Clinical Research Directory

Combing a Deep Learning-Based Radiomics With Liquid Biopsy for Preoperative and Non-invasive Diagnosis of Glioma

This registry has the following objectives. First, according to the guidance of 2021 WHO of CNS classification, we constructed and externally tested a multi-task DL model for simultaneous diagnosis of tumor segmentation, glioma classification and more extensive molecular subtype, including IDH mutation, ATRX deletion status, 1p19q co-deletion, TERT gene mutation status, etc. Second, based on the same ultimate purpose of liquid biopsy and radiomics, we innovatively put forward the concept and idea of combining radiomics and liquid biopsy technology to improve the diagnosis of glioma. And through our study, it will provide some clinical validation for this concept, hoping to supply some new ideas for subsequent research and supporting clinical decision-making.

AI-driven Processing and Analysis of Glioma Imaging Data

GLIOMAID is a scientific research project focused on improving how brain tumors, specifically gliomas, are diagnosed and managed. It uses Artificial Intelligence (AI) to analyze MRI brain scans and patient data. The project collects existing clinical information and imaging from glioma patients to build AI models that support doctors in making better and faster treatment decisions.Gliomas, especially high-grade ones, are among the most common and challenging brain tumors. Many patients have poor survival chances, and diagnosis often requires invasive procedures like biopsies. Despite medical advances, current treatments have limited effectiveness. Better non-invasive diagnostic tools are urgently needed to: * Detect tumors earlier. * Predict how aggressive they are. * Help doctors plan the most effective treatments. The GLIOMAID study aims to reduce the need for invasive diagnostics by creating AI tools that interpret brain scans with high accuracy. Primary Objectives * Create Italy's First Glioma Imaging Database This database will store anonymized MRI scans and clinical records from around 700 patients. * Improve Early Detection Develop AI systems to identify brain tumors earlier from MRI scans. * Automate Tumor Mapping Use AI to outline tumors on MRI images to assist with surgical planning and treatment follow-up. * Non-Invasive Tumor Characterization Train AI models to predict tumor type and severity without needing a biopsy. Secondary Objectives * Study how well AI tools fit into research and future clinical workflows. * Test how well AI can predict changes in tumors over time. Lead Institution: University of Trento and Santa Chiara Hospital, Trento (Prof. Silvio Sarubbo, Principal Investigator). Partner Hospitals: 7 neurosurgery and neuro-oncology centers across Italy. Inclusion Criteria * Adults aged 18-60 with a confirmed glioma diagnosis (from 2019 to 2024). * Patients who had surgical tumor removal, with or without further treatment (e.g., chemotherapy, radiotherapy). * MRI scans and basic clinical data must be available. Exclusion Criteria * Poor quality or incomplete MRI scans. * Missing essential clinical information. * If consent is explicitly refused (when it can be obtained). Clinical Data * Age, sex, diagnosis date. * Tumor type and genetic information. * Treatments received (surgery, chemo, radiation). * Patient outcomes (e.g., survival, tumor progression). Imaging Data * Pre- and post-operative MRI scans (T1, T2, FLAIR). * Segmented images highlighting tumor areas and post-surgery cavities. * Time points: before surgery, up to 6 months post-op, and during follow-up. All data is pseudonymized (no personal identifiers) and securely stored. Expected Results * Faster, more accurate diagnosis. * More personalized treatment planning. * Reduced need for invasive biopsies. Benefits for Patients and Doctors Patients: Earlier diagnosis, less invasive procedures, better treatment outcomes. Doctors: Improved decision-making tools, automated image analysis, consistent data for treatment planning.

