Medicine

Molecular classification to fine-tune surgical and radiotherapeutic decision-making in meningioma

.MacFeeters Hamilton Neuro-Oncology Program, Little Princess Margaret Cancer Centre, University Health And Wellness System as well as College of Toronto, Toronto, Ontario, CanadaJustin Z. Wang, u00c2 Vikas Patil, u00c2 Alexander P. Landry, u00c2 Chloe Gui, u00c2 Andrew Ajisebutu, u00c2 Jeff Liu, u00c2 Rebeca Yakubov, u00c2 Ramneet Kaloti, u00c2 Farshad Nassiriu00c2 &amp u00c2 Gelareh ZadehDivision of Neurosurgery, Team of Surgical Operation, College of Toronto, Toronto, Ontario, CanadaJustin Z. Wang, u00c2 Alexander P. Landry, u00c2 Chloe Gui, u00c2 Farshad Nassiriu00c2 &amp u00c2 Gelareh ZadehPrincess Margaret Cancer Center, University Health And Wellness Network, Toronto, Ontario, CanadaJustin Z. Wang, u00c2 Vikas Patil, u00c2 Alexander P. Landry, u00c2 Chloe Gui, u00c2 Andrew Ajisebutu, u00c2 Jeff Liu, u00c2 Rebeca Yakubov, u00c2 Ramneet Kaloti, u00c2 Farshad Nassiriu00c2 &amp u00c2 Gelareh ZadehDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaOlli SaarelaNRG Oncology Statistics as well as Data Management Center, Philadelphia, , USAStephanie L. Pughu00c2 &amp u00c2 Minhee WonTemerty School of Medication, College of Toronto, Toronto, Ontario, CanadaZeel PatelNeurosurgery Specialists of Tulsa, Tulsa, OK, USAChristopher WilsonDepartment of Neurological Surgical Treatment, Keck Institution of Medication of the Educational Institution of Southern The Golden State, Los Angeles, CA, USAAaron Cohen-GadolDepartment of Neurological Surgical Operation, Indiana University University of Medicine, Indianapolis, IN, USAMohamed A. ZaazoueDepartment of Orthopedic Surgical Treatment, Washington College School of Medication in St. Louis, St. Louis, MONTH, USAMohamed A. ZaazoueGerman Cancer Consortium (DKTK), DKFZ Partner Web Site Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyGhazaleh TabatabaiCluster of Superiority (EXC 2180) u00e2 $ Graphic Led and also Functionally Directed Growth Therapiesu00e2 $, Eberhard Karls College Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyGhazaleh TabatabaiDepartment of Neurology and also Interdisciplinary Neuro-Oncology, Facility for Neuro-Oncology, Comprehensive Cancer Cells Center, Hertie Institute for Medical Mind Research Study, Eberhard Karls University Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyGhazaleh Tabatabai, u00c2 Sylvia C. Kurzu00c2 &amp u00c2 Paul PasslackDepartment of Neurosurgery, Facility for Neuro-Oncology, Comprehensive Cancer Center, Eberhard Karls University Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyMarcos Tatagiba, u00c2 Felix Behling, u00c2 Mirjam Renovanz, u00c2 Jens Schittenhelmu00c2 &amp u00c2 Paul PasslackDepartment of Pathology, Educational Institution of San Francisco, San Francisco, CA, USADamian A. Almiron BonninHuman Biology Department, Fred Hutchinson Cancer Facility, Seat, WA, USAEric C. HollandDepartment of Human Being Oncology, University of Wisconsin Hospitals as well as Clinics, Madison, WI, USATim J. KruserCentral Human Brain Cyst Pc Registry of the USA, Hinsdale, IL, USAJill S. Barnholtz-Sloanu00c2 &amp u00c2 Jill Barnholtz-SloanTrans Divisional Analysis System (TDRP), Division of Cancer Epidemiology as well as Genetics (DCEG), National Cancer Cells Institute, Bethesda, MD, USAJill S. Barnholtz-Sloanu00c2 &amp u00c2 Jill Barnholtz-SloanCenter for Biomedical Informatics &amp Infotech (CBIIT), National Cancer Cells Institute, Bethesda, MD, USAJill S. Barnholtz-Sloanu00c2 &amp u00c2 Jill Barnholtz-SloanPiedmont