Table 1.
T2-FLAIR mismatch sign | Absent (n = 51) | Present (n = 25) | P-value |
---|---|---|---|
Female sex (%) | 17 (33%) | 15 (60%) | 0.05 |
Age at diagnosis (y) median (range) | 34.0 (18.0–70.0) | 28.0 (19.0–53.0) | 0.03 |
Median time since diagnosis in y (range) | 4.5 (1.2–23.5) | 3.9 (1.0–14.9) | 0.3 |
Median overall post-resection survival (OS-R2) in y (95% CI) | 5.2 (2.8–5.9) | 8.3 (6.4—N/A) | 0.001 |
Median progression-free post-resection survival (PFS-R2) in y (95% CI) | 1.6 (1.3–2.8) | 4.1 (2.5—N/A) | 0.01 |
Median time to second resection in y (range) | 3.6 (1.0–17.5) | 3.6 (0.9–13.9) | 0.8 |
CNS WHO-2021 grade | |||
Grade 2 | 26 (51%) | 20 (80%) | 0.02 |
Grade 3 | 7 (14%) | 2 (8%) | 0.71 |
Grade 4 | 18 (35%) | 3 (12%) | 0.05 |
KPS before surgery | |||
100 | 21 (41%) | 14 (56%) | 0.33 |
90 | 19 (37%) | 8 (32%) | 0.8 |
<90 | 11 (22%) | 3 (12%) | 0.37 |
Location | |||
Side of lesion center | |||
Left | 24 (47%) | 13 (52%) | 0.81 |
Right | 27 (53%) | 12 (48%) | 0.81 |
Location in or near eloquent regions (Sawaya et al.) | |||
Eloquent (III) | 36 (71%) | 9 (36%) | 0.006 |
Near-eloquent (II) | 8 (16%) | 7 (28%) | 0.23 |
Noneloquent (I) | 7 (14%) | 9 (36%) | 0.04 |
Tumor site (multiple sites possible) | |||
Frontal lobe | 39 (76%) | 22 (88%) | 0.36 |
Temporal lobe | 23 (45%) | 6 (24%) | 0.09 |
Insula | 21 (41%) | 5 (20%) | 0.08 |
Corpus callosum | 7 (14%) | 0 (0%) | 0.09 |
Parietal lobe | 15 (29%) | 3 (12%) | 0.15 |
Occipital lobe | 3 (6%) | 0 (0%) | 0.55 |
Brainstem | 1 (2%) | 0 (0%) | 1 |
Basal ganglia | 1 (2%) | 0 (0%) | 1 |
Thalamus | 1 (2%) | 0 (0%) | 1 |
Treatment | |||
Extent of resection | |||
Partial resection | 36 (71%) | 13 (52%) | 0.13 |
Complete resection | 15 (29%) | 12 (48%) | 0.13 |
Radiotherapy | 15 (29%) | 12 (48%) | 0.13 |
Chemotherapy | 18 (35%) | 8 (32%) | 1.00 |
Prior treatment | |||
Radiotherapy | 21 (41%) | 5 (20%) | 0.08 |
Number of radiotherapy treatments | |||
1 | 20 (39%) | 5 (20%) | 0.12 |
2 | 1 (2%) | 0 (0%) | 1.00 |
Chemotherapy | 11 (22%) | 1 (4%) | 0.09 |
Number of chemotherapy treatments | |||
1 | 7 (14%) | 1 (4%) | 0.26 |
2 | 2 (4%) | 0 (0%) | 1.00 |
Biopsy | 6 (12%) | 1 (4%) | 0.41 |
Radiological features | |||
Median contrast-enhancing volume in mL (range) | 0.1 (0.0–63.8) | 0.0 (0.0–0.3) | <0.001 |
Median whole tumor volume in mL (range) | 22.5 (1.7–149.3) | 12.1 (1.3–29.0) | 0.01 |
Thickness of enhancing margin | |||
Not applicable | 25 (49%) | 20 (80%) | 0.01 |
Thin (<3 mm) | 11 (22%) | 4 (16%) | 0.76 |
Thick/nodular (≥3 mm) | 10 (20%) | 1 (4%) | 0.09 |
Solid | 5 (10%) | 0 (0%) | 0.16 |
Growth pattern | |||
Mostly invasive | 13 (27%) | 4 (18%) | 0.55 |
Mostly expansive | 2 (4%) | 5 (23%) | 0.03 |
Not sure | 18 (38%) | 7 (32%) | 0.79 |
Mixed | 15 (31%) | 6 (27%) | 0.79 |
Not available | 3 | 3 | 1 |
Mismatch sign at first resection | |||
Yes | 4 (14%) | 7 (50%) | 0.02 |
No | 24 (86%) | 7 (50%) | 0.02 |
Not available | 23 | 11 | 1 |
Note: First column (all) includes patients where no sufficient imaging was available. P-value compares columns absent and present. Missing values are reported “as Not available,” but not included in the computation of percentages and P-values.