectively analysed. RESULTS: Median survival was seven months and median time to clinical cerebral progression was eight months. The multivariate analysis revealed age >/= 65 years, Performance Status >/= 2, extracranial metastases and size of metastasis > 20 mm as independent prognostic factors related to shorter survival. No factors were independently related to clinical cerebral progression. CONCLUSION: We identified four prognostic factors related to survival after SRT for brain metastases. The grouping of patients by these factors is useful to determine the level of treatment. We discourage the delivery of SRT to patients with 3-4 unfavourable prognostic factors because of the very short median survival of two months. FAU - Leth, Thomas AU - Leth T AD - Department of Oncology, Aarhus University Hospital , Aarhus , Denmark. FAU - von Oettingen, Gorm AU - von Oettingen G FAU - Lassen-Ramshad, Yasmin A AU - Lassen-Ramshad YA FAU - Lukacova, Slavka AU - Lukacova S FAU - Hoyer, Morten AU - Hoyer M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140530 PL - England TA - Acta Oncol JT - Acta oncologica (Stockholm, Sweden) JID - 8709065 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/mortality/*secondary/*surgery MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Radiosurgery/*methods MH - Retrospective Studies MH - Survivors MH - Time Factors EDAT- 2014/05/31 06:00 MHDA- 2016/03/25 06:00 CRDT- 2014/05/31 06:00 PHST- 2014/05/30 [aheadofprint] AID - 10.3109/0284186X.2014.921724 [doi] PST - ppublish SO - Acta Oncol. 2015 Jan;54(1):107-14. doi: 10.3109/0284186X.2014.921724. Epub 2014 May 30. PMID- 24874722 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - Role of radiosurgery in the management of pineal region tumours: indications, method, outcome. PG - 216-22 LID - 10.1016/j.neuchi.2013.11.007 [doi] LID - S0028-3770(14)00038-1 [pii] AB - Numerous tumour types can occur in the pineal region. Because these tumours are uncommon and heterogeneous, it is often difficult to establish optimal treatment strategies based on comparative clinical trials. To date, the role of radiosurgery for the treatment of pineal region tumours remains controversial. This report of a 10-year single-department experience and review of the literature focuses on the spectrum of pathologic features found in these pineal parenchymal tumours and on the interest of radiosurgery in their management. Considering pineocytomas, although these tumours have been considered to be radioresistant to fractionated radiotherapy, our results are in agreement with similar results reported in the literature in suggesting that radiosurgery may be an alternative to surgical resection or an adjuvant therapy when the resection is not optimal. When dissemination occurs after radiosurgery, however, craniospinal radiation and chemotherapy are necessary. Radiosurgery has also proven its interest in the treatment of germinomas as an alternative to encephalic radiotherapy with limited long-term damage. Regarding the other pathologies, radiosurgery can be considered as part of a multimodal treatment including surgery, chemo-radiotherapy and its role still has to be clearly defined. