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August 16, 2026Journal of Magnetic Resonance Imaging

Multiscale Multiparametric MRI Deep Learning for Short‐Term Survival Assessment in Glioblastoma

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Authors

HZHongbo ZhangBZBeibei ZhouXZXinzhu Zhao

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Overview

Retrospective multicenter study demonstrates multiscale MRI deep learning predicts short-term survival in glioblastoma, highlighting links to immune and cell-cycle pathways.

Key Points

  • To develop and externally validate a multiscale multiparametric MRI-based deep learning model for predicting short-term survival in newly diagnosed glioblastoma and investigate its transcriptomic correlates.
  • Retrospective, multicenter study of 728 adults with pathologically confirmed, newly diagnosed glioblastoma, split into a training cohort (n = 290) and three external validation cohorts (n = 225, 182, and 31).
  • Model inputs integrated whole-brain, 3D tumor, and 2.5D tumor features across 1.5 T/3.0 T axial precontrast T1, T2, FLAIR, and postcontrast T1 sequences, evaluated against clinical and conventional MRI baselines.
  • The deep learning model achieved an apparent training AUC of 0.870 (95% CI: 0.830, 0.910) and external validation AUCs of 0.871 (95% CI: 0.821, 0.920), 0.828 (95% CI: 0.761, 0.895), and 0.798 (95% CI: 0.640, 0.956) for predicting survival ≤ 9 months.
  • The model yielded AUC gains over combined clinical-MRI morphometric baselines of 0.161 (FDR-adjusted p < 0.05) in external cohort 1 and 0.131 (FDR-adjusted p = 0.0897) in external cohort 2, showing significant concordant associations with immune, inflammatory, and cell-division pathways.

Cite This Study

Zhang et al. (2026) studied this question.

synapsesocial.com/papers/6a819d36f2fb91fc834aece8https://doi.org/10.1002/jmri.70497
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