ALBATROSS Study: International Multicenter Study for Prospective Validation of Imaging Biomarkers Calculated at Vascular Habitats of High-grade Gliomas

The Hypothesis under study in this project is:

Therapeutic decision making during clinical management of patients with glioblastoma may benefit from delineating functional habitats at pixel level relative to growth, proliferation, infiltration and angiogenesis

The Overall Scientific Objectives of the research proposal are to:

OSO1. Delineate functional habitats from multiparametric MRI relative to the growth, proliferation, infiltration and angiogenesis at the enhanced tumor and infiltrated peripheral edema OSO2. Demonstrate that functional habitats at enhanced tumors and infiltrated peripheral edema show structural, cellular and molecular differences related to the heterogeneity of the tumor region and are compatible with mathematical models of glioma growth and infiltration OSO3. Determine the in-vivo molecular sub-type of patients with glioblastoma from image biomarkers in functional habitats OSO4. Identify groups of patients with glioblastoma presenting positive therapeutic response in terms of longer survival using image biomarkers from functional habitats OSO5. Position ONCOhabitats as a clinical decision support system for the management of patients with glioblastoma

Inclusion criteria

• Patients diagnosed with astrocytoma grade IV WHO with histopathological/genetic confirmation who undergo the Stupp treatment
• Age > 18 years at diagnosis
• Patients with access to complete preoperative, postoperative and follow up MRI studies, including:

• Pre gadolinium T1-weighted MRI
• Post gadolinium T1-wighted MRI
• T2-weighted MRI
• Fluid-Attenuated Inversion Recovery (FLAIR)
• Dynamic Susceptibility Contrast (DSC) T2*-weighted perfusion sequences
• Diffusion Weighted Imaging (DWI)
• Patients who undergo surgery with the possibility to collect samples from different regions of the tumor

Exclusion criteria

• Patient with congestive heart failure within 6 months prior to study entry (New York Heart Association >= Grade 3)
• Uncontrolled or significant cardiovascular disease, including:

• Myocardial infarction and transient ischemic attack or stroke within 6 months prior to enrollment
• Uncontrolled angina within 6 months
• Diagnosed or suspected congenital long QT syndrome
• Any history of clinically significant ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation, or Torsades de pointes)
• Clinically significant abnormality on electrocardiogram (ECG)
• Pulmonary disease including or greater than grade 2 dyspnea or laryngeal edema, grade 3 pulmonary edema or pulmonary hypertension according to CTCAE 4.03