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Balossier, A AU - Balossier A AD - Service de neurochirurgie, centre Gamma-Knife, hopital Roger-Salengro, CHRU de Lille, rue du Professeur Emile-Laine, 59037 Lille, France; Service de neurochirurgie, CHU de Caen, 14000 Caen, France. Electronic address: balossier-a@chu-caen.fr. FAU - Blond, S AU - Blond S AD - Service de neurochirurgie, centre Gamma-Knife, hopital Roger-Salengro, CHRU de Lille, rue du Professeur Emile-Laine, 59037 Lille, France. Electronic address: serge.blond@chru-lille.fr. FAU - Touzet, G AU - Touzet G AD - Service de neurochirurgie, centre Gamma-Knife, hopital Roger-Salengro, CHRU de Lille, rue du Professeur Emile-Laine, 59037 Lille, France. FAU - Sarrazin, T AU - Sarrazin T AD - Service de radiotherapie, centre Oscar-Lambret, CHRU de Lille, 59037 Lille, France. FAU - Lartigau, E AU - Lartigau E AD - Service de radiotherapie, centre Oscar-Lambret, CHRU de Lille, 59037 Lille, France. FAU - Reyns, N AU - Reyns N AD - Service de neurochirurgie, centre Gamma-Knife, hopital Roger-Salengro, CHRU de Lille, rue du Professeur Emile-Laine, 59037 Lille, France. LA - eng PT - Journal Article PT - Review DEP - 20140527 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Brain Neoplasms/pathology/*surgery MH - Humans MH - Pineal Gland/*surgery MH - Pinealoma/*therapy MH - *Radiosurgery/methods MH - Supratentorial Neoplasms/*surgery MH - Treatment Outcome OTO - NOTNLM OT - Germ cell tumour OT - Pineal tumour OT - Pineoblastoma OT - Pineocytoma OT - Pinealoblastome OT - Pinealocytome OT - Radiochirurgie OT - Radiosurgery OT - Tumeur de la region pineale OT - Tumeur germinale EDAT- 2014/05/31 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/05/31 06:00 PHST- 2013/03/21 [received] PHST- 2013/09/08 [revised] PHST- 2013/11/23 [accepted] PHST- 2014/05/27 [aheadofprint] AID - S0028-3770(14)00038-1 [pii] AID - 10.1016/j.neuchi.2013.11.007 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):216-22. doi: 10.1016/j.neuchi.2013.11.007. Epub 2014 May 27. PMID- 24863689 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - Supracerebellar infratentorial approach for pineal region tumors: Our surgical and technical considerations. PG - 176-83 LID - 10.1016/j.neuchi.2014.02.004 [doi] LID - S0028-3770(14)00039-3 [pii] AB - The infratentorial supracerebellar approach is most widely used for pineal tumors. We report our own experience and technical considerations using this approach. MATERIAL: From 1982 to 2010, we operated on 232 patients with pineal region tumors. Of these, 201 patients were operated on using a suboccipital transtentorial approach while 31 patients were operated on using a supracerebellar infratentorial approach. The median age of the patients ranged between 8 months and 74 years. There were 19 children and 12 adults. All patients presented with elevated intracranial pressure. There were 6 pinealocytomas, 3 papillary tumors, 7 germinomas, 2 benign teratomas, 4 pineal cysts and 9 gliomas. Adjuvant post-surgical therapy consisted of chemo-radiotherapy in 4 patients, 2 with germinomas and 2 with a grade II/III gliomas. Radiotherapy was performed in the other twelve patients (5 germinomas and 7 gliomas). RESULTS AND COMPLICATIONS: All patients are still alive at a median follow-up of eight years. Twelve of the 19 children are attending normal school classes for their age, 5 are attending classes for special needs children and 2 are not yet of school age at the last follow-up. Seven of the 12 adults are working normally, three are working part-time at the same job and two have retired but are able to lead a normal life. Postoperative complications included symptomatic diffuse cerebellar edema (one patient) completely resolved with a mild residual cerebellar syndrome; double vision secondary to IV nerve palsy (one patient); transitory Parinaud's syndrome (2 patients) and cerebellar gait (2 patients) nearly completely recovered at respectively six and twelve months. CONCLUSION: The supracerebellar infratentorial approach seems to be a safe and effective choice in