Open Question

Is MRI-based prediction of MGMT methylation ever reliable enough for any clinical or trial use, or should the task be retired?

Evidence profile

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

4 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

MGMT governs temozolomide benefit; a false imaging surrogate could misdirect therapy or stratification, yet the task keeps being re-attempted.

Conflicting evidence

Reported AUCs 0.7-0.9 vs rigorous studies finding no reliable MRI-MGMT correlation and attributing success to leakage.

Proposed study direction

Definitive multi-institutional external test with leakage audit and pre-registered analysis; publish a negative/limits result if warranted.

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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.