Journal of Neuro-Oncology

, Volume 121, Issue 1, pp 141–150 | Cite as

Evaluation of the microenvironmental heterogeneity in high-grade gliomas with IDH1/2 gene mutation using histogram analysis of diffusion-weighted imaging and dynamic-susceptibility contrast perfusion imaging

  • Seunghyun Lee
  • Seung Hong ChoiEmail author
  • Inseon Ryoo
  • Tae Jin Yoon
  • Tae Min Kim
  • Se-Hoon Lee
  • Chul-Kee Park
  • Ji-Hoon Kim
  • Chul-Ho Sohn
  • Sung-Hye Park
  • Il Han Kim
Clinical Study


The purpose of our study was to explore the difference between isocitrate dehydrogenase (IDH)-1/2 gene mutation-positive and -negative high-grade gliomas (HGGs) using histogram analysis of apparent diffusion coefficient (ADC) and normalized cerebral blood volume (nCBV) maps. We enrolled 52 patients with histopathologically confirmed HGGs with IDH1/2 P (n = 16) or IDH1/2 N (n = 36). Histogram parameters of ADC and nCBV maps were correlated with gene mutations by using the unpaired student’s t test and multivariable stepwise logistic regression analysis. The mean ADC value was higher in the IDH1 P group than IDH1 N (1,282.8 vs. 1,159.6 mm2/s, P = .0113). In terms of the cumulative ADC histograms, the 10th and 50th percentile values were also higher in the IDH1 P than IDH1 N (P = .0104 and .0183, respectively). We observed a higher 90th percentile value (3.121 vs. 2.397, P = .0208) and a steeper slope between the 10th (C10) and 90th (C90) of cumulative nCBV histograms (0.03386 vs. 0.02425/%, P = .0067) in the IDH1 N group. Multivariate analysis showed that the mean ADC mean value (P = .0048), the C90 value (P = .0113), and the slope between C10 and C90 (P = .0049) were the significant variables in the differentiation of IDH1 P from IDH1 N. In conclusion, histogram analysis of ADC and nCBV maps based on entire tumor volume can be a useful tool for distinguishing IDH1 P and IDH1 N, and it predicts that IDH P tumors have a more heterogeneous microenvironment than IDH N ones.


Isocitrate dehydrogenase IDH gene mutation High-grade gliomas ADC nCBV DWI DSC-PWI 



This study was supported by a grant from the National R&D Program for Cancer Control, Ministry of Health & Welfare, Republic of Korea (1120300), the Korea Healthcare technology R&D Projects, Ministry for Health, Welfare & Family Affairs (A112028 and HI13C0015), and the Research Center Program of IBS (Institute for Basic Science) in Korea.

Conflict of interest

None of the authors have any conflict of interest.

Supplementary material

11060_2014_1614_MOESM1_ESM.docx (28 kb)
Supplementary material 1 (DOCX 27 kb)


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Seunghyun Lee
    • 1
  • Seung Hong Choi
    • 1
    • 2
    Email author
  • Inseon Ryoo
    • 1
  • Tae Jin Yoon
    • 1
  • Tae Min Kim
    • 3
  • Se-Hoon Lee
    • 3
  • Chul-Kee Park
    • 4
  • Ji-Hoon Kim
    • 1
  • Chul-Ho Sohn
    • 1
  • Sung-Hye Park
    • 5
  • Il Han Kim
    • 6
  1. 1.Department of RadiologySeoul National University College of MedicineSeoulKorea
  2. 2.Center for Nanoparticle Research, Institute for Basic Science, and School of Chemical and Biological EngineeringSeoul National UniversitySeoulKorea
  3. 3.Department of Internal Medicine, Cancer Research InstituteSeoul National University College of MedicineSeoulKorea
  4. 4.Department of NeurosurgerySeoul National University College of MedicineSeoulKorea
  5. 5.Department of PathologySeoul National University College of MedicineSeoulKorea
  6. 6.Department of Radiation Oncology, Cancer Research InstituteSeoul National University College of MedicineSeoulKorea

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