the treatment of pineal region tumors. In our experience, it permits complete tumor resections with acceptable morbidity and all neurosurgeons should master this approach in order to adapt their surgical choice according to size, extent and the relationship of the lesion with the surrounding anatomical structures. CI - Copyright (c) 2014. Published by Elsevier Masson SAS. FAU - Mottolese, C AU - Mottolese C AD - Service of Pediatric Neurosurgery, Neurological and Neurosurgical Hospital "P. Wertheimer", 59, boulevard Pinel, 69677 Bron, France. Electronic address: carmine.mottolese@chu-lyon.fr. FAU - Szathmari, A AU - Szathmari A AD - Service of Pediatric Neurosurgery, Neurological and Neurosurgical Hospital "P. Wertheimer", 59, boulevard Pinel, 69677 Bron, France. FAU - Ricci-Franchi, A C AU - Ricci-Franchi AC AD - Service of Pediatric Neurosurgery, Neurological and Neurosurgical Hospital "P. Wertheimer", 59, boulevard Pinel, 69677 Bron, France. FAU - Gallo, P AU - Gallo P AD - Service of Pediatric Neurosurgery, Neurological and Neurosurgical Hospital "P. Wertheimer", 59, boulevard Pinel, 69677 Bron, France. FAU - Beuriat, P A AU - Beuriat PA AD - Service of Pediatric Neurosurgery, Neurological and Neurosurgical Hospital "P. Wertheimer", 59, boulevard Pinel, 69677 Bron, France. FAU - Capone, G AU - Capone G AD - Service of Pediatric Neurosurgery, Neurological and Neurosurgical Hospital "P. Wertheimer", 59, boulevard Pinel, 69677 Bron, France. LA - eng PT - Journal Article DEP - 20140524 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Brain Neoplasms/pathology/*surgery MH - Cerebellum/*surgery MH - Child MH - Child, Preschool MH - Combined Modality Therapy/methods MH - Female MH - Glioma/diagnosis/*surgery MH - Humans MH - Male MH - Middle Aged MH - Neurosurgical Procedures MH - Pineal Gland/*pathology MH - Pinealoma/pathology/*surgery MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Abord supra-cerebelleux infratentoriel OT - Microchirurgie OT - Microsurgery OT - Pineal region tumor OT - Pineal tumor OT - Supracerebellar infratentorial approach OT - Tumeur de la pineale OT - Tumeur de la region pineale EDAT- 2014/05/28 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/05/28 06:00 PHST- 2013/03/29 [received] PHST- 2013/11/11 [revised] PHST- 2014/02/19 [accepted] PHST- 2014/05/24 [aheadofprint] AID - S0028-3770(14)00039-3 [pii] AID - 10.1016/j.neuchi.2014.02.004 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):176-83. doi: 10.1016/j.neuchi.2014.02.004. Epub 2014 May 24. PMID- 24863688 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - The management of pineal tumors as a model for a multidisciplinary approach in neuro-oncology. PG - 208-11 LID - 10.1016/j.neuchi.2014.03.003 [doi] LID - S0028-3770(14)00055-1 [pii] AB - The management of pineal tumors is a model for multidisciplinarity. Apart from an emergency situation that requires immediate shunting of cerebrospinal fluid (CSF), the initial discussion should involve at least a radiologist, a surgeon, a neurologist and an oncologist. The initial decision is whether obtaining a histological proof is obligatory. It depends on age and ethnicity, site (mono- or bifocality), presence of markers in serum as well as CSF, and/or of malignant cells in the CSF. In cases of marker elevation indicating a germ cell tumor, front line chemotherapy can avoid dangerous immediate surgery. When histological proof is required, the extent of surgery should be discussed, aiming either only at obtaining tissue or removal. If a germ cell tumor is detected, treatment will include a cisplatin-containing chemotherapy followed by focal or ventricular irradiation. Tumors of the pineal parenchyma will be treated according to grade, either by surgery alone (pinealocytoma) or chemo-radiotherapy (pinealoblastomas). Similarly, gliomas will be treated depending on their grade with several different possible lines in low grade, and usually radio-chemotherapy in high grade. A careful balance between improved survival rates and decreased long-term side effects will guide the decisions of all these specialists. