The prognosis of gliomas with different molecular subtypes in the era of intensity-modulated radiation therapy (IMRT)

作者：Qiulu Zhong, Danjing Luo, Da Chen, Xiangde Li, Qinghua Du, Qian-fu Liang, Jian Li, Xiaodong Zhu · 发表于：Aging · 年份：2023 · DOI：10.18632/aging.204942 · 被引用次数：2 · 研究领域：Glioma Diagnosis and Treatment、Brain Metastases and Treatment、Radiomics and Machine Learning in Medical Imaging

PURPOSE: This study aimed to evaluate the prognosis of glioma patients with different molecular subtypes of who treated with intensity-modulated radiation therapy (IMRT). METHODS: We collected 45 glioma patients treated in our hospital between January 2017 and December 2020. All enrolled patients received postoperative IMRT and were divided into two groups based on the Isocitrate dehydrogenase (IDH status). Overall survival (OS) and progression-free survival (PFS) were estimated retrospectively. RESULTS: = 0.0051). Subgroup analysis revealed that the 1-year PFS of IDH-mut/1p/19q codeletion group and IDH-mut/1p/19q noncodeletion group was significantly higher than in IDH-wild type patients. For patients with IDH-mut/MGMT-methylation, the outcome was no significant difference in OS, but PFS was longer than other subtypes. CONCLUSION: This retrospective study showed that 1-year PFS of patients with IDH mutated was better than IDH-wild type patients. In subgroups analysis, the outcomes were shown that patients with IDH-mut/ 1p/19q codeletion and patients with IDH-mut/1p/19q noncodeletion had longer 1-year PFS than IDH-wild type patients, but the OS was similar between the subgroups. Patients with IDH-mut/MGMT-methylation had the best prognosis in the whole subgroups. However, these results still need further confirmation of large sample size, prospectively, randomized controlled trails.