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Article ; Online: Spinal cord tracts and clinical correlates.

Jenkinson, M D

2008 Volume 22, Issue 5, Page(s) 710–712

Abstract: The spinal cord tracts and common clinical presentations are tested along with spinal cord vasculature. ...

Abstract	The spinal cord tracts and common clinical presentations are tested along with spinal cord vasculature.
MeSH term(s)	Humans ; Magnetic Resonance Imaging ; Neurosurgery/education ; Spinal Cord/blood supply ; Spinal Cord/pathology ; Spinal Cord Injuries/pathology
Language	English
Publishing date	2008-10
Publishing country	England
Document type	Journal Article
ZDB-ID	639029-8
ISSN	1360-046X ; 0268-8697
ISSN (online)	1360-046X
ISSN	0268-8697
DOI	10.1080/02688690802482862
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Article ; Online: Diffusion weighted MRI is a promising imaging biomarker in brain metastases.

Zakaria, R / Jenkinson, M D

Journal of neuro-oncology

2014 Volume 121, Issue 2, Page(s) 421–422

MeSH term(s)	Brain Neoplasms/secondary ; Brain Neoplasms/surgery ; Diffusion Magnetic Resonance Imaging/methods ; Female ; Humans ; Male ; Radiosurgery
Language	English
Publishing date	2014-10-30
Publishing country	United States
Document type	Letter ; Research Support, Non-U.S. Gov't ; Comment
ZDB-ID	604875-4
ISSN	1573-7373 ; 0167-594X
ISSN (online)	1573-7373
ISSN	0167-594X
DOI	10.1007/s11060-014-1642-8
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Article ; Online: Epilepsy and adverse quality of life in surgically resected meningioma.

Tanti, M J / Marson, A G / Jenkinson, M D

Acta neurologica Scandinavica

2017 Volume 136, Issue 3, Page(s) 246–253

Abstract: Objectives: Meningiomas are common intracranial tumors, and despite surgery or therapy with anti-epileptic drugs (AEDs), many patients suffer from seizures. Epilepsy has a significant impact on quality of life (QoL) in non-tumor populations, but the ... ...

Abstract	Objectives: Meningiomas are common intracranial tumors, and despite surgery or therapy with anti-epileptic drugs (AEDs), many patients suffer from seizures. Epilepsy has a significant impact on quality of life (QoL) in non-tumor populations, but the impact of epilepsy on QoL in patients with meningioma is unknown. Our aim was to evaluate the impact of epilepsy on QoL in patients that have undergone resection of a benign meningioma. Materials and methods: We recruited meningioma patients without epilepsy (n=109), meningioma patients with epilepsy (n=56), and epilepsy patients without meningioma (n=64). QoL was measured with the Short Form 36 version 2 (SF-36), the Functional Assessment of Cancer Therapy (FACT-BR), and the Liverpool Adverse Events Profile (LAEP). Regression analyses identified significant determinants of QoL. Results: Patients with meningioma and epilepsy had poorer QoL scores than meningioma patients without epilepsy in all measures. In FACT-BR, this difference was significant. Multiple regression analyses demonstrated that current AED use had a greater impact on QoL scores than recent seizures. Other variables associated with impaired QoL included depression, unemployment, and meningioma attributed symptoms. Conclusions: Epilepsy has a negative impact on quality of life in patients with benign meningioma. AED use is correlated with impaired QoL and raised LAEP scores, suggesting that AEDs and adverse effects may have led to impaired QoL in our meningioma patients with epilepsy. The severity of epilepsy in our meningioma population was comparatively mild; therefore, a more conservative approach to AED therapy may be indicated in an attempt to minimize adverse effects.
Language	English
Publishing date	2017-09
Publishing country	Denmark
Document type	Journal Article
ZDB-ID	90-5
ISSN	1600-0404 ; 0001-6314
ISSN (online)	1600-0404
ISSN	0001-6314
DOI	10.1111/ane.12711
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Article ; Online: Chlorhexidine dressings could reduce external ventricular drain infections: results from a systematic review and meta-analysis.

Waqar, M / Chari, A / Islim, A I / Davies, B M / Fountain, D M / Larkin, S / Jenkinson, M D / Patel, H C

The Journal of hospital infection

2021 Volume 117, Page(s) 37–43

Abstract: The incidence of external ventricular drain (EVD) infections remains high. Chlorhexidine dressings have demonstrated efficacy in reducing infections associated with indwelling catheters at other body sites, although evidence for their use with EVDs is ... ...