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Frappaz, D AU - Frappaz D AD - Neuro-oncologie, centre Leon-Berard, 28, rue Laennec, 69673 Lyon, France. Electronic address: didier.frappaz@lyon.unicancer.fr. FAU - Conter, C Faure AU - Conter CF AD - Institut d'hematologie et d'oncologie pediatriques, 69673 Lyon, France. FAU - Szathmari, A AU - Szathmari A AD - Hopital Wertheimer, 69677 Bron, France. FAU - Valsijevic, A AU - Valsijevic A AD - Hopital Wertheimer, 69677 Bron, France. FAU - Mottolese, C AU - Mottolese C AD - Hopital Wertheimer, 69677 Bron, France. LA - eng PT - Journal Article PT - Review DEP - 20140524 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Brain Neoplasms/mortality/*therapy MH - *Disease Management MH - Glioma/pathology/*therapy MH - Humans MH - Neoplasms, Germ Cell and Embryonal/mortality/*therapy MH - Pinealoma/mortality/*therapy MH - Survival Rate OTO - NOTNLM OT - Germ cell tumors OT - Germinoma OT - Germinome OT - Glande pineale OT - Gliomas OT - Gliomes OT - Pineal OT - Pinealoblastoma OT - Pinealocytoma OT - Pinealoblastome OT - Pinealocytome OT - Tumeurs germinales EDAT- 2014/05/28 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/05/28 06:00 PHST- 2013/04/06 [received] PHST- 2014/03/03 [revised] PHST- 2014/03/05 [accepted] PHST- 2014/05/24 [aheadofprint] AID - S0028-3770(14)00055-1 [pii] AID - 10.1016/j.neuchi.2014.03.003 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):208-11. doi: 10.1016/j.neuchi.2014.03.003. Epub 2014 May 24. PMID- 24856312 OWN - NLM STAT- MEDLINE DA - 20150522 DCOM- 20160311 IS - 0028-3770 (Print) IS - 0028-3770 (Linking) VI - 61 IP - 2-3 DP - 2015 Apr-Jun TI - The sub-occipital transtentorial approach revisited base on our own experience. PG - 168-75 LID - 10.1016/j.neuchi.2013.12.005 [doi] LID - S0028-3770(14)00021-6 [pii] AB - The surgical experience of the sub-occipital approach for treatment of pineal gland and pineal region tumors is reported. This approach was originally proposed by Jamieson and modified by Lapras who by changing the shape of the bone flap obtained the elevation of the occipital lobe which consequently resulted in a better exposition of this deep region. The reason why this approach became the basis for their treatment is particularly related to the personal experience of Lapras who reported his fantastic experience of surgery in this deep area and demonstrated the advantages of the sub-occipital transtentorial approach. MATERIAL: Out of 277 patients operated from 1982 to 2012 in Lyon for a pineal tumor, 233 were treated by a sub-occipital approach: 153 males, 125 females, 75 patients of pediatric age. The majority of patients were operated on in a sitting position which represents a surgical specialty of the anesthesiological school of Lyon. RESULTS: Complete tumor removal was possible in 135 patients (58%) and partial in 60 patients (26%). For 38 patients, it was not possible to establish the quality of surgical resection. The incidence of hemianopsia decreased to less that 2% of cases while the incidence of severe pneumocephaly which requires a prolonged intensive care hospitalization was less than 4% of cases. Mortality