Human Brain Lump Facility, Piedmonth Health Care System, Atlanta Georgia, GA, USAAndrew E. Sloanu00c2 &amp u00c2 Andrew E. SloanDepartment of Pathology, Northwestern Educational Institution, Evanston, IL, USACraig Horbinskiu00c2 &amp u00c2 Craig M. HorbinskiLou &amp Jean Malnati Mind Lump Principle at the Lurie Comprehensive Cancer Center, Northwestern University, Evanston, IL, USACraig Horbinskiu00c2 &amp u00c2 Craig M. HorbinskiDepartment of Neurosurgery, Vanderbilt Educational Institution Medical Facility, Nashville, TN, USASilky Chotaiu00c2 &amp u00c2 Lola B. ChamblessDepartment of Lab Medicine and Pathobiology, College of Toronto, Toronto, Ontario, CanadaAndrew GaoDivision of Neurosurgery, College of British Columbia, Vancouver, British Columbia, CanadaAlexander D. Rebchuku00c2 &amp u00c2 Serge MakarenkoDepartment of Pathology &amp Lab Medicine, Professors of Medication, Educational Institution of British Columbia, Vancouver, British Columbia, CanadaStephen YipDepartment of Neuropathology, Principle of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, GermanyFelix Sahm, u00c2 Felix Sahmu00c2 &amp u00c2 Andreas von DeimlingClinical Collaboration Unit Neuropathology, German Cancer Cells Research Center (DKFZ), Heidelberg, GermanyFelix SahmDepartment of Pathology, Leiden College Medical Center, Leiden, The NetherlandsSybren L. N. MaasDepartment of Pathology, Erasmus MC Cancer Cells Principle, College Medical Facility Rotterdam, Rotterdam, The NetherlandsSybren L. N. MaasRadiation Medication Course, Princess Margaret Cancer Facility, Toronto, Ontario, CanadaDerek S. TsangRadiation Oncology, Utah Cancer Cells Specialists, Sodium Pond City, UT, USAC. Leland RogersCenter for Cancer Cells Research, National Cancer Institute, Bethesda, MD, USAKenneth AldapeMiami Neuroscience Institute, Baptist Health And Wellness, Miami, FL, USAMichael W. McDermottDepartment of Neurosurgery, Addenbrookeu00e2 $ s Healthcare facility, Cambridge, UKThomas Santariusu00c2 &amp u00c2 Daniel M. FountainDepartment of Neurosurgery, Educational Institution Hospitals Cleveland and also Instance Western Reserve University, Cleveland, OH, USAWarren SelmanDepartment of Pathology, College Hospitals Case Medical Center, Cleveland, OH, USAMarta CouceDepartment of Neurosurgery, Centro Hospitalar Universitu00c3 u00a1 rio S. Jou00c3 u20a4 o, Porto, PortugalBruno CarvalhoCenter for Neuro-Oncology, Dana-Farber/Brigham and also Womenu00e2 $ s Cancer Center, Boston, MA, USAPatrick Y. WenDepartment of Neurosurgery, Battle Each Other College, Durham, NC, USAKyle M. WalshDepartment of Neurosurgery, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, The NetherlandsEelke M. BosDepartment of Neurosurgery, Brigham and Womenu00e2 $ s Healthcare facility, Harvard Medical University, Boston, MA, USAWenya Linda BiDepartment of Radiology, Brigham as well as Womenu00e2 $ s Medical facility, Dana-Farber Cancer Institute, Harvard Medical Institution, Boston, MA, USARaymond Y. HuangDepartment of Neurology, Division of Neuro-Oncology, Massachusetts General Medical Center, Harvard Medical College, Boston, MA, USAPriscilla K. BrastianosDepartment of Radiation Oncology, Massachusetts General Medical Facility, Boston Ma, MA, USAHelen A. ShihDepartment of Neurology, Hermelin Brain Lump Facility, Henry Ford Health, Detroit, MI, USATobias WalbertDepartment of Neurosurger, Hermelin Brain Cyst Facility, Holly Ford Health, Detroit, MI, USAIan Lee, u00c2 Ana Valeria Castro, u00c2 Houtan Noushmehru00c2 &amp u00c2 James M. SnyderDepartment of Pathology, University