Actively Recruiting

Age: 18Years - 70Years
All Genders
ID06002711

Multi-Dimensional MRI Spatial Heterogeneity Analysis for Predicting Key Genes and Prognosis of High-Grade Gliomas: A Multi-Center Study

Led by RenJi Hospital · Updated on 2025-08-08

500

Participants Needed

2

Research Sites

65 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are exploring the use of multi-dimensional MRI imaging to understand how variations in high-grade gliomas, a type of aggressive brain tumor, relate to genetic mutations and patient outcomes. This study includes both a retrospective analysis of existing patient data and a prospective follow-up to examine how MRI features correlate with prognosis. The goal is to develop a model that helps predict patient survival and response to treatment based on tumor imaging and genetics. The study involves two groups: a retrospective cohort with confirmed high-grade gliomas who had preoperative MRI and detailed clinical and genetic data, and a prospective cohort of patients suspected of having high-grade gliomas who will undergo multimodal MRI before surgery. After surgery, prospective participants receive standard radiotherapy and chemotherapy and are followed regularly. The MRI scans focus on spatial heterogeneity, capturing detailed tumor characteristics to analyze tumor diversity and evolution over time. Participants will be involved through MRI scanning and clinical data collection, with the prospective group undergoing a 40-minute MRI scan before surgery. Researchers will monitor survival prediction using imaging features and genetic information between 2025 and 2026. The study will also use time-dependent analysis to evaluate the accuracy of the survival predictions. Overall, participants contribute imaging and clinical information for advancing understanding of glioma heterogeneity and prognosis.

CONDITIONS

Brief Title

Multi-Dimensional MRI Spatial Heterogeneity Analysis for Predicting Key Genes and Prognosis of High-Grade Gliomas: A Multi-Center Study

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants aged 18 to 70 years, any gender
  • Confirmed postoperative pathology of adult diffuse glioma (WHO Grade III-IV) for retrospective study
  • Standard MR contrast-enhanced imaging within 10 days before surgery for retrospective study
  • No prior radiotherapy or chemotherapy before surgery for retrospective study
  • No significant other medical conditions or tumors
  • Molecular testing results available (IDH, MGMT, 1p19q, TERT, CDKN2A/B, BRAF) for retrospective study
  • Comprehensive clinical and follow-up data available for retrospective study
  • Clinically suspected high-grade glioma preoperatively with final pathology confirmation for prospective study
  • Stable vital signs and ability to cooperate for a 40-minute MR scan for prospective study
  • Signed informed consent for prospective study
Not Eligible

You will not qualify if you...

  • MRI images with artifacts or intratumoral hemorrhage for retrospective study
  • Incomplete clinical data for retrospective study
  • Claustrophobia or inability to undergo MRI scans for prospective study
  • History of allergic reaction to MRI contrast agents for prospective study
  • Inappropriate for prolonged MRI scans due to other reasons for prospective study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to 10 days before surgery for retrospective participants; preoperative for prospective participants

Participants undergo multi-dimensional MRI scans and clinical data collection to analyze tumor spatial heterogeneity and assist in diagnosis.

1 to 2 visits depending on cohort assignment

Long-term Monitoring

Duration - Up to approximately 1.5 years

Participants are observed with regular follow-up assessments after surgery and standard treatments to evaluate prognosis and outcomes.

Regular follow-up visits following radiotherapy and chemotherapy

Trial Site Locations

Total: 2 locations

1

Department of Radiology, Renji Hospital School of Medicine, Shanghai Jiao Tong University

Shanghai, Select A State Or Province, China, 200127

Actively Recruiting

2

Department of Radiology, Renji hospital, School of Medicine, Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China, 200127

Active, Not Recruiting

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Research Team

Y

Yan Zhou, MD,PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

A three-component multi-b-value diffusion-weighted imaging might be a useful biomarker for detecting microstructural features in gliomas with differences in malignancy and IDH-1 mutation status.

Mengqiu Cao, Xiaoqing Wang, Fang Liu...

https://pubmed.ncbi.nlm.nih.gov/36346441

Qualitative and Quantitative MRI Analysis in IDH1 Genotype Prediction of Lower-Grade Gliomas: A Machine Learning Approach.

Mengqiu Cao, Shiteng Suo, Xiao Zhang...

https://pubmed.ncbi.nlm.nih.gov/33553421

Spatial habitats from multiparametric MR imaging are associated with signaling pathway activities and survival in glioblastoma.

Katherine Dextraze, Abhijoy Saha, Donnie Kim...

https://pubmed.ncbi.nlm.nih.gov/29348883

Spatiotemporal Heterogeneity in Multiparametric Physiologic MRI Is Associated with Patient Outcomes in IDH-Wildtype Glioblastoma.

Ji Eun Park, Ho Sung Kim, NakYoung Kim...

https://pubmed.ncbi.nlm.nih.gov/33028594