related to this surgical approach in the Lyonnais school series was 0% during this period. CONCLUSION: In our experience the sub-occipital transtentorial approach seems to us the best approach for pineal tumors because it permits a large exposition of the pineal region favoring the removal of the tumor with a lateral extension and also for tumors extending low into the posterior cranial fossa. In fact, this is our preferred approach because it has been used in a large majority of cases. However, surgeons have to be familiar with other possible approaches to obtain the best result in terms of removal and also to decrease the rate of sequelae to improve the quality of life of these patients. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Mottolese, C AU - Mottolese C AD - 59, boulevard Pinel, 69677 Bron, France. Electronic address: carmine.mottolese@chu-lyon.fr. FAU - Szathmari, A AU - Szathmari A AD - 59, boulevard Pinel, 69677 Bron, France. FAU - Ricci-Franchi, A C AU - Ricci-Franchi AC AD - 59, boulevard Pinel, 69677 Bron, France. FAU - Beuriat, P A AU - Beuriat PA AD - 59, boulevard Pinel, 69677 Bron, France. FAU - Grassiot, B AU - Grassiot B AD - 59, boulevard Pinel, 69677 Bron, France. LA - eng PT - Journal Article DEP - 20140520 PL - France TA - Neurochirurgie JT - Neuro-Chirurgie JID - 0401057 SB - IM MH - Adult MH - Aged MH - Brain Neoplasms/pathology/*surgery MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Neurosurgical Procedures MH - Occipital Lobe/pathology/*surgery MH - Pineal Gland/pathology/*surgery MH - Pinealoma/diagnosis/pathology/*surgery MH - Quality of Life OTO - NOTNLM OT - Abord suboccipital transtentorielle OT - Microchirurgie OT - Microsurgery OT - Pineal region tumor OT - Pineal tumor OT - Suboccipital transtentorial approach OT - Tumeur de la region pineale OT - Tumeur pineale EDAT- 2014/05/27 06:00 MHDA- 2016/03/12 06:00 CRDT- 2014/05/27 06:00 PHST- 2013/03/30 [received] PHST- 2013/11/12 [revised] PHST- 2013/12/26 [accepted] PHST- 2014/05/20 [aheadofprint] AID - S0028-3770(14)00021-6 [pii] AID - 10.1016/j.neuchi.2013.12.005 [doi] PST - ppublish SO - Neurochirurgie. 2015 Apr-Jun;61(2-3):168-75. doi: 10.1016/j.neuchi.2013.12.005. Epub 2014 May 20. PMID- 24698976 OWN - NLM STAT- MEDLINE DA - 20140719 DCOM- 20160322 LR - 20151027 IS - 1460-2083 (Electronic) IS - 0964-6906 (Linking) VI - 23 IP - 16 DP - 2014 Aug 15 TI - Lesions from patients with sporadic cerebral cavernous malformations harbor somatic mutations in the CCM genes: evidence for a common biochemical pathway for CCM pathogenesis. PG - 4357-70 LID - 10.1093/hmg/ddu153 [doi] AB - Cerebral cavernous malformations (CCMs) are vascular lesions affecting the central nervous system. CCM occurs either sporadically or in an inherited, autosomal dominant manner. Constitutional (germline) mutations in any of three genes, KRIT1, CCM2 and PDCD10, can cause the inherited form. Analysis of CCM lesions from inherited cases revealed biallelic somatic mutations, indicating that CCM follows a Knudsonian two-hit mutation mechanism. It is still unknown, however, if the sporadic cases of CCM also follow this genetic mechanism. We extracted DNA from 11 surgically excised lesions from sporadic CCM patients, and sequenced the three CCM genes in each specimen using a next-generation sequencing approach. Four sporadic CCM lesion samples (36%) were found to contain novel somatic mutations. Three of the lesions contained a single somatic mutation, and one lesion contained two biallelic somatic mutations. Herein, we also describe evidence of somatic mosaicism in a patient presenting with over 130 CCM lesions