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Research ArticleADULT BRAIN

Prediction of IDH1-Mutation and 1p/19q-Codeletion Status Using Preoperative MR Imaging Phenotypes in Lower Grade Gliomas

Y.W. Park, K. Han, S.S. Ahn, S. Bae, Y.S. Choi, J.H. Chang, S.H. Kim, S.-G. Kang and S.-K. Lee
American Journal of Neuroradiology November 2017, DOI: https://doi.org/10.3174/ajnr.A5421
Y.W. Park
aFrom the Department of Radiology (Y.W.P.), Ewha Womans University College of Medicine, Seoul, Korea
bDepartments of Radiology and Research Institute of Radiological Science (Y.W.P., K.H., S.-K.L., S.B., Y.S.C., S.S.A.)
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K. Han
bDepartments of Radiology and Research Institute of Radiological Science (Y.W.P., K.H., S.-K.L., S.B., Y.S.C., S.S.A.)
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S.S. Ahn
bDepartments of Radiology and Research Institute of Radiological Science (Y.W.P., K.H., S.-K.L., S.B., Y.S.C., S.S.A.)
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S. Bae
bDepartments of Radiology and Research Institute of Radiological Science (Y.W.P., K.H., S.-K.L., S.B., Y.S.C., S.S.A.)
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Y.S. Choi
bDepartments of Radiology and Research Institute of Radiological Science (Y.W.P., K.H., S.-K.L., S.B., Y.S.C., S.S.A.)
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J.H. Chang
cNeurosurgery (J.H.C., S.-G.K.)
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S.H. Kim
dPathology (S.H.K.), Yonsei University College of Medicine, Seoul, Korea.
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S.-G. Kang
cNeurosurgery (J.H.C., S.-G.K.)
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S.-K. Lee
bDepartments of Radiology and Research Institute of Radiological Science (Y.W.P., K.H., S.-K.L., S.B., Y.S.C., S.S.A.)
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    Fig 1.

    Imaging characteristics of IDH1-wild type and IDH1-mutant gliomas. A, A 24-year-old woman with an IDH1-wild type lower grade glioma (anaplastic astrocytoma, World Health Organization grade III). The imaging features are as follows: a lobar location, proportion of enhancing tumor of >33%, and poorly defined nonenhancing margin. B, A 42-year-old man with an IDH1-mutant lower grade glioma (anaplastic astrocytoma, WHO grade III). The imaging features are as follows: a lobar location with focal distribution, proportion of enhancing tumor of <33%, and well-defined nonenhancing margin.

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    Fig 2.

    Imaging characteristics of IDH1-mutant, no 1p/19q-codeletion and IDH1-mutant, 1p/19q-codeleted gliomas. A, A 34-year-old man with an IDH1-mutant, no 1p/19q-codeletion glioma (diffuse astrocytoma, World Health Organization grade II). The nonenhancing T2 hyperintense mass shows increased diffusivity. B, A 49-year-old woman with an IDH1-mutant, 1p/19q-codeleted glioma (oligodendroglioma, WHO grade II). The infiltrative T2 hyperintense mass shows a mixed pattern of high and intermediate ADC values.

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    Table 1:

    Prediction for an IDH1-mutation status in lower grade gliomas using the LASSO procedure

    Imaging ParametersAdjusted Odds Ratio for IDH-Wild Type
    LGGs (WHO grade II/III gliomas)
        Nonlobar location2.38
        Proportion of enhancing tumor of >33%1.66
        Multifocal/multicentric distribution2.93
        Poor definition of nonenhancing margin1.30
    WHO grade II gliomas
        Side of tumor epicenter (central)1.36
        Multifocal/multicentric distribution7.00
        Pial invasion1.48
        Ependymal involvement1.62
    WHO grade III gliomas
        Nonlobar location2.33
        Proportion of enhancing tumor of >33%1.25
        Multifocal/multicentric distribution2.27
        Cortical involvement0.99
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Cite this article
Y.W. Park, K. Han, S.S. Ahn, S. Bae, Y.S. Choi, J.H. Chang, S.H. Kim, S.-G. Kang, S.-K. Lee
Prediction of IDH1-Mutation and 1p/19q-Codeletion Status Using Preoperative MR Imaging Phenotypes in Lower Grade Gliomas
American Journal of Neuroradiology Nov 2017, DOI: 10.3174/ajnr.A5421

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Prediction of IDH1-Mutation and 1p/19q-Codeletion Status Using Preoperative MR Imaging Phenotypes in Lower Grade Gliomas
Y.W. Park, K. Han, S.S. Ahn, S. Bae, Y.S. Choi, J.H. Chang, S.H. Kim, S.-G. Kang, S.-K. Lee
American Journal of Neuroradiology Nov 2017, DOI: 10.3174/ajnr.A5421
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