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This proof-of-concept study demonstrates distinguishing glioblastoma types in different age groups, suggesting a novel diagnostic tool for neuro-oncology.
Background Pediatric and adult glioblastomas (GBM) represent biologically distinct entities requiring age-tailored therapeutic strategies. However, rapid and non-invasive methods to distinguish these molecular subtypes remain an unmet clinical need. This study evaluates the potential of confocal Raman spectroscopy combined with deep learning as a label-free diagnostic tool to differentiate pediatric from adult GBM based on intrinsic biochemical fingerprints. Methods We acquired n=1,382 Raman spectra from a cohort of six patient-derived GBM neurosphere cell lines, comprising a pediatric model (SF188) and five adult-origin lines. A multilayer perceptron (MLP) neural network was trained to classify spectra by age group. To ensure rigorous validation and generalizability, performance was assessed on a strictly held-out external test set (20% of data), completely excluded from model optimization. Results The deep learning model successfully differentiated pediatric from adult GBM signatures with an overall accuracy of 83.6% and an ROC AUC of 0.855 on the independent test set. Spectral analysis revealed distinct vibrational modes, highlighting significant variations in lipid, protein, and nucleic acid content between age groups. Notably, the model achieved a high sensitivity for the pediatric phenotype (91.4% identification rate) . Conclusion This proof-of-concept study demonstrates that Raman spectroscopy, augmented by deep learning, can identify age-related molecular variations in GBM without extrinsic labeling. By capturing the unique biochemical landscape of pediatric versus adult tumors, this approach lays the foundation for rapid, automated, and objective diagnostic workflows in precision neuro-oncology.
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Wurm et al. (2026) studied this question.
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