localized to one hemisphere of the brain. Finally, in a lesion regrowth sample, we found that the regrown CCM lesion contained the same somatic mutation as the original lesion. Together, these data bolster the idea that all forms of CCM have a genetic underpinning of the two-hit mutation mechanism in the known CCM genes. Recent studies have found aberrant Rho kinase activation in inherited CCM pathogenesis, and we present evidence that this pathway is activated in sporadic CCM patients. These results suggest that all CCM patients, including those with the more common sporadic form, are potentially amenable to the same therapy. CI - (c) The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. FAU - McDonald, David A AU - McDonald DA AD - Molecular Genetics and Microbiology Department, Duke University Medical Center, Durham, NC 27710, USA. FAU - Shi, Changbin AU - Shi C AD - Section of Neurosurgery, Biological Sciences Division, University of Chicago, Chicago, IL 60637, USA. FAU - Shenkar, Robert AU - Shenkar R AD - Section of Neurosurgery, Biological Sciences Division, University of Chicago, Chicago, IL 60637, USA. FAU - Gallione, Carol J AU - Gallione CJ AD - Molecular Genetics and Microbiology Department, Duke University Medical Center, Durham, NC 27710, USA. FAU - Akers, Amy L AU - Akers AL AD - Molecular Genetics and Microbiology Department, Duke University Medical Center, Durham, NC 27710, USA Angioma Alliance, Norfolk, VA 23517, USA. FAU - Li, Stephanie AU - Li S AD - Molecular Genetics and Microbiology Department, Duke University Medical Center, Durham, NC 27710, USA. FAU - De Castro, Nicholas AU - De Castro N AD - Molecular Genetics and Microbiology Department, Duke University Medical Center, Durham, NC 27710, USA. FAU - Berg, Michel J AU - Berg MJ AD - School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY 14642, USA and. FAU - Corcoran, David L AU - Corcoran DL AD - Institute for Genome Sciences and Policy, Duke University, Durham, NC 27710, USA. FAU - Awad, Issam A AU - Awad IA AD - Section of Neurosurgery, Biological Sciences Division, University of Chicago, Chicago, IL 60637, USA. FAU - Marchuk, Douglas A AU - Marchuk DA AD - Molecular Genetics and Microbiology Department, Duke University Medical Center, Durham, NC 27710, USA douglas.marchuk@duke.edu. LA - eng GR - F31-NS061468/NS/NINDS NIH HHS/United States GR - F31-NS077702/NS/NINDS NIH HHS/United States GR - R01 NS077957/NS/NINDS NIH HHS/United States GR - R01-NS060748/NS/NINDS NIH HHS/United States GR - R01-NS077957/NS/NINDS NIH HHS/United States GR - T32 GM007754/GM/NIGMS NIH HHS/United States GR - UL1 TR000430/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140403 PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (CCM2 protein, human) RN - 0 (Carrier Proteins) RN - 0 (KRIT1 protein, human) RN - 0 (Membrane Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (PDCD10 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.11.1 (rho-Associated Kinases) SB - IM MH - Apoptosis Regulatory Proteins/*genetics MH - Carrier Proteins/*genetics MH - Central Nervous System Neoplasms/*genetics/pathology MH - Endothelial Cells/metabolism MH - Hemangioma, Cavernous, Central Nervous System/*genetics/pathology MH - Humans MH - Membrane Proteins/*genetics MH - Microtubule-Associated Proteins/*genetics MH - *Mutation MH - Proto-Oncogene Proteins/*genetics MH - rho-Associated Kinases/metabolism PMC - PMC4103679 OID - NLM: PMC4103679 EDAT- 2014/04/05 06:00 MHDA- 2016/03/24 06:00 CRDT- 2014/04/05 06:00 PHST- 2014/04/03 [aheadofprint] AID - ddu153 [pii] AID - 10.1093/hmg/ddu153 [doi] PST - ppublish SO - Hum Mol Genet. 