Medicine

Molecular classification to hone surgical and also radiotherapeutic decision-making in meningioma

.MacFeeters Hamilton Neuro-Oncology Course, Princess Margaret Cancer Cells Center, College Wellness System as well as University 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, Department of Surgery, Educational Institution of Toronto, Toronto, Ontario, CanadaJustin Z. Wang, u00c2 Alexander P. Landry, u00c2 Chloe Gui, u00c2 Farshad Nassiriu00c2 &amp u00c2 Gelareh ZadehPrincess Margaret Cancer Centre, College Health System, 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 Institution of Hygienics, University of Toronto, Toronto, Ontario, CanadaOlli SaarelaNRG Oncology Data and also Data Administration Facility, Philly, PA, USAStephanie L. Pughu00c2 &amp u00c2 Minhee WonTemerty College of Medicine, Educational Institution of Toronto, Toronto, Ontario, CanadaZeel PatelNeurosurgery Specialists of Tulsa, Tulsa, OK, USAChristopher WilsonDepartment of Neurological Surgery, Keck Institution of Medicine of the Educational Institution of Southern The Golden State, Los Angeles, CA, USAAaron Cohen-GadolDepartment of Neurological Surgery, Indiana University College of Medication, Indianapolis, IN, USAMohamed A. ZaazoueDepartment of Orthopedic Surgical Treatment, Washington University University of Medicine in St. Louis, St. Louis, MONTH, USAMohamed A. ZaazoueGerman Cancer Cells Range (DKTK), DKFZ Partner Site Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyGhazaleh TabatabaiCluster of Excellence (EXC 2180) u00e2 $ Photo Helped and also Functionally Directed Tumor Therapiesu00e2 $, Eberhard Karls College Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyGhazaleh TabatabaiDepartment of Neurology and Interdisciplinary Neuro-Oncology, Center for Neuro-Oncology, Comprehensive Cancer Cells Center, Hertie Principle for Scientific Brain Research Study, Eberhard Karls Educational Institution Tu00c3 1/4 bingen, Tu00c3 1/4 bingen, GermanyGhazaleh Tabatabai, u00c2 Sylvia C. Kurzu00c2 &amp u00c2 Paul PasslackDepartment of Neurosurgery, Center for Neuro-Oncology, Comprehensive Cancer Cells Center, Eberhard Karls Educational Institution 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, College of San Francisco, San Francisco, CA, USADamian A. Almiron BonninHuman Biology Branch, Fred Hutchinson Cancer Cells Center, Seattle, WA, USAEric C. HollandDepartment of Person Oncology, College of Wisconsin Hospitals as well as Clinics, Madison, WI, USATim J. KruserCentral Human Brain Growth Registry of the United States, Hinsdale, IL, USAJill S. Barnholtz-Sloanu00c2 &amp u00c2 Jill Barnholtz-SloanTrans Divisional Research System (TDRP), Department of Cancer Cells Epidemiology and Genetics (DCEG), National Cancer Cells Principle, Bethesda, MD, USAJill S. Barnholtz-Sloanu00c2 &amp u00c2 Jill Barnholtz-SloanCenter for Biomedical Informatics &amp Information Technology (CBIIT), National Cancer Principle, Bethesda, MD, USAJill S. Barnholtz-Sloanu00c2 &amp u00c2 Jill Barnholtz-SloanPiedmont Mind Growth Facility, Piedmonth Healthcare Body, Atlanta Ga, 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 Brain Tumor Institute at the Lurie Comprehensive Cancer Center, Northwestern Educational Institution, Evanston, IL, USACraig Horbinskiu00c2 &amp u00c2 Craig M. HorbinskiDepartment of Neurosurgery, Vanderbilt University Medical Facility, Nashville, TN, USASilky Chotaiu00c2 &amp u00c2 Lola B. ChamblessDepartment of Lab Medication as well as Pathobiology, University of Toronto, Toronto, Ontario, CanadaAndrew GaoDivision of Neurosurgery, University of British Columbia, Vancouver, British Columbia, CanadaAlexander D. Rebchuku00c2 &amp u00c2 Serge MakarenkoDepartment of Pathology &amp Laboratory Medicine, Professors of Medicine, College 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 Participation System Neuropathology, German Cancer Cells Proving Ground (DKFZ), Heidelberg, GermanyFelix SahmDepartment of Pathology, Leiden University Medical Facility, Leiden, The