A presurgical voxel-wise predictive model for cerebellar mutism syndrome in children with posterior fossa tumors
•Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors.•Bilateral SCP, ICP, the superior cerebellar areas, and brain stem were related to CMS.•Voxels related to CMS presented with a right-lateral pattern of the cerebellum. This study aimed to investigate cerebellar muti...
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| Vydáno v: | NeuroImage clinical Ročník 37; s. 103291 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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Elsevier Inc
01.01.2023
Elsevier |
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| ISSN: | 2213-1582, 2213-1582 |
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| Abstract | •Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors.•Bilateral SCP, ICP, the superior cerebellar areas, and brain stem were related to CMS.•Voxels related to CMS presented with a right-lateral pattern of the cerebellum.
This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS.
From July 2013 to January 2022, 188 pediatric patients diagnosed with posterior fossa tumor were included in this study, including 38 from a prospective cohort recruited between 2020 and January 2022, and the remaining from a retrospective cohort recruited in July 2013-Aug 2020. The retrospective cohort was divided into the training and validation sets; the prospective cohort served as a prospective validation set. Voxel-based lesion symptoms were assessed to identify voxels related to CMS, and a predictive model was constructed and tested in the validation and prospective validation sets.
No significant differences were detected among these three data sets in CMS rate, gender, age, tumor size, tumor consistency, presence of hydrocephalus and paraventricular edema. Voxels related to CMS were mainly located in bilateral superior and inferior cerebellar peduncles and the superior part of the cerebellum. The areas under the curves for the model in the training, validation and prospective validation sets were 0.889, 0.784 and 0.791, respectively.
Superior and inferior cerebellar peduncles and the superior part of the cerebellum were related to CMS, especially the right side, and voxel-based lesion-symptom analysis could provide valuable predictive information before surgery. |
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| AbstractList | •Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors.•Bilateral SCP, ICP, the superior cerebellar areas, and brain stem were related to CMS.•Voxels related to CMS presented with a right-lateral pattern of the cerebellum.
This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS.
From July 2013 to January 2022, 188 pediatric patients diagnosed with posterior fossa tumor were included in this study, including 38 from a prospective cohort recruited between 2020 and January 2022, and the remaining from a retrospective cohort recruited in July 2013-Aug 2020. The retrospective cohort was divided into the training and validation sets; the prospective cohort served as a prospective validation set. Voxel-based lesion symptoms were assessed to identify voxels related to CMS, and a predictive model was constructed and tested in the validation and prospective validation sets.
No significant differences were detected among these three data sets in CMS rate, gender, age, tumor size, tumor consistency, presence of hydrocephalus and paraventricular edema. Voxels related to CMS were mainly located in bilateral superior and inferior cerebellar peduncles and the superior part of the cerebellum. The areas under the curves for the model in the training, validation and prospective validation sets were 0.889, 0.784 and 0.791, respectively.
Superior and inferior cerebellar peduncles and the superior part of the cerebellum were related to CMS, especially the right side, and voxel-based lesion-symptom analysis could provide valuable predictive information before surgery. This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS.BACKGROUNDThis study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS.From July 2013 to January 2022, 188 pediatric patients diagnosed with posterior fossa tumor were included in this study, including 38 from a prospective cohort recruited between 2020 and January 2022, and the remaining from a retrospective cohort recruited in July 2013-Aug 2020. The retrospective cohort was divided into the training and validation sets; the prospective cohort served as a prospective validation set. Voxel-based lesion symptoms were assessed to identify voxels related to CMS, and a predictive model was constructed and tested in the validation and prospective validation sets.METHODSFrom July 2013 to January 2022, 188 pediatric patients diagnosed with posterior fossa tumor were included in this study, including 38 from a prospective cohort recruited between 2020 and January 2022, and the remaining from a retrospective cohort recruited in July 2013-Aug 2020. The retrospective cohort was divided into the training and validation sets; the prospective cohort served as a prospective validation set. Voxel-based lesion symptoms were assessed to identify voxels related to CMS, and a predictive model was constructed and tested in the validation and prospective validation sets.No significant differences were detected among these three data sets in CMS rate, gender, age, tumor size, tumor consistency, presence of hydrocephalus and paraventricular edema. Voxels related to CMS were mainly located in bilateral superior and inferior cerebellar peduncles and the superior part of the cerebellum. The areas under the curves for the model in the training, validation and prospective validation sets were 0.889, 0.784 and 0.791, respectively.RESULTSNo significant differences were detected among these three data sets in CMS rate, gender, age, tumor size, tumor consistency, presence of hydrocephalus and paraventricular edema. Voxels related to CMS were mainly located in bilateral superior and inferior cerebellar peduncles and the superior part of the cerebellum. The areas under the curves for the model in the training, validation and prospective validation sets were 0.889, 0.784 and 0.791, respectively.Superior and inferior cerebellar peduncles and the superior part of the cerebellum were related to CMS, especially the right side, and voxel-based lesion-symptom analysis could provide valuable predictive information before surgery.CONCLUSIONSSuperior and inferior cerebellar peduncles and the superior part of the cerebellum were related to CMS, especially the right side, and voxel-based lesion-symptom analysis could provide valuable predictive information before surgery. This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS. From July 2013 to January 2022, 188 pediatric patients diagnosed with posterior fossa tumor were included in this study, including 38 from a