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Preoperative surgical risk assessment of meningiomas: a narrative review based on MRI radiomics
Xianwang Liu1,2,3,4, Yuzhu Wang2,3, Tao Han1,2,3,4
1Department of Radiology, Lanzhou University Second Hospital, Chengguan District, Cuiyingmen No.82, Lanzhou, 730030, People's Republic of China.
Abstract:
Meningiomas are one of the most common intracranial primary central nervous system tumors. Regardless of the pathological grading and histological subtypes, maximum safe resection is the recommended treatment option for meningiomas. However, considering tumor heterogeneity, surgical treatment options and prognosis often vary greatly among meningiomas. Therefore, an accurate preoperative surgical risk assessment of meningiomas is of great clinical importance as it helps develop surgical treatment strategies and improve patient prognosis. In recent years, an increasing number of studies have proved that magnetic resonance imaging (MRI) radiomics has wide application values in the diagnostic, identification, and prognostic evaluations of brain tumors. The vital importance of MRI radiomics in the surgical risk assessment of meningiomas must be apprehended and emphasized in clinical practice. This narrative review summarizes the current research status of MRI radiomics in the preoperative surgical risk assessment of meningiomas, focusing on the applications of MRI radiomics in preoperative pathological grading, assessment of surrounding tissue invasion, and evaluation of tumor consistency. We further analyze the prospects of MRI radiomics in the preoperative assessment of meningiomas angiogenesis and adhesion with surrounding tissues, while pointing out the current challenges of MRI radiomics research.
Insights
Magnetic resonance imaging (MRI) radiomics aids in assessing surgical risks for meningiomas, improving treatment strategies and patient outcomes. This technique is crucial for preoperative evaluation of tumor grade, invasion, and consistency.
Area of Science:
- Neurosurgery
- Radiology
- Oncology
Background:
- Meningiomas are common primary central nervous system tumors.
- Maximum safe resection is the standard treatment, but tumor heterogeneity impacts surgical options and prognosis.
- Accurate preoperative surgical risk assessment is vital for treatment planning and improving patient outcomes.
Purpose of the Study:
- To review the current status of MRI radiomics in the preoperative surgical risk assessment of meningiomas.
- To highlight the applications of MRI radiomics in evaluating tumor pathological grading, surrounding tissue invasion, and consistency.
- To analyze the future prospects and challenges of MRI radiomics in meningioma assessment.
Main Methods:
- This narrative review summarizes existing research on MRI radiomics for meningioma surgical risk assessment.
- Focuses on applications in preoperative pathological grading, invasion assessment, and consistency evaluation.
- Explores future potential in assessing angiogenesis and adhesion, while noting current research challenges.
Main Results:
- MRI radiomics shows significant application value in the diagnosis, identification, and prognostic evaluation of brain tumors, including meningiomas.
- Current research demonstrates the utility of MRI radiomics in preoperative pathological grading, surrounding tissue invasion assessment, and tumor consistency evaluation.
- Future applications may include assessing meningioma angiogenesis and adhesion to surrounding tissues.
Conclusions:
- MRI radiomics is a valuable tool for preoperative surgical risk assessment in meningiomas.
- Emphasizing MRI radiomics in clinical practice can enhance surgical treatment strategies and patient prognosis.
- Further research is needed to address current challenges and fully realize the potential of MRI radiomics in meningioma management.
