60 research outputs found

    APPLICATION OF PHOTOGRAMMETRY TO BRAIN ANATOMY

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    This paper presents an on-going interdisciplinary collaboration to advance brain connectivity studies. Despite the evolution of noninvasive methods to investigate the brain connectivity structure using the diffusion magnetic resonance, in the neuroscientific community there is an open debate how to collect quantitative information of the main neuroanatomical tracts. Information on the structure and main pathways of brain's white matter are generally derived by manual dissection of the brain ex-vivo. This paper wants to present a photogrammetric method developed to support the collection of metric information of the main pathways, or set of fibres, of the white matter of brain. For this purpose, multi-temporal photogrammetric acquisitions, with a resolution better than 100 microns, are performed at different stages of the brain's dissection, and the derived dense point clouds are used to annotate the stem, i.e., the region where there is a greater density of fibres of a given pathway, and termination points of several neuroanatomical tracts, i.e. fibres

    Association between thyroid function and regorafenib efficacy in patients with relapsed wild-type IDH glioblastoma: a large multicenter study

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    Purpose: Regorafenib demonstrated encouraging results in recurrent glioblastoma patients. Some studies showed that changes in circulating thyroid hormones (fT3, fT4, fT3/fT4 ratio) can be considered as prognostic factors in patients with various types of tumors. We designed this study to investigate the relationship between baseline thyroid variables and outcome in IDH-wild type GBM patients who were treated with regorafenib. Methods: This multicenter retrospective study included recurrent IDH-wild-type glioblastoma patients treated with regorafenib. Only patients with baseline thyroid function values (TSH, fT3, fT4, fT3/fT4 ratio) available were evaluated. RANO criteria were used to analyze neuroradiological response. Survival curves were estimated using the Kaplan–Meier method. The relationships between baseline thyroid variables (TSH, fT3, fT4, fT3/fT4) and survival (PFS, OS) were investigated with Cox regression models. Results: From November 2015 to April 2022, 134 recurrent IDH-wildtype GBM patients were treated with regorafenib and 128 of these had information on baseline thyroid function value. Median follow-up was 8 months (IQR 4.7–14.0). Objective Response Rate was 9% and Disease Control Rate was 40.9%. Median PFS was 2.7 months (95%CI 2.2–3.6) and median OS was 10.0 months (95%CI 7.0–13.0). Lower baseline TSH value in the blood was correlated with a higher rate of disease progression to regorafenib (p = 0.04). Multivariable analyses suggested a non-linear relationship between PFS (p = 0.01) and OS (p = 0.03) with baseline fT3/fT4 ratio. Conclusion: In recurrent wild-type IDH glioblastoma patients, baseline fT3/fT4 ratio showed a non-linear relationship with survival, with different impacts across the spectrum of fT3/fT4 ratio. Moreover, baseline TSH may be a predictor of regorafenib activity
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