机构:[1]Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Neurosurg, Beijing 100730, Peoples R China;[2]Peking Union Med Coll, Beijing 100021, Peoples R China;[3]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing, Peoples R China;重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[4]Capital Med Univ, Beijing Neurosurg Inst, Beijing, Peoples R China;研究所北京市神经外科研究所首都医科大学附属天坛医院[5]Capital Med Univ, Beijing Tiantan Hosp, Dept Neuroradiol, Beijing, Peoples R China;重点科室医技科室放射科放射科首都医科大学附属天坛医院[6]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China
The subventricular zone (SVZ) has been implicated in the origination, development, and biological behavior of gliomas. Tumor-SVZ contact is also postulated to be a poor prognostic factor in glioblastomas. We aimed to evaluate the prognostic consequence of the anatomical involvement of low-grade gliomas with the SVZ. To that end, we reviewed 143 patients with diffuse astrocytomas, and tumor lesions were manually delineated on magnetic resonance images. We initially investigated the prognostic role of SVZ contact in all patients. Additionally, we investigated the influence of the anatomical proximity of the tumor lesion centroids to the SVZ in the SVZ-involved patient cohorts, as well as location within the SVZ. We found SVZ contact with tumors to be a significant prognostic factor of overall survival in all patients with diffuse astrocytomas (p = 0.027). In the SVZ-involved cohort, a shorter distance from the tumor centroid to the SVZ (<= 30 mm) correlated with shorter overall survival (p = 0.022) on univariate analysis. However, there was no significant difference in overall survival with respect to the SVZ region involved with the tumor (p = 0.930). Multivariate analysis showed that a shorter distance between the tumor centroid and the SVZ (p = 0.039) was significantly associated with poor overall survival in SVZ-involved patients. Hence, this study helps establish the prognostic role of the anatomical interaction of tumors with the SVZ in low-grade astrocytomas.
基金:
National 973 ProgramNational Basic Research Program of China [2015CB755500]; Research Special Fund for Public Welfare industry of health [201402008]
第一作者机构:[1]Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Neurosurg, Beijing 100730, Peoples R China;[2]Peking Union Med Coll, Beijing 100021, Peoples R China;
通讯作者:
通讯机构:[1]Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Neurosurg, Beijing 100730, Peoples R China;[2]Peking Union Med Coll, Beijing 100021, Peoples R China;[3]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing, Peoples R China;[4]Capital Med Univ, Beijing Neurosurg Inst, Beijing, Peoples R China;[6]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Liu Shuai,Wang Yinyan,Fan Xing,et al.Anatomical Involvement of the Subventricular Zone Predicts Poor Survival Outcome in Low-Grade Astrocytomas[J].PLOS ONE.2016,11(4):-.doi:10.1371/journal.pone.0154539.
APA:
Liu, Shuai,Wang, Yinyan,Fan, Xing,Ma, Jun,Ma, Wenbin...&Jiang, Tao.(2016).Anatomical Involvement of the Subventricular Zone Predicts Poor Survival Outcome in Low-Grade Astrocytomas.PLOS ONE,11,(4)
MLA:
Liu, Shuai,et al."Anatomical Involvement of the Subventricular Zone Predicts Poor Survival Outcome in Low-Grade Astrocytomas".PLOS ONE 11..4(2016):-