Open Question

Can non-enhancing infiltrative tumor burden and future-recurrence margins be measured reproducibly enough to serve as a trial endpoint?

Evidence profile

Status: question. Rule: atlas-profile-2.0.

3 linked publications; not a count of independent studies.

Missing appraisal does not mean no evidence exists. Inspect the full profile and source relationships in the interactive Atlas.

Historical grade: WEAK (retained from 22 September 2026; not a completed profile 2.0 assessment).

Why it matters

Recurrence occurs at non-enhancing infiltrative margins that current enhancement-based RANO and segmentation largely ignore; this is where patients actually fail.

Conflicting evidence

RANO 2.0 de-emphasizes T2/FLAIR to reduce noise, but infiltrative progression is clinically real and undermeasured.

Proposed study direction

Develop and validate reproducible non-enhancing burden metrics vs recurrence location ground truth; inter-reader and test-retest repeatability first.

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Gap verification

This question comes from selected literature. Confirm that the gap remains open with a current search and mentor review.

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About this page

Curated and maintained by Resonant Labs. Editorial lead: Claims are synthesized from the cited literature and graded per the Atlas methodology (about the Atlas). Page generated 2026-10-02. This is not a new clinical review date.

This is an educational research resource from Resonant Labs, not clinical advice. Atlas assessments are heuristic, not probabilities or formal GRADE ratings. Findings are summarized from the literature and may change as the field evolves.