Evidence mapPaperPMID 42552291Full record

ArticleJournal of neuro-oncology2026

Longitudinal connectomics-based tractometry for characterizing white matter reorganization following brain tumor surgery: a proof-of-concept case series.

Shoaib A Syed, Fatimah M Coppin, Samuel Latzman, Ching-Ling Teng, Siyar Bahadir, Iñigo L Sistiaga, Michael Schulder, Randy S D'Amico

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Article in Journal of neuro-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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8 authors.

Shoaib A Syed *, Northwell, New Hyde Park, NY, USA.ORCID http://orcid.org/0000-0002-0032-5310
Fatimah M Coppin *, Northwell, New Hyde Park, NY, USA.
Samuel Latzman, Northwell, New Hyde Park, NY, USA.
Ching-Ling Teng, Northwell, New Hyde Park, NY, USA.
Siyar Bahadir, Northwell, New Hyde Park, NY, USA.
Iñigo L Sistiaga, Northwell, New Hyde Park, NY, USA.
Michael Schulder, Northwell, New Hyde Park, NY, USA.
Randy S D'Amico *, Northwell, New Hyde Park, NY, USA. rdamico8@northwell.edu.ORCID http://orcid.org/0000-0002-3047-945X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConnectomics-based neurosurgery enables patient-specific characterization of white matter architecture and may provide novel insights into network adaptation following brain tumor treatment. Quantitative tractometry allows longitudinal measurement of white matter microstructural integrity, yet its application in neurosurgical oncology remains limited. We evaluated the utility of combining tract-level asymmetry metrics with exploratory network-level analyses to characterize white matter reorganization following tumor resection.

methodsWe retrospectively analyzed serial connectome imaging obtained at several clinical timepoints, including before and after surgery or radiation therapy in three patients undergoing brain tumor resection. Fractional anisotropy (FA) values were extracted from six bilateral white matter tracts. Hemispheric asymmetry was quantified using asymmetry index (AI) and percentage asymmetry (%Asym) metrics. A novel global asymmetry burden (GAB) metric was introduced to summarize cumulative hemispheric lateralization across tracts. To explore coordinated longitudinal tract remodeling, patient-specific structural covariance networks were constructed from pairwise correlations of tract FA values across imaging timepoints. Network strength was summarized as the mean absolute correlation between tract pairs and evaluated using permutation testing.

resultsDistinct longitudinal asymmetry patterns were observed across patients. GAB demonstrated heterogeneous trajectories over time, while tract-level ranking identified the arcuate fasciculus and superior longitudinal fasciculus as the most variable pathways. Exploratory structural covariance analysis showed one patient exhibited greater temporal coordination of tract remodeling than expected under the applied permutation framework (network strength = 0.648; p = 0.045), whereas the others did not.

conclusionLongitudinal connectomics-based tractometry is a useful framework for characterizing patient-specific white matter reorganization following brain tumor surgery.

Indexed as

Brain NeoplasmsConnectomeNeurosurgical ProceduresWhite MatterAdultDiffusion Tensor ImagingFemaleHumansLongitudinal StudiesMaleMiddle AgedProof of Concept StudyRetrospective StudiesBrain tumorConnectomicsFractional anisotropyStructural covarianceTractometryWhite matter tracts

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.