Journal ArticleDOI
Spontaneous and therapeutic prognostic factors in adult hemispheric World Health Organization Grade II gliomas: a series of 1097 cases: clinical article.
Laurent Capelle,Denys Fontaine,Emmanuel Mandonnet,Luc Taillandier,Jean Louis Golmard,Luc Bauchet,Johan Pallud,Philippe Peruzzi,Marie Hélène Baron,Michèle Kujas,Jacques Guyotat,Remi Guillevin,Marc Frenay,Sophie Taillibert,Philippe Colin,Valérie Rigau,F. Vandenbos,Catherine Pinelli,Hugues Duffau,French Réseau d'Étude des Gliomes +19 more
TLDR
This large series with its volumetric assessment refines the prognostic value of previously stressed clinical and radiological parameters and highlights the importance of tumor size and location.Abstract:
Object The spontaneous prognostic factors and optimal therapeutic strategy for WHO Grade II gliomas (GIIGs) have yet to be unanimously defined. Specifically, the role of resection is still debated, most notably because the actual amount of resection has seldom been assessed. Methods Cases of GIIGs treated before December 2007 were extracted from a multicenter database retrospectively collected since January 1985 and prospectively collected since 1996. Inclusion criteria were a patient age ≥ 18 years at diagnosis, histological diagnosis of WHO GIIG, and MRI evaluation of tumor volume at diagnosis and after initial surgery. One thousand ninety-seven lesions were included in the analysis. The mean follow-up was 7.4 years since radiological diagnosis. Factors significant in a univariate analysis (with a p value ≤ 0.1) were included in the multivariate Cox proportional hazard regression model analysis. Results At the time of radiological diagnosis, independent spontaneous factors of a poor prognosis were an ag...read more
Citations
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Journal ArticleDOI
Transitioning from conventional photon therapy to proton therapy for primary brain tumors
TL;DR: In this paper , the authors investigated the patient characteristics and treatment outcomes, including pseudo-progression (PsP), for LGG patients selected for PT, and found that the patients with the best prognosis were referred to PT.
Journal ArticleDOI
Die präoperative, navigierte, transkranielle Magnetstimulation im Fokus
TL;DR: In einer Subgruppe of Patienten mit niedriggradigen Gliomen konnte zudem gezeigt werden, dass das progressionsfreie Überleben in der nTMS-Gruppe deutlich länger war als in der Vergleichsgruppe (22,4 vs. 15,4 Monate).
Journal ArticleDOI
Conduite à tenir devant un gliome diffus de bas grade
TL;DR: La prise en charge therapeutique s’est considerablement modifiee : on est passe d’une surveillance simple a une strategie pro-active, faisant appel a des combinaisons des differentes modalites therapeutiques (chirurgie, chimiotherapies, radiotherapie), and ce dans un ordre adapte a chaque patient.
Book ChapterDOI
Introduction: From the Inhibition of Dogmas to the Concept of Personalized Management in Patients with Diffuse Low-Grade Gliomas
TL;DR: In this paper, a better knowledge of the brain connectome and neuroplasticity enables us to take into consideration interactions between the disease (the glioma) and the host (the brain), and thus to elaborate dynamic and multimodal therapeutic strategies with the goal to increase the median survival as well as to improve the quality of life.
Tractography of language pathways based on navigated transcranial magnetic stimulation in patients with brain tumors
TL;DR: This thesis introduces nTMS-based diffusion tensor imaging fiber tracking (DTI FT) to delineate subcortical language pathways in patients suffering from brain tumors.
References
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