Radiogenomics to characterize regional genetic heterogeneity in glioblastoma

Leland S. Hu, Shuluo Ning, Jennifer M. Eschbacher, Leslie C. Baxter, Nathan Gaw, Sara Ranjbar, Jonathan Plasencia, Amylou C. Dueck, Sen Peng, Kris A. Smith, Peter Nakaji, John P. Karis, C. Chad Quarles, Teresa Wu, Joseph C. Loftus, Robert B. Jenkins, Hugues Sicotte, Thomas M. Kollmeyer, Brian P. O'Neill, William ElmquistJoseph M. Hoxworth, David Frakes, Jann Sarkaria, Kristin R. Swanson, Nhan L. Tran, Jing Li, J. Ross Mitchell

Research output: Contribution to journalArticlepeer-review

93 Scopus citations


Background. Glioblastoma (GBM) exhibits profound intratumoral genetic heterogeneity. Each tumor comprises multiple genetically distinct clonal populations with different therapeutic sensitivities. This has implications for targeted therapy and genetically informed paradigms. Contrast-enhanced (CE)-MRI and conventional sampling techniques have failed to resolve this heterogeneity, particularly for nonenhancing tumor populations. This study explores the feasibility of using multiparametric MRI and texture analysis to characterize regional genetic heterogeneity throughout MRI-enhancing and nonenhancing tumor segments. Methods. We collected multiple image-guided biopsies from primary GBM patients throughout regions of enhancement (ENH) and nonenhancing parenchyma (so called brain-around-tumor, [BAT]). For each biopsy, we analyzed DNA copy number variants for core GBM driver genes reported by The Cancer Genome Atlas. We co-registered biopsy locations with MRI and texture maps to correlate regional genetic status with spatially matched imaging measurements. We also built multivariate predictive decision-tree models for each GBM driver gene and validated accuracies using leave-one-out-cross-validation (LOOCV). Results. We collected 48 biopsies (13 tumors) and identified significant imaging correlations (univariate analysis) for 6 driver genes: EGFR, PDGFRA, PTEN, CDKN2A, RB1, and TP53. Predictive model accuracies (on LOOCV) varied by driver gene of interest. Highest accuracies were observed for PDGFRA (77.1%), EGFR (75%), CDKN2A (87.5%), and RB1 (87.5%), while lowest accuracy was observed in TP53 (37.5%). Models for 4 driver genes (EGFR, RB1, CDKN2A, and PTEN) showed higher accuracy in BAT samples (n = 16) compared with those from ENH segments (n = 32). Conclusion. MRI and texture analysis can help characterize regional genetic heterogeneity, which offers potential diagnostic value under the paradigm of individualized oncology.

Original languageEnglish (US)
Pages (from-to)128-137
Number of pages10
Issue number1
StatePublished - Jan 2017


  • Genetic
  • Glioblastoma
  • Heterogeneity
  • Radiogenomics
  • Texture

ASJC Scopus subject areas

  • Oncology
  • Clinical Neurology
  • Cancer Research


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