2014 Aug 15;23(16):4357-70. doi: 10.1093/hmg/ddu153. Epub 2014 Apr 3. PMID- 24474262 OWN - NLM STAT- MEDLINE DA - 20150613 DCOM- 20160321 LR - 20160114 IS - 1869-1447 (Electronic) IS - 1869-1439 (Linking) VI - 25 IP - 2 DP - 2015 Jun TI - Pretreatment Dynamic Susceptibility Contrast MRI Perfusion in Glioblastoma: Prediction of EGFR Gene Amplification. PG - 143-50 LID - 10.1007/s00062-014-0289-3 [doi] AB - BACKGROUND AND PURPOSE: Molecular and genetic testing is becoming increasingly relevant in GBM. We sought to determine whether dynamic susceptibility contrast (DSC) magnetic resonance imaging (MRI) perfusion imaging could predict EGFR-defined subtypes of GBM. MATERIALS AND METHODS: We retrospectively identified 106 consecutive glioblastoma (GBM) patients with known EGFR gene amplification, and a subset of 65 patients who also had known EGFRvIII gene mutation status. All patients underwent T2* DSC MRI perfusion. DSC perfusion maps and T2* signal intensity time curves were evaluated, and the following measures of tumor perfusion were recorded: (1) maximum relative cerebral blood volume (rCBV), (2) relative peak height (rPH), and (3) percent signal recovery (PSR). The imaging metrics were correlated to EGFR gene amplification and EGFRvIII mutation status using univariate analyses. RESULTS: EGFR amplification was present in 44 (41.5 %) subjects and absent in 62 (58.5 %). Among the 65 subjects who had undergone EGFRvIII mutation transcript analysis, 18 subjects (27.7 %) tested positive for the EGFRvIII mutation, whereas 47 (72.3 %) did not. Higher median rCBV (3.31 versus 2.62, p = 0.01) and lower PSR (0.70 versus 0.78, p = 0.03) were associated with high levels of EGFR amplification. Higher median rPH (3.68 versus 2.76, p = 0.03) was associated with EGFRvIII mutation. CONCLUSION: DSC MRI perfusion may have a role in identifying patients with EGFR gene amplification and EGFRvIII gene mutation status, potential targets for individualized treatment protocols. Our results raise the need for further investigation for imaging biomarkers of genetically unique GBM subtypes. FAU - Gupta, A AU - Gupta A AD - Department of Radiology, Weill Cornell Medical College and New York Presbyterian Hospital, New York, NY, USA. FAU - Young, R J AU - Young RJ FAU - Shah, A D AU - Shah AD FAU - Schweitzer, A D AU - Schweitzer AD FAU - Graber, J J AU - Graber JJ FAU - Shi, W AU - Shi W FAU - Zhang, Z AU - Zhang Z FAU - Huse, J AU - Huse J FAU - Omuro, A M P AU - Omuro AM LA - eng GR - P30 CA008748/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20140129 PL - Germany TA - Clin Neuroradiol JT - Clinical neuroradiology JID - 101526693 RN - 0 (Contrast Media) RN - 0 (epidermal growth factor receptor VIII) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (Receptor, Epidermal Growth Factor) SB - IM MH - Blood Volume/physiology MH - Brain Neoplasms/*blood supply/*genetics/surgery MH - Cohort Studies MH - *Contrast Media MH - DNA Mutational Analysis MH - Female MH - Gene Amplification/*genetics MH - Gene Expression Regulation, Neoplastic/genetics MH - Glioblastoma/*blood supply/*genetics/surgery MH - Humans MH - *Image Interpretation, Computer-Assisted MH - Magnetic Resonance Angiography/*methods MH - Male MH - Occipital Lobe/blood supply/pathology/surgery MH - Receptor, Epidermal Growth Factor/*genetics MH - Retrospective Studies MH - Statistics as Topic PMC - PMC4712066 MID - NIHMS750133 OID - NLM: NIHMS750133 OID - NLM: PMC4712066 EDAT- 2014/01/30 06:00 MHDA- 2016/03/22 06:00 CRDT- 2014/01/30 06:00 PHST- 2013/07/22 [received] PHST- 2014/01/13 [accepted] PHST- 2014/01/29 [aheadofprint] AID - 10.1007/s00062-014-0289-3 [doi] PST - ppublish SO - Clin Neuroradiol. 