prospective cohort recruited between 2020 and January 2022, and the remaining from a retrospective cohort recruited in July 2013-Aug 2020. The retrospective cohort was divided into the training and validation sets; the prospective cohort served as a prospective validation set. Voxel-based lesion symptoms were assessed to identify voxels related to CMS, and a predictive model was constructed and tested in the validation and prospective validation sets. No significant differences were detected among these three data sets in CMS rate, gender, age, tumor size, tumor consistency, presence of hydrocephalus and paraventricular edema. Voxels related to CMS were mainly located in bilateral superior and inferior cerebellar peduncles and the superior part of the cerebellum. The areas under the curves for the model in the training, validation and prospective validation sets were 0.889, 0.784 and 0.791, respectively. Superior and inferior cerebellar peduncles and the superior part of the cerebellum were related to CMS, especially the right side, and voxel-based lesion-symptom analysis could provide valuable predictive information before surgery. • Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors. • Bilateral SCP, ICP, the superior cerebellar areas, and brain stem were related to CMS. • Voxels related to CMS presented with a right-lateral pattern of the cerebellum. Highlights•Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors. •Bilateral SCP, ICP, the superior cerebellar areas, and brain stem were related to CMS. •Voxels related to CMS presented with a right-lateral pattern of the cerebellum. Background: This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS. Methods: From July 2013 to January 2022, 188 pediatric patients diagnosed with posterior fossa tumor were included in this study, including 38 from a prospective cohort recruited between 2020 and January 2022, and the remaining from a retrospective cohort recruited in July 2013-Aug 2020. The retrospective cohort was divided into the training and validation sets; the prospective cohort served as a prospective validation set. Voxel-based lesion symptoms were assessed to identify voxels related to CMS, and a predictive model was constructed and tested in the validation and prospective validation sets. Results: No significant differences were detected among these three data sets in CMS rate, gender, age, tumor size, tumor consistency, presence of hydrocephalus and paraventricular edema. Voxels related to CMS were mainly located in bilateral superior and inferior cerebellar peduncles and the superior part of the cerebellum. The areas under the curves for the model in the training, validation and prospective validation sets were 0.889, 0.784 and 0.791, respectively. Conclusions: Superior and inferior cerebellar peduncles and the superior part of the cerebellum were related to CMS, especially the right side, and voxel-based lesion-symptom analysis could provide valuable predictive information before surgery. |
| ArticleNumber | 103291 |
| Author | Li, Yiming Ying, Zesheng Ge, Ming Peng, Yun Sun, HaiLang Cai, Yingjie Hu, Geli Zhu, Kaiyi Peng, Xiaojiao Yang, Wei Chen, Jiashu |
| Author_xml | – sequence: 1 givenname: Wei surname: Yang fullname: Yang, Wei organization: Department of Neurosurgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China – sequence: 2 givenname: Yiming surname: Li fullname: Li, Yiming organization: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China – sequence: 3 givenname: Zesheng surname: Ying fullname: Ying, Zesheng organization: Department of Neurosurgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China – sequence: 4 givenname: Yingjie surname: Cai fullname: Cai, Yingjie organization: Department of Neurosurgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China – sequence: 5 givenname: Xiaojiao surname: Peng fullname: Peng, Xiaojiao organization: Department of Neurosurgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China – sequence: 6 givenname: HaiLang surname: Sun fullname: Sun, HaiLang organization: Department of Neurosurgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China – sequence: 7 givenname: Jiashu surname: Chen fullname: Chen, Jiashu organization: Department of Neurosurgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China – sequence: 8 givenname: Kaiyi surname: Zhu fullname: Zhu, Kaiyi organization: Department of Cardiology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan 030032, China – sequence: 9 givenname: Geli surname: Hu fullname: Hu, Geli organization: Department of Clinical and Technical Support, Philips Healthcare, Beijing 100600, China – sequence: 10 givenname: Yun surname: Peng fullname: Peng, Yun email: ppengyun@hotmail.com organization: Department of Image Center, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China – sequence: 11 givenname: Ming orcidid: 0000-0002-4476-4331 surname: Ge fullname: Ge, Ming email: ming_ge@126.com organization: Department of Neurosurgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36527996$$D View this record in MEDLINE/PubMed |
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| Keywords | Lesion-symptom mapping Cerebellar mutism syndrome Predictive model |
| Language | English |
| License | This is an open access article under the CC BY-NC-ND license. Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
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| Snippet | •Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors.•Bilateral SCP, ICP, the superior cerebellar areas, and brain stem were... Highlights•Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors. •Bilateral SCP, ICP, the superior cerebellar areas, and brain... This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS. From July 2013 to January... This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS.BACKGROUNDThis study aimed to... • Built a voxel-wise predictive model for CMS in patients with posterior fossa tumors. • Bilateral SCP, ICP, the superior cerebellar areas, and brain stem were... Background: This study aimed to investigate cerebellar mutism syndrome (CMS)-related voxels and build a voxel-wise predictive model for CMS. Methods: From July... |
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| SubjectTerms | Brain Neoplasms - pathology Cerebellar Diseases - diagnostic imaging Cerebellar Diseases - etiology Cerebellar mutism syndrome Cerebellar Neoplasms - complications Cerebellar Neoplasms - diagnostic imaging Cerebellar Neoplasms - surgery Cerebellum Child Humans Infratentorial Neoplasms - diagnostic imaging Infratentorial Neoplasms - surgery Lesion-symptom mapping Mutism - diagnostic imaging Mutism - etiology Predictive model Radiology Regular Retrospective Studies Syndrome |
| Title | A presurgical voxel-wise predictive model for cerebellar mutism syndrome in children with posterior fossa tumors |
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