GliomaAI-GBM: MRI-Based Detection of IDH Wildtype Glioblastoma

The goal of this observational study is to learn whether an artificial intelligence system called GliomaAI-GBM can help detect a specific molecular type of brain tumour called IDH wildtype glioblastoma using routine MRI scans. The study uses previously collected and fully anonymised MRI data from 1,372 patients from 13 institutions in the Cancer Imaging Archive (TCIA). The main questions it aims to answer are: * How accurately can GliomaAI-GBM identify IDH wildtype glioblastoma from MRI scans? * How well does the system perform across data from different hospitals and patient groups? Researchers will use existing MRI scans and clinical information to train and test the AI system. No new scans, treatments, or hospital visits are required for participants, and all data used is fully anonymised and obtained from an existing research database. Participants will not be asked to do anything, as this study only uses previously collected imaging data.

GliomaAI-Astro4: MRI-Based Detection of IDH Mutant Astrocytoma Grade 4

The goal of this observational study is to learn whether an artificial intelligence system called GliomaAI-Astro4 can help detect a specific molecular type of brain tumour called IDH mutant Astrocytoma Grade 4 using routine MRI scans. The study uses previously collected and fully anonymised MRI data from 1,372 patients from 13 institutions in the Cancer Imaging Archive (TCIA). The main questions it aims to answer are: * How accurately can GliomaAI-Astro4 identify IDH mutant Astrocytoma Grade 4 from MRI scans? * How well does the system perform across data from different hospitals and patient groups? Researchers will use existing MRI scans and clinical information to train and test the AI system. No new scans, treatments, or hospital visits are required for participants, and all data used is fully anonymised and obtained from an existing research database. Participants will not be asked to do anything, as this study only uses previously collected imaging data.

GliomaAI-Astro23: MRI-Based Detection of IDH Mutant Astrocytoma (Grade 2 and 3)

The goal of this observational study is to learn whether an artificial intelligence system called GliomaAI-Astro23 can help detect a specific molecular type of brain tumour called IDH mutant Astrocytoma (grade 2 and 3) using routine MRI scans. The study uses previously collected and fully anonymised MRI data from 1,372 patients from 13 institutions in the Cancer Imaging Archive (TCIA). The main questions it aims to answer are: * How accurately can GliomaAI-Astro23 identify IDH mutant Astrocytoma (grade 2 and 3) from MRI scans? * How well does the system perform across data from different hospitals and patient groups? Researchers will use existing MRI scans and clinical information to train and test the AI system. No new scans, treatments, or hospital visits are required for participants, and all data used is fully anonymised and obtained from an existing research database. Participants will not be asked to do anything, as this study only uses previously collected imaging data.

GliomaAI-Oligo: MRI-Based Detection of IDH Mutant Oligodendroglioma

The goal of this observational study is to learn whether an artificial intelligence system called GliomaAI-Oligo can help detect a specific molecular type of brain tumour called Oligodendroglioma using routine MRI scans. The study uses previously collected and fully anonymised MRI data from 1,372 patients from 13 institutions in the Cancer Imaging Archive (TCIA). The main questions it aims to answer are: * How accurately can GliomaAI-Oligo identify Oligodendroglioma from MRI scans? * How well does the system perform across data from different hospitals and patient groups? Researchers will use existing MRI scans and clinical information to train and test the AI system. No new scans, treatments, or hospital visits are required for participants, and all data used is fully anonymised and obtained from an existing research database. Participants will not be asked to do anything, as this study only uses previously collected imaging data.

GliomaAI-MG: MRI-Based Detection of Molecular Glioblastoma

The goal of this observational study is to learn whether an artificial intelligence system called GliomaAI-MG can help detect a specific molecular type of brain tumour called molecular glioblastoma using routine MRI scans. The study uses previously collected and fully anonymised MRI data from 1,372 patients from 13 institutions in the Cancer Imaging Archive (TCIA). The main questions it aims to answer are: * How accurately can GliomaAI-MG identify molecular glioblastoma from MRI scans? * How well does the system perform across data from different hospitals and patient groups? Researchers will use existing MRI scans and clinical information to train and test the AI system. No new scans, treatments, or hospital visits are required for participants, and all data used is fully anonymised and obtained from an existing research database. Participants will not be asked to do anything, as this study only uses previously collected imaging data.