of Texas Medical Branch, Galveston, TX, USAMichelle M. FelicellaDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, ItalyFrancesco Dimecou00c2 &amp u00c2 Andrea SaladinoNeuropathology Device, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, ItalyBianca PolloDepartment of Neurosurgery, LMU University Hospital, LMU Munich, Munich, GermanyChristian Schichoru00c2 &amp u00c2 Ju00c3 u00b6 rg-Christian TonnDepartment of Radiation Oncology, Charitu00c3 u00a9 u00e2 $ "Universitu00c3 $ tsmedizin Berlin, Corporate Member of Freie Universitu00c3 $ t Berlin as well as Humboldt-Universitu00c3 $ t zu Berlin, Berlin, GermanyFelix EhretDepartment of Radiology, Mayonnaise Clinic, Rochester, MN, USATimothy J. KaufmannDepartment of Research Laboratory Medication and Pathology, Mayo Clinic, Rochester, MN, USADaniel H. Lachance, u00c2 Caterina Gianniniu00c2 &amp u00c2 Aditya RaghunathanDepartment of Oncology, Division of Medical Oncology, Mayo Center, Rochester, MN, USAEvanthia GalanisDepartments of Neuro-Oncology and also Neurosurgery, Moffitt Cancer Cells Facility, Tampa Bay, FL, USAMichael A. VogelbaumNeuropathology System, Surgical Neurology Division, National Principle of Nerve Conditions and Stroke, National Institutes of Wellness, Bethesda, MD, USAPatrick J. CiminoDepartment of Nerve Surgical Operation, Northwestern University, Northwestern Medicine, Chicago, IL, USAMark YoungbloodDepartment of Pathology, NYU Langone Medical Center, New York, NY, USAMatija SnuderlDepartment of Radiation Oncology, NYU Langone Wellness, The Big Apple College, The Big Apple, NY, USAErik P. SulmanDepartment of Neurosurgery, College of Oklahoma Health And Wellness Sciences Center, Oklahoma City, OK, USAIan F. DunnPeninsula Schools of Medicine and Dentistry, Plymouth College, Plymouth, UKC. Oliver HanemannDepartment of Neurosurgery, Royal College of Surgeons in Ireland, Dublin, IrelandMohsen JavadpourDepartment of Anatomical as well as Mobile Pathology, Chinese College of Hong Kong, Shatin, Hong KongHo-Keung NgDepartment of Human Genetic Makeup, College of The Golden State, Los Angeles, Los Angeles, CA, USAPaul C. BoutrosDepartment of Neurosurgery, College of The Golden State, Los Angeles, Los Angeles, USARichard G. EversonDepartment of Neurosurgery, University Hospital of Larissa, University of Medication, College of Thessaly, Larissa, GreeceAlkiviadis Tzannisu00c2 &amp u00c2 Konstantinos N. FountasDepartment of Neurosurgery, University Medical Facility Regensburg, Regensburg, GermanyNils Ole SchmidtDepartment of Surgical Treatment, Branch of Neurosurgery, University of Alberta, Edmonton, Alberta, CanadaKarolyn AuCenter of Neurosurgery, Team of General Neurosurgery, Educational Institution of Fragrance, Fragrance, GermanyRoland GoldbrunnerDepartment of Neurology, Faculty of Medication, Teaching Hospital Fragrance, University of Cologne, Cologne, GermanyNorbert GalldiksLaboratory for Neurooncology as well as Experimental Neurosurgery, Department of General Neurosurgery, Facility for Neurosurgery, Fragrance, GermanyMarco TimmerDepartment of Neurosurgery, Teaching Hospital of Copenhagen-Rigshospitalet, Copenhagen, DenmarkTiit Illimar MathiesenDepartment of Neurosurgery, University Medical Facility Hamburg-Eppendorf, Hamburg, GermanyManfred Westphal, u00c2 Katrin Lamszusu00c2 &amp u00c2 Franz L. RicklefsDepartment of Neurosurgery, University Hospital Heidelberg, Heidelberg, GermanyChristel Herold-Mende, u00c2 Christine Jungku00c2 &amp u00c2 Gerhard JungwirthDepartment of Radiation Oncology, Heidelberg University