NetherlandsSybren L. N. MaasDepartment of Pathology, Erasmus MC Cancer Cells Principle, College Medical Facility Rotterdam, Rotterdam, The NetherlandsSybren L. N. MaasRadiation Medication Plan, Little Princess Margaret Cancer Cells Centre, Toronto, Ontario, CanadaDerek S. TsangRadiation Oncology, Utah Cancer Cells Specialists, Sodium Lake Metropolitan Area, UT, USAC. Leland RogersCenter for Cancer Cells Investigation, National Cancer Cells Institute, Bethesda, MD, USAKenneth AldapeMiami Neuroscience Principle, Baptist Wellness, Miami, FL, USAMichael W. McDermottDepartment of Neurosurgery, Addenbrookeu00e2 $ s Medical facility, Cambridge, UKThomas Santariusu00c2 &amp u00c2 Daniel M. FountainDepartment of Neurosurgery, Educational Institution Hospitals Cleveland and also Situation Western Get Educational Institution, Cleveland, OH, USAWarren SelmanDepartment of Pathology, Educational Institution Hospitals Instance Medical Facility, 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 Cells Principle, Erasmus College Medical Facility, Rotterdam, The NetherlandsEelke M. BosDepartment of Neurosurgery, Brigham as well as Womenu00e2 $ s Health center, Harvard Medical Institution, Boston, MA, USAWenya Linda BiDepartment of Radiology, Brigham as well as Womenu00e2 $ s Medical center, Dana-Farber Cancer Principle, Harvard Medical Institution, Boston, MA, USARaymond Y. HuangDepartment of Neurology, Division of Neuro-Oncology, Massachusetts General Medical Center, Harvard Medical University, Boston Ma, MA, USAPriscilla K. BrastianosDepartment of Radiation Oncology, Massachusetts General Healthcare Facility, Boston Ma, MA, USAHelen A. ShihDepartment of Neurology, Hermelin Mind Growth Facility, Henry Ford Health And Wellness, Detroit, MI, USATobias WalbertDepartment of Neurosurger, Hermelin Mind Tumor Facility, Holly Ford Wellness, Detroit, MI, USAIan Lee, u00c2 Ana Valeria Castro, u00c2 Houtan Noushmehru00c2 &amp u00c2 James M. SnyderDepartment of Pathology, College of Texas Medical Branch, Galveston, TX, USAMichelle M. FelicellaDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, ItalyFrancesco Dimecou00c2 &amp u00c2 Andrea SaladinoNeuropathology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, ItalyBianca PolloDepartment of Neurosurgery, LMU Teaching 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 and also Humboldt-Universitu00c3 $ t zu Berlin, Berlin, GermanyFelix EhretDepartment of Radiology, Mayonnaise Clinic, Rochester, MN, USATimothy J. KaufmannDepartment of Research Laboratory Medication as well as Pathology, Mayo Medical Clinic, Rochester, MN, USADaniel H. Lachance, u00c2 Caterina Gianniniu00c2 &amp u00c2 Aditya RaghunathanDepartment of Oncology, Division of Medical Oncology, Mayo Medical Clinic, Rochester, MN, USAEvanthia GalanisDepartments of Neuro-Oncology and Neurosurgery, Moffitt Cancer Center, Tampa Bay, FL, USAMichael A. VogelbaumNeuropathology Unit, Surgical Neurology Division, National Institute of Neurological Problems and also Stroke, National Institutes of Wellness, Bethesda, MD, USAPatrick J. CiminoDepartment of Nerve Surgical Procedure, Northwestern University, Northwestern Medicine, Chicago, IL, USAMark YoungbloodDepartment of Pathology, NYU Langone Medical Center, Nyc, NY, USAMatija SnuderlDepartment of Radiation Oncology, NYU Langone Health, The Big Apple University, New York, NY, USAErik P. SulmanDepartment of Neurosurgery, College of Oklahoma Health Sciences Facility, Oklahoma Urban Area, OK, USAIan F. DunnPeninsula Schools of Medication and Dental Care, Plymouth University, Plymouth, UKC. Oliver HanemannDepartment of Neurosurgery, Royal College of Surgeons in Ireland, Dublin, IrelandMohsen JavadpourDepartment of Anatomical as well as Cellular Pathology, Chinese College of Hong Kong, Shatin, Hong KongHo-Keung NgDepartment of Individual Genes, Educational Institution of The Golden State, Los Angeles, Los Angeles, CA, USAPaul C. BoutrosDepartment of Neurosurgery, College of California, Los Angeles, Los Angeles, USARichard G. EversonDepartment