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Research ArticleAdult Brain
Open Access

Mitotic Activity in Glioblastoma Correlates with Estimated Extravascular Extracellular Space Derived from Dynamic Contrast-Enhanced MR Imaging

S.J. Mills, D. du Plessis, P. Pal, G. Thompson, G. Buonacorrsi, C. Soh, G.J.M. Parker and A. Jackson
American Journal of Neuroradiology May 2016, 37 (5) 811-817; DOI: https://doi.org/10.3174/ajnr.A4623
S.J. Mills
aFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.)
cImaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.
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D. du Plessis
bNeuropathology (D.d.P., P.P.), Salford National Health Service Foundation Trust, Salford, UK
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P. Pal
bNeuropathology (D.d.P., P.P.), Salford National Health Service Foundation Trust, Salford, UK
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  • ORCID record for P. Pal
G. Thompson
aFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.)
cImaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.
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G. Buonacorrsi
cImaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.
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C. Soh
aFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.)
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  • ORCID record for C. Soh
G.J.M. Parker
cImaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.
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A. Jackson
aFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.)
cImaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.
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    Fig 1.

    A, Boxplot of fibrillar histology and ve (estimated P = .007). Sample histologic specimens showing tumors without (B) and with (C) the presence of fibrils (small fibers measuring approximately 1 mm, black arrows, C). H&E stain ×40 magnification. D, Boxplot of frank necrosis and Ktrans (estimated P = .005).

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    Fig 2.

    Scatterplot of mitotic activity versus ve (P = .012, ρ = 0.470), marker shapes depict separate scores of cell density measures.

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    Table 1:

    Cross-correlations of MRI parametersa

    Untreated GBM (n = 28)
    vevpEnFIAUC60>0EnFIAUC60>2.5
    Ktrans0.016,b ρ = 0.4500.006,c ρ = 0.5070.005,c ρ = 0.513<0.001,c ρ = 0.784
    ve0.105, ρ = 0.3130.888, ρ = 0.0280.059, ρ = 0.361
    vp0.02,b ρ = 0.437<0.001,c ρ = 0.620
    EnFIAUC60>0<0.001,c ρ = 0.825
    • ↵a Significance levels and Spearman ρ are shown.

    • ↵b Significance was P < .05.

    • ↵c Significance was P < .01.

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    Table 2:

    Cross-correlations of quantitative histologic measuresa

    Untreated GBM (n = 28)
    ESA RatioVSA RatioVPC/mm2
    Mitotic activity0.098, ρ = 0.3250.066, ρ = 0.3580.737, ρ = 0.068
    ESA ratio<0.001,b ρ = 0.9930.04,c ρ = 0.530
    VSA ratio0.04,c ρ = 0.532
    • Note:—VPC indicates vascular profile count per square millimeter; VSA, vascular surface area; ESA, endothelial surface area.

    • ↵a Significance levels and Spearman ρ are shown.

    • ↵b Significance was P < .01.

    • ↵c Significance was P < .05.

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American Journal of Neuroradiology: 37 (5)
American Journal of Neuroradiology
Vol. 37, Issue 5
1 May 2016
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Cite this article
S.J. Mills, D. du Plessis, P. Pal, G. Thompson, G. Buonacorrsi, C. Soh, G.J.M. Parker, A. Jackson
Mitotic Activity in Glioblastoma Correlates with Estimated Extravascular Extracellular Space Derived from Dynamic Contrast-Enhanced MR Imaging
American Journal of Neuroradiology May 2016, 37 (5) 811-817; DOI: 10.3174/ajnr.A4623

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Mitotic Activity in Glioblastoma Correlates with Estimated Extravascular Extracellular Space Derived from Dynamic Contrast-Enhanced MR Imaging
S.J. Mills, D. du Plessis, P. Pal, G. Thompson, G. Buonacorrsi, C. Soh, G.J.M. Parker, A. Jackson
American Journal of Neuroradiology May 2016, 37 (5) 811-817; DOI: 10.3174/ajnr.A4623
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