0000000000882239

AUTHOR

Henning Leske

showing 2 related works from this author

Intraoperative DNA methylation classification of brain tumors impacts neurosurgical strategy

2021

Abstract Background Brain tumor surgery must balance the benefit of maximal resection against the risk of inflicting severe damage. The impact of increased resection is diagnosis-specific. However, the precise diagnosis is typically uncertain at surgery due to limitations of imaging and intraoperative histomorphological methods. Novel and accurate strategies for brain tumor classification are necessary to support personalized intraoperative neurosurgical treatment decisions. Here, we describe a fast and cost-efficient workflow for intraoperative classification of brain tumors based on DNA methylation profiles generated by low coverage nanopore sequencing and machine learning algorithms. Met…

medicine.medical_specialtyFrozen section procedureSurgical strategyDNA methylationbusiness.industryBrain tumorClinical Investigationsmedicine.diseaseextent of resectionRandom forestResectionintraoperative diagnosticsDNA methylationmedicineAcademicSubjects/MED00300AcademicSubjects/MED00310RadiologyNanopore sequencingCopy-number variationnanoporebusinessbrain tumorNeuro-oncology Advances
researchProduct

EPCT-15. RAPID EPIGENOMIC CLASSIFICATION OF BRAIN TUMORS ENABLES INTRAOPERATIVE NEUROSURGICAL RISK MODULATION

2021

Abstract Background Clear identification of tumor subtype is the main predictor of patient outcome and ultimately what is considered an adequate level of surgical risk. At brain tumor resection, imaging modalities and intraoperative histology often give an ambigious diagnosis, complicating intraoperative surgical decision-making. Here, we report a nanopore DNA methylation analysis (NDMA) sequencing approach combined with machine learning for classification of tumor entities that could be used intraoperatively. Methods We analyzed 50 biopsies obtained from biobanked tissue (43, prospective) or sampled at surgery (7, intraoperative) from 20 female and 30 male patients with a median age of 8 y…

Cancer Researchmedicine.medical_specialtyIntra operativebusiness.industryTranslational/Early Phase Clinical TrialsTumor excisionOncologymedicineAcademicSubjects/MED00300AcademicSubjects/MED00310Neurology (clinical)RadiologyOperative riskbusinessEpigenomicsNeuro-Oncology
researchProduct