Non-invasively measured brain activity and radiological progression in diffuse glioma
Tianne Numan, Shanna D. Kulik, Bastiaan Moraal, Jaap C. Reijneveld, Cornelis J. Stam, Philip C. De Witt Hamer, Jolanda Derks, A. Bruynzeel, Myra E. van Linde, Pieter Wesseling, Mathilde C.M. Kouwenhoven, Martin Klein, T. Würdinger, Frederik Barkhof, Jeroen J.G. Geurts, Arjan Hillebrand, Linda Douw
Abstract
Non-invasively measured brain activity is related to progression-free survival in glioma patients, suggesting its potential as a marker of glioma progression. We therefore assessed the relationship between brain activity and increasing tumor volumes on routine clinical magnetic resonance imaging (MRI) in glioma patients. Postoperative magnetoencephalography (MEG) was recorded in 45 diffuse glioma patients. Brain activity was estimated using three measures (absolute broadband power, offset and slope) calculated at three spatial levels: global average, averaged across the peritumoral areas, and averaged across the homologues of these peritumoral areas in the contralateral hemisphere. Tumors were segmented on MRI. Changes in tumor volume between the two scans surrounding the MEG were calculated and correlated with brain activity. Brain activity was compared between patient groups classified into having increasing or stable tumor volume. Results show that brain activity was significantly increased in the tumor hemisphere in general, and in peritumoral regions specifically. However, none of the measures and spatial levels of brain activity correlated with changes in tumor volume, nor did they differ between patients with increasing versus stable tumor volumes. Longitudinal studies in more homogeneous subgroups of glioma patients are necessary to further explore the clinical potential of non-invasively measured brain activity.