Predicting BRAF V600E mutation in glioblastoma: utility of radiographic features

Manabu Natsumeda, Michael Chang, Ramil Gabdulkhaev, Haruhiko Takahashi, Yoshihiro Tsukamoto, Yu Kanemaru, Masayasu Okada, Makoto Oishi, Kouichirou Okamoto, Fausto J. Rodriguez, Akiyoshi Kakita, Yukihiko Fujii, Karisa C. Schreck

Research output: Contribution to journalArticlepeer-review

Abstract

Detection of BRAF V600E mutation in glioblastomas (GBMs) is important because of potential therapeutic implications. Still, the relative paucity of these mutations makes molecular detection in all GBMs controversial. In the present study, we analyzed clinical, radiographic and pathologic features of 12 BRAF V600E-mutant GBMs and 12 matched controls from 2 institutions. We found that a majority of BRAF V600E-mutant GBMs displayed a combination of well-circumscribed lesions, large cystic components with thin walls and solid cortical component on MRI, but with some overlap with matched BRAF wildtype controls (p = 0.069). BRAF V600E-mutant GBMs were also apt to gross total resection (83% vs 17%, p = 0.016) and morphologically displayed epithelioid features (83% vs 0%, p < 0.0001). Identification of these clinical, radiographic, and pathologic characteristics should prompt testing for BRAF V600E in IDH-wildtype GBM.

Original languageEnglish (US)
Pages (from-to)228-233
Number of pages6
JournalBrain tumor pathology
Volume38
Issue number3
DOIs
StatePublished - Jul 2021

Keywords

  • BRAF V600E
  • Glioblastoma
  • Pathologic features
  • Radigraphic features

ASJC Scopus subject areas

  • Clinical Neurology
  • Oncology
  • Cancer Research

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