Shinoda staging system
The surgical approach to glioblastoma is highly variable. A staging system could be used to examine the impact of extent of resection, monitor post-operative complications, and stratify patients in clinical trials.
The findings of Capellades et al., suggested that the Shinoda staging system could be improved by including T2/FLAIR sequences and a more adequate weighting of eloquent areas 1).
1)
Capellades J, Teixidor P, Villalba G, Hostalot C, Plans G, Armengol R, Medrano
S, Estival A, Luque R, Gonzalez S, Gil-Gil M, Villa S, Sepulveda J,
García-Mosquera JJ, Balana C. Results of a multicenter survey showing
interindividual variability among neurosurgeons when deciding on the radicality
of surgical resection in glioblastoma highlight the need for more objective
guidelines. Clin Transl Oncol. 2017 Jun;19(6):727-734. doi:
10.1007/s12094-016-1598-6. Epub 2016 Dec 22. PubMed PMID: 28005261.