Precision Medicine in Neurooncology and Neurosurgery for the 21st Century, 2nd Edition

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 2760

Special Issue Editors


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Guest Editor
King’s College Hospital NHS Foundation Trust, London, UK
Interests: new and novel therapies for brain tumours; immunotherapy; imaging of tumours; tumour genomics; patient reported outcome measures
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
King's College Hospital NHS Foundation Trust, London, UK
Interests: neuro-oncology; intraoperative neuromonitoring; navigated transcranial magnetic stimulation; fMRI; tractography; neuro-anatomy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Recent advances in brain tumour imaging, genomics and therapeutic technology are now allowing for a precise and tailored approach to the management of patients with brain tumours. This is essential given the heterogeneity of these tumours as well as the challenges of surgery in eloquent brain which thus far have confounded the outcomes. In this Special Issue, we aim to provide the readers with a comprehensive collection of cutting-edge articles exemplifying this personalised approach to brain tumours. We hope this sharing of ideas will further fuel efforts towards more effective and safer therapies for brain tumours. We would welcome original basic science and clinical research papers and review articles epitomising this ethos.

Prof. Dr. Keyoumars Ashkan
Dr. José Pedro Pedro Lavrador
Guest Editors

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Keywords

  • neurooncology
  • brain tumour/tumour
  • precision
  • personalized
  • glioma
  • brain mapping

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Published Papers (2 papers)

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Review

21 pages, 1633 KiB  
Review
Precision Surgery for Glioblastomas
by Stephen J. Price, Jasmine G. Hughes, Swati Jain, Caroline Kelly, Ioana Sederias, Francesca M. Cozzi, Jawad Fares, Yonghao Li, Jasmine C. Kennedy, Roxanne Mayrand, Queenie Hoi Wing Wong, Yizhou Wan and Chao Li
J. Pers. Med. 2025, 15(3), 96; https://doi.org/10.3390/jpm15030096 - 28 Feb 2025
Viewed by 698
Abstract
Glioblastomas are the most common primary malignant brain tumor. Most of the recent improvements their treatment are due to improvements in surgery. Although many would consider surgery as the most personalized treatment, the variation in resection between surgeons suggests there remains a need [...] Read more.
Glioblastomas are the most common primary malignant brain tumor. Most of the recent improvements their treatment are due to improvements in surgery. Although many would consider surgery as the most personalized treatment, the variation in resection between surgeons suggests there remains a need for objective measures to determine the best surgical treatment for individualizing therapy for glioblastoma. We propose applying a personalized medicine approach to improve outcomes for patients. We suggest looking at personalizing preoperative preparation, improving the resection target by understanding what needs removing and what ca not be removed, and better patient selection with personalized rehabilitation plans for all patients. Full article
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13 pages, 4259 KiB  
Review
Transcranial Magnetic Stimulation–Electroencephalography (TMS-EEG) in Neurosurgery: Unexplored Path Towards Personalized Brain Surgery
by Martim Oliveira, Sofia Ribeiro, Asfand Baig Mirza, Amisha Vastani, Alba Díaz-Baamonde, Masumi Tanaka, Ali Elhag, Francesco Marchi, Prajwal Ghimire, Feras Fayez, Sabina Patel, Richard Gullan, Ranjeev Bhangoo, Keyoumars Ashkan, Francesco Vergani, Ana Mirallave-Pescador and José Pedro Lavrador
J. Pers. Med. 2024, 14(12), 1144; https://doi.org/10.3390/jpm14121144 - 9 Dec 2024
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Abstract
Background: Transcranial Magnetic Stimulation–Electroencephalography (TMS-EEG) is a non-operative technique that allows for magnetic cortical stimulation (TMS) and analysis of the electrical currents generated in the brain (EEG). Despite the regular utilization of both techniques independently, little is known about the potential impact of [...] Read more.
Background: Transcranial Magnetic Stimulation–Electroencephalography (TMS-EEG) is a non-operative technique that allows for magnetic cortical stimulation (TMS) and analysis of the electrical currents generated in the brain (EEG). Despite the regular utilization of both techniques independently, little is known about the potential impact of their combination in neurosurgical practice. Methods: This scoping review, conducted following PRISMA guidelines, focused on TMS-EEG in epilepsy, neuro-oncology, and general neurosurgery. A literature search in Embase and Ovid MEDLINE returned 3596 records, which were screened based on predefined inclusion and exclusion criteria. After full-text review, three studies met the inclusion criteria. Two independent investigators conducted study selection and data extraction, with mediators resolving disagreements. The NHLBI tool was used to assess risk of bias in the included studies. Results: A total of 3596 articles were screened following the above-mentioned criteria: two articles and one abstract met the inclusion criteria. TMS-EEG is mentioned as a promising tool to evaluate tumor–brain interaction, improve preoperative speech mapping, and for lateralization epileptic focus in patients undergoing epilepsy surgery. Lack of detailed patient and outcome information preclude further considerations about TMS-EEG use beyond the potential applications of this technique. Conclusions: TMS-EEG research in neurosurgery is required to establish the role of this non-invasive brain stimulation-recording technique. Tumor–brain interaction, preoperative mapping, and seizure lateralization are in the front row for its future applications. Full article
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