Low-grade gliomas do not grow along white matter tracts: evidence from quantitative imaging Article Swipe
Philip Rauch
,
Matthias Gmeiner
,
Martin Aichholzer
,
Matthias Sterrer
,
Helga Wagner
,
Stefan Katletz
,
Carlo Serra
,
Petra Böhm
,
Michael Sonnberger
,
Nico Stroh
,
Stefan Aspalter
,
Kathrin Aufschnaiter-Hießböck
,
Tobias Rossmann
,
Francisco Ruiz-Navarro
,
Maria Gollwitzer
,
Annette Leibetseder
,
Josef Pichler
,
Wolfgang Thomae
,
Raimund Kleiser
,
Andreas Gruber
,
Harald Stefanits
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/braincomms/fcaf157
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/braincomms/fcaf157
Low-grade gliomas are infiltrative brain tumors that can lead to significant neurological deficits due to their invasive nature. The prevailing belief is that low-grade gliomas primarily disseminate along white matter tracts, but quantitative in vivo evidence supporting this concept is lacking. Clarifying their true growth patterns is essential for optimizing therapeutic strategies. We conducted a quantitative analysis of tumor growth patterns in a longitudinal cohort of 43 untreated patients with unigyral World Health Organization grade 2 or 3 gliomas, stratified by their anatomical locations within the neocortex, mesocortex and allocortex. Serial MRI scans were used to generate vector deformation fields, providing detailed three-dimensional representations of tumor evolution over time. These vector deformation fields were compared with diffusion tensor imaging data to assess the alignment of tumor growth with white matter pathways. Quantitative analysis revealed that low-grade gliomas do not predominantly expand along white matter tracts. Instead, they remain confined within specific anatomical boundaries, in respect to their topology of origin. Angular measurements and heat map analysis indicated that tumor growth is directed towards the subventricular zone and may follow their respective radial units. These consistent observations across different anatomical regions challenge the traditional model of glioma progression, suggesting that early-stage glioma expansion is closely governed by ontogenetic factors. In conclusion, this study provides the first quantitative evidence that phenotypical low-grade gliomas do not primarily follow white matter tracts but may instead be influenced by ontogenetic mechanisms. These insights necessitate a re-evaluation of existing models of glioma progression and underscore the importance of incorporating developmental aspects into treatment planning to enhance patient outcomes.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/braincomms/fcaf157
- OA Status
- gold
- Cited By
- 4
- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://doi.org/10.1093/braincomms/fcaf157Digital Object Identifier
- Title
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Low-grade gliomas do not grow along white matter tracts: evidence from quantitative imagingWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-01-01Full publication date if available
- Authors
-
Philip Rauch, Matthias Gmeiner, Martin Aichholzer, Matthias Sterrer, Helga Wagner, Stefan Katletz, Carlo Serra, Petra Böhm, Michael Sonnberger, Nico Stroh, Stefan Aspalter, Kathrin Aufschnaiter-Hießböck, Tobias Rossmann, Francisco Ruiz-Navarro, Maria Gollwitzer, Annette Leibetseder, Josef Pichler, Wolfgang Thomae, Raimund Kleiser, Andreas Gruber, Harald StefanitsList of authors in order
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https://doi.org/10.1093/braincomms/fcaf157Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1093/braincomms/fcaf157Direct OA link when available
- Concepts
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White matter, Medicine, Magnetic resonance imaging, RadiologyTop concepts (fields/topics) attached by OpenAlex
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4Total citation count in OpenAlex
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2025: 4Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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