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Heterogeneity Mapping of Protein Expression in Tumors using Quantitative Immunofluorescence
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Association between tumor location and neurocognitive functioning using tumor localization maps.

Esther J J Habets1, Eef J Hendriks2, Martin J B Taphoorn3,4

  • 1Department of Neurology, Haaglanden Medical Center, Lijnbaan 32, PO BOX 432, The Hague, 2501 CK, The Netherlands. e.habets@haaglandenmc.nl.

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Diffuse glioma patients often have preoperative neurocognitive impairment. Left hemisphere tumors pose the highest risk for attention and working memory deficits, impacting surgical planning and rehabilitation.

Keywords:
Functional mappingGliomaMRINeurocognitive functioning

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Area of Science:

  • Neuroscience
  • Neurosurgery
  • Cognitive Psychology

Background:

  • Diffuse glioma patients frequently exhibit neurocognitive impairment before surgery.
  • Understanding the link between tumor location and cognitive deficits is crucial for clinical decisions.
  • Brain lesion location and function relationships offer unique insights into cognitive processes.

Purpose of the Study:

  • To investigate the impact of tumor location on preoperative neurocognitive functioning (NCF) in diffuse glioma patients.
  • To identify specific brain regions associated with NCF deficits using MRI-based lesion-symptom mapping.

Main Methods:

  • Seventy-two patients with suspected gliomas were analyzed preoperatively.
  • Voxel-based lesion-symptom mapping was employed to correlate tumor location with NCF.
  • Six cognitive domains were assessed to evaluate preoperative neurocognitive functioning.

Main Results:

  • Preoperative NCF was significantly impaired across all tested domains compared to controls.
  • Attention deficits (30%) and working memory deficits (20%) were most prevalent.
  • Attention deficits were linked to left frontoparietal regions and subcortical tracts; working memory deficits showed no specific regional association.

Conclusions:

  • Patients with left hemisphere diffuse gliomas face the highest risk of preoperative NCF deficits.
  • A left frontoparietal network is implicated in NCF, informing surgical strategies and patient counseling.
  • Findings can guide optimized surgical procedures and cognitive rehabilitation for glioma patients.