Bridging Radiology and Pathology: ATRX Loss and T2-FLAIR Mismatch as Early Diagnostic and Prognostic Markers in Diffuse Gliomas

ATRX mutation and the T2-FLAIR mismatch sign have emerged as complementary molecular and imaging markers in diffuse gliomas. ATRX loss defines IDH-mutant astrocytoma at the molecular level, while the mismatch sign provides a non-invasive radiological clue with high specificity but limited sensitivity. Used together, they improve diagnostic precision, refine prognostic assessment, and guide individualized treatment planning.

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Publication Details

Journal
Journal of the Pakistan Medical Association
Published
2025-11-22
DOI
https://doi.org/10.47391/jpma.25-106
Primary Topic
Glioma Diagnosis and Treatment
Type
article
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article

Bridging Radiology and Pathology: ATRX Loss and T2-FLAIR Mismatch as Early Diagnostic and Prognostic Markers in Diffuse Gliomas

Muhammad Shahzad Shamim, Irfan Yousaf, Aaqib Sohail, Quratulain Tariq et al.
Journal of the Pakistan Medical Association
Glioma Diagnosis and Treatment
article

Bridging Radiology and Pathology: ATRX Loss and T2-FLAIR Mismatch as Early Diagnostic and Prognostic Markers in Diffuse Gliomas

Muhammad Shahzad Shamim, Irfan Yousaf, Aaqib Sohail, Quratulain Tariq, Endris Mohammed Ali, Rahamah Arshad
article en

Abstract

ATRX mutation and the T2-FLAIR mismatch sign have emerged as complementary molecular and imaging markers in diffuse gliomas. ATRX loss defines IDH-mutant astrocytoma at the molecular level, while the mismatch sign provides a non-invasive radiological clue with high specificity but limited sensitivity. Used together, they improve diagnostic precision, refine prognostic assessment, and guide individualized treatment planning.

Journal of the Pakistan Medical AssociationVol. 75(12)
CMH Lahore Medical College and Institute of Dentistry (PK), Aga Khan University Hospital (PK), Shaukat Khanum Memorial Cancer Hospital and Research Center (PK)
Openalex Percentile: Top 48%
Glioma Diagnosis and Treatment
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