2015 Jun;25(2):143-50. doi: 10.1007/s00062-014-0289-3. Epub 2014 Jan 29. PMID- 24474261 OWN - NLM STAT- MEDLINE DA - 20150613 DCOM- 20160321 IS - 1869-1447 (Electronic) IS - 1869-1439 (Linking) VI - 25 IP - 2 DP - 2015 Jun TI - Limbic Tumors of the Temporal Lobe: Radiologic-Pathologic Correlation. PG - 127-35 LID - 10.1007/s00062-014-0287-5 [doi] AB - PURPOSE: The purpose of this study was to assess imaging and pathologic characteristics of limbic tumors. Our hypothesis was that temporal lobe limbic tumors have distinctive features from extralimbic tumors. METHODS: This retrospective radiologic-pathologic correlation study of primary temporal lobe tumors (excluding glioblastoma) distinguished limbic from extralimbic tumors based on preoperative magnetic resonance imaging. Limbic tumors were categorized according to Yasargil's classification into (1) mediobasal temporal (mbT), (2) insular-temporo-opercular (I-TO), and (3) fronto-orbital-insular-temporopolar (FO-I-TP). RESULTS: A total of 50 cases with a mean age at diagnosis of 38 +/- 19.9 years (14 women, 36 men) were included. Pathologic diagnoses were as follows: 20 anaplastic astrocytomas, 11 gangliogliomas, 8 astrocytomas (World Health Organization grade II), 3 pilocytic astrocytomas, 2 dysembryoplastic neuroepithelial tumors, 2 oligodendrogliomas (grade II), 2 anaplastic oligodendrogliomas, 1 low-grade glioneuronal tumor, and 1 atypical extraventricular neurocytoma. In all, 36 tumors were limbic and displayed consistent growth patterns (16 mbT, 11 I-TO, 8 FO-I-TP, and 1 pantemporal) and 14 were extralimbic. There were no differences between limbic and extralimbic tumors with regard to age, sex, pathologic diagnosis, and presentation with seizures. mbT tumors had more frequent neuronal differentiation (50 %) than I-TO (0 %) and FO-I-TP (25 %) tumors (chi-square = 7.8, df = 2, p = 0.02). Neuronal differentiation correlated with lower grade (r = 0.52, p < 0.01) and younger age (r = 0.52, p < 0.01). CONCLUSIONS: Limbic tumors displayed consistent growth routes. mbT limbic tumors had more frequent neuronal differentiation, which may result from proximity to the neurogenic subgranular zone of the hippocampus. Neuronal differentiation was maximal in mbT and lowest in I-TO and FO-I-TP tumors and correlated with lower tumor grade and younger age at diagnosis. FAU - Capizzano, A A AU - Capizzano AA AD - Division of Neuroradiology, Department of Radiology, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, 52242, USA, aristides-capizzano@uiowa.edu. FAU - Kirby, P AU - Kirby P FAU - Moritani, T AU - Moritani T LA - eng PT - Journal Article DEP - 20140129 PL - Germany TA - Clin Neuroradiol JT - Clinical neuroradiology JID - 101526693 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Brain Neoplasms/*diagnosis/*pathology/surgery MH - Cell Transformation, Neoplastic/pathology MH - Child MH - *Diffusion Magnetic Resonance Imaging MH - Female MH - Hippocampus/pathology/surgery MH - Humans MH - *Image Enhancement MH - Limbic System/*pathology/surgery MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neoplasms, Neuroepithelial/*diagnosis/*pathology/surgery MH - Neurons/pathology MH - Retrospective Studies MH - Statistics as Topic MH - Temporal Lobe/*pathology/surgery MH - Young Adult EDAT- 2014/01/30 06:00 MHDA- 2016/03/22 06:00 CRDT- 2014/01/30 06:00 PHST- 2013/07/05 [received] PHST- 2014/01/13 [accepted] PHST- 2014/01/29 [aheadofprint] AID - 10.1007/s00062-014-0287-5 [doi] PST - ppublish SO - Clin Neuroradiol. 2015 Jun;25(2):127-35. doi: 10.1007/s00062-014-0287-5. Epub 2014 Jan 29.