of Neurosurgery, Teaching Hospital of Larissa, University of Medicine, University of Thessaly, Larissa, GreeceAlkiviadis Tzannisu00c2 &amp u00c2 Konstantinos N. FountasDepartment of Neurosurgery, University Medical Facility Regensburg, Regensburg, GermanyNils Ole SchmidtDepartment of Surgical Operation, Branch of Neurosurgery, College of Alberta, Edmonton, Alberta, CanadaKarolyn AuCenter of Neurosurgery, Department of General Neurosurgery, College of Fragrance, Fragrance, GermanyRoland GoldbrunnerDepartment of Neurology, Faculty of Medicine, Teaching Hospital Cologne, Educational Institution of Fragrance, Cologne, GermanyNorbert GalldiksLaboratory for Neurooncology as well as Speculative Neurosurgery, Department of General Neurosurgery, Center for Neurosurgery, Cologne, GermanyMarco TimmerDepartment of Neurosurgery, Teaching Hospital of Copenhagen-Rigshospitalet, Copenhagen, DenmarkTiit Illimar MathiesenDepartment of Neurosurgery, College Medical Center 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 Study at St. Jamesu00e2 $ s, University of Leeds, Leeds, UKSusan C. ShortDepartment of Neurosurgery, The Walton Center NHS Groundwork Trust, Liverpool, UKMichael D. JenkinsonInstitute of Neuropathology, Otto-Von-Guericke-University, Magdeburg, GermanyChristian MawrinDepartment of Neurosurgery, Manchester Facility for Medical Neurosciences, Salford Royal Healthcare Facility NHS Structure Count On, Salford, UKAbdurrahman I. Islimu00c2 &amp u00c2 Omar N. PathmanabanDepartment of Neurosurgery, Royal Melbourne Health 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, College of California, San Francisco, San Francisco, CA, USADavid R. Raleighu00c2 &amp u00c2 Nicholas A. ButowskiDepartment of Pathology, College of The Golden State, San Francisco, San Francisco, CA, USADavid R. Raleighu00c2 &amp u00c2 Arie PerrySchool of Drug Sciences of Ribeiru00c3 u20a4 o, Preto Educational institution of Su00c3 u20a4 o Paulo, Su00c3 u20a4 o Paulo, BrazilTathiane M. MaltaDepartment of Pathology and Research Laboratory Medication, Educational Institution of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, CanadaViktor ZherebitskiyDivision of Neurosurgery, Royal Teaching 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 as well as Professional Molecular Image Resolution, Division 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 Medication, New Place, CT, USAJennifer MoliternoDepartment of Neurosurgery, Tufts Medical Facility, Boston Ma, MA, USAAlper DincerArthur and also Sonia Labatt Mind Tumour Analysis Center, The Medical Center for Sick Children, Toronto, Ontario, CanadaGelareh ZadehManuscript composing, figure prep work, general statistical evaluation and overall bioinformatics were performed by J.Z.W. Molecular category, model building as well as bioinformatics support was actually delivered by V.P., A.P.L. and J.L. TERT promoter sequencing was actually carried out through C.G. Copy variety alternative review as well as calling were actually executed by A.P.L. Molecular analyte origin, quantification and also sequencing were performed through J.Z.W., A.P.L., C.G., A.A. and Z.P. DKFZ methylation course and also subclass judgment was actually conducted by R.Y. as well as R.K. making use of the publicly available online device made by F.S. RNA sequencing review was actually done through V.P. and also J.L. Biostatistical evaluation was actually performed through O.S. Professional data coming from the NRG Oncology RTOG-0539 meningioma instances were supplied by S.L.P. as well as M.W. Clinical meningioma samples and matching scientific data were actually supplied through 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 also S.Y. Pathologic customer review was actually done by A.G. as well as K.A. Radiotherapy data of institutional retrospective meningioma instances were actually delivered by D.S.T. Study layout and interpretation were done by J.Z.W, F.N. and G.Z. All authors participated in manuscript customer review and modifications in some ability.