ASL perfusion radiomic heterogeneity is associated with early mortality in IDH-wildtype glioblastoma, beyond tumor volume: a time-varying effect with tumor-aware DTI-ALPS

Rafail C. Christodoulou, Georgios Vamvouras, Platon S. Papageorgiou, Evros Vassiliou, Elena E. Solomou, Sokratis G. Papageorgiou, Michalis F. Georgiou · 2026

Read ASL perfusion radiomic heterogeneity is associated with early mortality in IDH-wildtype glioblastoma, beyond tumor volume: a time-varying effect with tumor-aware DTI-ALPS by Rafail C. Christodoulou, Georgios Vamvouras, Platon S. Papageorgiou, Evros Vassiliou, Elena E. Solomou, Sokratis G. Papageorgiou, Michalis F. Georgiou (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13597259.txt.

Description

A twenty twenty-six study by Rafail C. Christodoulou and six colleagues asked whether texture patterns in perfusion scans predict early death in glioblastoma. The study covered 322 patients with IDH-wildtype grade four tumors. The team extracted radiomic features from arterial spin labeling scans, a contrast-free way to image blood flow. They tested whether feature heterogeneity predicted death after accounting for tumor volume and clinical factors.

Greater scan heterogeneity was linked to death within a year of imaging, with a hazard ratio of 1.39. The link held when tumor volume was modeled several different ways. It also survived a much wider screen of candidate features. A measure of fluid movement along vessel spaces added little. The finding suggests scan texture carries prognostic information beyond tumor size.

Catalog record

CREATORRafail C. Christodoulou, Georgios Vamvouras, Platon S. Papageorgiou, Evros Vassiliou, Elena E. Solomou, Sokratis G. Papageorgiou, Michalis F. Georgiou
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE58 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13597259

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