Hospital, Heidelberg, GermanyMaximilian DengLeeds Institute of Medical Investigation at St. Jamesu00e2 $ s, College of Leeds, Leeds, UKSusan C. ShortDepartment of Neurosurgery, The Walton Facility NHS Structure Count On, Liverpool, UKMichael D. JenkinsonInstitute of Neuropathology, Otto-Von-Guericke-University, Magdeburg, GermanyChristian MawrinDepartment of Neurosurgery, Manchester Facility for Scientific Neurosciences, Salford Royal Hospital NHS Structure Depend On, Salford, UKAbdurrahman I. Islimu00c2 &amp u00c2 Omar N. PathmanabanDepartment of Neurosurgery, Royal Melbourne Medical Center, Melbourne, VIC, AustraliaKatharine J. Drummondu00c2 &amp u00c2 Andrew MorokoffDepartment of Radiation Oncology, College of California, San Francisco, San Francisco, CA, USADavid R. RaleighDepartment of Neurosurgery, University of California, San Francisco, San Francisco, CA, USADavid R. Raleighu00c2 &amp u00c2 Nicholas A. ButowskiDepartment of Pathology, University of California, San Francisco, San Francisco, CA, USADavid R. Raleighu00c2 &amp u00c2 Arie PerrySchool of Pharmaceutical Sciences of Ribeiru00c3 u20a4 o, Preto University of Su00c3 u20a4 o Paulo, Su00c3 u20a4 o Paulo, BrazilTathiane M. MaltaDepartment of Pathology as well as Laboratory Medicine, Educational Institution of Saskatchewan College of Medication, Saskatoon, Saskatchewan, CanadaViktor ZherebitskiyDivision of Neurosurgery, Royal University Hospital, College of Saskatchewan, Saskatoon, Saskatchewan, CanadaLuke HnennyUSC Pituitary Facility, USC Radiosurgery Center, Keck School of Medicine of USC, Los Angeles, CA, USAGabriel ZadaDepartment of Neurosurgery, St. Barbara-Klinik Hamm-Heessen, Hamm, GermanyAntonio SantacroceNuclear Medicine and also Medical Molecular Image Resolution, Department of Radiology, Eberhard Karls Educational Institution of Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyChristian Los Angeles Fougu00c3 u00a8 reDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USAJennifer MoliternoDepartment of Neurosurgery, Tufts Medical Facility, Boston Ma, MA, USAAlper DincerArthur as well as Sonia Labatt Mind Tumour Analysis Center, The Medical Facility for Sick Youngster, Toronto, Ontario, CanadaGelareh ZadehManuscript creating, figure planning, general analytical evaluation and basic bioinformatics were done by J.Z.W. Molecular distinction, version property and also bioinformatics sustain was offered by V.P., A.P.L. and also J.L. TERT promoter sequencing was performed through C.G. Copy variety variant analysis and calling were conducted by A.P.L. Molecular analyte origin, quantification and sequencing were done by J.Z.W., A.P.L., C.G., A.A. and Z.P. DKFZ methylation course and subclass decision was conducted through R.Y. and also R.K. utilizing the openly accessible online tool generated by F.S. RNA sequencing review was executed by V.P. as well as J.L. Biostatistical review was actually conducted through O.S. Professional records coming from the NRG Oncology RTOG-0539 meningioma situations were offered by S.L.P. and M.W. Scientific meningioma examples and also matching clinical records were actually supplied by C.W., A.C.G., M.A.Z., G.T., M.T., F.B., D.A.A.B., E.C.H., J.B.S., A.E.S., C.H., S.C., L.B.C., A.R., S.M. and S.Y. Pathologic testimonial was carried out by A.G. and K.A. Radiotherapy data of institutional retrospective meningioma instances were actually provided through D.S.T. Study layout as well as conception were actually performed by J.Z.W, F.N. and G.Z. All writers participated in document evaluation and also revisions in some ability.