Table 1.
GBM diagnosis methodology.
Preoperative imaging and assessment | Function |
---|---|
MR imaging/CT imaging | Provides detailed information about tumor size and location via noninvasive imaging techniques |
Karnofsky performance status | Assessment tool for functional impairment, and can be used to assess the prognosis in individuals (0–100 scale, a score of 100 meaning normal with no evidence of disease) |
Friedlein grading | Functional classification system considering tumor operability and prognosis based on location of the tumor being either close or within eloquent regions (Friedlein grading B, “FGB”) or at a safe distance from eloquent regions (Friedlein grading A, “FGA”) |
Operative | |
needle biopsy | A neurosurgeon removes a small piece of the tumor tissue, which is sent to a pathologist for review and official diagnosis. Stereotactic biopsy involves the use of computer-assisted guidance to locate and resect the tumor mass |
Postoperative analysis | |
Histopathology | Hematoxylin and eosin staining remains the gold standard for diagnosis and characterization of the tissue biopsy |
World Health Organization (WHO) grading | CNS tumors are classified according to standards published by the WHO based on morphological features, growth pattern, and molecular profile of the neoplastic cells |