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spelling paper:paper_19326203_v7_n6_p_Suarez2023-06-08T16:31:07Z Mathematical modeling of human glioma growth based on brain topological structures: Study of two clinical cases Suárez, Cecilia Ana adult advanced cancer article brain function brain tissue Broadmann areas cancer invasion case report cell infiltration cell migration cell proliferation controlled study diagnostic accuracy diffusion evolution glioma human human tissue male malignant neoplastic disease mathematical model nuclear magnetic resonance imaging pathological anatomy prediction problem solving simulation survival time symptomatology Talairach atlas three dimensional imaging tumor growth tumor localization tumor volume Adult Brain Neoplasms Computer Simulation Disease Progression Glioma Humans Male Middle Aged Models, Theoretical Temporal Lobe Gliomas are the most common primary brain tumors and yet almost incurable due mainly to their great invasion capability. This represents a challenge to present clinical oncology. Here, we introduce a mathematical model aiming to improve tumor spreading capability definition. The model consists in a time dependent reaction-diffusion equation in a three-dimensional spatial domain that distinguishes between different brain topological structures. The model uses a series of digitized images from brain slices covering the whole human brain. The Talairach atlas included in the model describes brain structures at different levels. Also, the inclusion of the Brodmann areas allows prediction of the brain functions affected during tumor evolution and the estimation of correlated symptoms. The model is solved numerically using patient-specific parametrization and finite differences. Simulations consider an initial state with cellular proliferation alone (benign tumor), and an advanced state when infiltration starts (malign tumor). Survival time is estimated on the basis of tumor size and location. The model is used to predict tumor evolution in two clinical cases. In the first case, predictions show that real infiltrative areas are underestimated by current diagnostic imaging. In the second case, tumor spreading predictions were shown to be more accurate than those derived from previous models in the literature. Our results suggest that the inclusion of differential migration in glioma growth models constitutes another step towards a better prediction of tumor infiltration at the moment of surgical or radiosurgical target definition. Also, the addition of physiological/psychological considerations to classical anatomical models will provide a better and integral understanding of the patient disease at the moment of deciding therapeutic options, taking into account not only survival but also life quality. © 2012 Suarez et al. Fil:Suarez, C. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. 2012 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_19326203_v7_n6_p_Suarez http://hdl.handle.net/20.500.12110/paper_19326203_v7_n6_p_Suarez
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic adult
advanced cancer
article
brain function
brain tissue
Broadmann areas
cancer invasion
case report
cell infiltration
cell migration
cell proliferation
controlled study
diagnostic accuracy
diffusion
evolution
glioma
human
human tissue
male
malignant neoplastic disease
mathematical model
nuclear magnetic resonance imaging
pathological anatomy
prediction
problem solving
simulation
survival time
symptomatology
Talairach atlas
three dimensional imaging
tumor growth
tumor localization
tumor volume
Adult
Brain Neoplasms
Computer Simulation
Disease Progression
Glioma
Humans
Male
Middle Aged
Models, Theoretical
Temporal Lobe
spellingShingle adult
advanced cancer
article
brain function
brain tissue
Broadmann areas
cancer invasion
case report
cell infiltration
cell migration
cell proliferation
controlled study
diagnostic accuracy
diffusion
evolution
glioma
human
human tissue
male
malignant neoplastic disease
mathematical model
nuclear magnetic resonance imaging
pathological anatomy
prediction
problem solving
simulation
survival time
symptomatology
Talairach atlas
three dimensional imaging
tumor growth
tumor localization
tumor volume
Adult
Brain Neoplasms
Computer Simulation
Disease Progression
Glioma
Humans
Male
Middle Aged
Models, Theoretical
Temporal Lobe
Suárez, Cecilia Ana
Mathematical modeling of human glioma growth based on brain topological structures: Study of two clinical cases
topic_facet adult
advanced cancer
article
brain function
brain tissue
Broadmann areas
cancer invasion
case report
cell infiltration
cell migration
cell proliferation
controlled study
diagnostic accuracy
diffusion
evolution
glioma
human
human tissue
male
malignant neoplastic disease
mathematical model
nuclear magnetic resonance imaging
pathological anatomy
prediction
problem solving
simulation
survival time
symptomatology
Talairach atlas
three dimensional imaging
tumor growth
tumor localization
tumor volume
Adult
Brain Neoplasms
Computer Simulation
Disease Progression
Glioma
Humans
Male
Middle Aged
Models, Theoretical
Temporal Lobe
description Gliomas are the most common primary brain tumors and yet almost incurable due mainly to their great invasion capability. This represents a challenge to present clinical oncology. Here, we introduce a mathematical model aiming to improve tumor spreading capability definition. The model consists in a time dependent reaction-diffusion equation in a three-dimensional spatial domain that distinguishes between different brain topological structures. The model uses a series of digitized images from brain slices covering the whole human brain. The Talairach atlas included in the model describes brain structures at different levels. Also, the inclusion of the Brodmann areas allows prediction of the brain functions affected during tumor evolution and the estimation of correlated symptoms. The model is solved numerically using patient-specific parametrization and finite differences. Simulations consider an initial state with cellular proliferation alone (benign tumor), and an advanced state when infiltration starts (malign tumor). Survival time is estimated on the basis of tumor size and location. The model is used to predict tumor evolution in two clinical cases. In the first case, predictions show that real infiltrative areas are underestimated by current diagnostic imaging. In the second case, tumor spreading predictions were shown to be more accurate than those derived from previous models in the literature. Our results suggest that the inclusion of differential migration in glioma growth models constitutes another step towards a better prediction of tumor infiltration at the moment of surgical or radiosurgical target definition. Also, the addition of physiological/psychological considerations to classical anatomical models will provide a better and integral understanding of the patient disease at the moment of deciding therapeutic options, taking into account not only survival but also life quality. © 2012 Suarez et al.
author Suárez, Cecilia Ana
author_facet Suárez, Cecilia Ana
author_sort Suárez, Cecilia Ana
title Mathematical modeling of human glioma growth based on brain topological structures: Study of two clinical cases
title_short Mathematical modeling of human glioma growth based on brain topological structures: Study of two clinical cases
title_full Mathematical modeling of human glioma growth based on brain topological structures: Study of two clinical cases
title_fullStr Mathematical modeling of human glioma growth based on brain topological structures: Study of two clinical cases
title_full_unstemmed Mathematical modeling of human glioma growth based on brain topological structures: Study of two clinical cases
title_sort mathematical modeling of human glioma growth based on brain topological structures: study of two clinical cases
publishDate 2012
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_19326203_v7_n6_p_Suarez
http://hdl.handle.net/20.500.12110/paper_19326203_v7_n6_p_Suarez
work_keys_str_mv AT suarezceciliaana mathematicalmodelingofhumangliomagrowthbasedonbraintopologicalstructuresstudyoftwoclinicalcases
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