Abstract	The incidence of external ventricular drain (EVD) infections remains high. Chlorhexidine dressings have demonstrated efficacy in reducing infections associated with indwelling catheters at other body sites, although evidence for their use with EVDs is limited. The aim of this systematic review and meta-analysis was to evaluate the efficacy of chlorhexidine dressings in reducing EVD-associated cerebrospinal fluid infection (EVDAI). MEDLINE, EMBASE and the Cochrane library were queried for articles from inception. The primary outcome was the incidence of EVDAI. Secondary outcomes included device safety, microbiological outcomes and shunt-dependency. From 896 unique records, five studies were included of which four presented suitable data for quantitative analysis including three case series and one underpowered randomized controlled trial. There was a high risk of bias in all studies. A total of 880 patients were included with a mean age of 57.7 years (95% confidence interval (CI) 57.4-58.0 years). In primary outcome analysis, the chlorhexidine dressing group had a significantly lower incidence of EVDAI (1.7% vs 7.9%, risk difference (RD) = 0.07, 95% CI 0.00-0.13, P=0.04). In conclusion, chlorhexidine dressings may reduce the incidence of EVDAI but require future study in randomized trials to definitively determine efficacy.
MeSH term(s)	Bandages ; Catheter-Related Infections/epidemiology ; Catheter-Related Infections/prevention & control ; Catheters, Indwelling ; Chlorhexidine ; Drainage ; Humans ; Middle Aged
Chemical Substances	Chlorhexidine (R4KO0DY52L)
Language	English
Publishing date	2021-06-24
Publishing country	England
Document type	Journal Article ; Meta-Analysis ; Review ; Systematic Review
ZDB-ID	779366-2
ISSN	1532-2939 ; 0195-6701
ISSN (online)	1532-2939
ISSN	0195-6701
DOI	10.1016/j.jhin.2021.06.006
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Article ; Online: Characterisation of the immune microenvironment of primary breast cancer and brain metastasis reveals depleted T-cell response associated to ARG2 expression.

Giannoudis, A / Varešlija, D / Sharma, V / Zakaria, R / Platt-Higgins, A / Rudland, P S / Jenkinson, M D / Young, L S / Palmieri, C

ESMO open

2022 Volume 7, Issue 6, Page(s) 100636

Abstract: Background: Immune checkpoint inhibition is an established treatment in programmed death-ligand 1 (PD-L1)-positive metastatic triple-negative (TN) breast cancer (BC). However, the immune landscape of breast cancer brain metastasis (BCBM) remains poorly ... ...

Abstract	Background: Immune checkpoint inhibition is an established treatment in programmed death-ligand 1 (PD-L1)-positive metastatic triple-negative (TN) breast cancer (BC). However, the immune landscape of breast cancer brain metastasis (BCBM) remains poorly defined. Materials and methods: The tumour-infiltrating lymphocytes (TILs) and the messenger RNA (mRNA) levels of 770 immune-related genes (NanoString™, nCounter™ Immuno-oncology IO360) were assessed in primary BCs and BCBMs. The prognostic role of ARG2 transcripts and protein expression in primary BCs and its association with outcome was determined. Results: There was a significant reduction of TILs in the BCBMs in comparison to primary BCs. 11.5% of BCs presented a high immune infiltrate (hot), 46.2% were altered (immunosuppressed/excluded) and 34.6% were cold (no/low immune infiltrate). 3.8% of BCBMs were hot, 23.1% altered and 73.1% cold. One hundred and twelve immune-related genes including PD-L1 and CTLA4 were decreased in BCBM compared to the primary BCs (false discovery rate <0.01, log2 fold-change >1.5). These genes are involved in matrix remodelling and metastasis, cytokine-chemokine signalling, lymphoid compartment, antigen presentation and immune cell adhesion and migration. Immuno-modulators such as PD-L1 (CD274), CTLA4, TIGIT and CD276 (B7H3) were decreased in BCBMs. However, PD-L1 and CTLA4 expression was significantly higher in TN BCBMs (P = 0.01), with CTLA4 expression also high in human epidermal growth factor receptor 2-positive (P < 0.01) compared to estrogen receptor-positive BCBMs. ARG2 was one of four genes up-regulated in BCBMs. High ARG2 mRNA expression in primary BCs was associated with worse distant metastasis-free survival (P = 0.038), while ARG2 protein expression was associated with worse breast-brain metastasis-free (P = 0.027) and overall survival (P = 0.019). High transcript levels of ARG2 correlated to low levels of cytotoxic and T cells in both BC and BCBM (P < 0.01). Conclusion: This study highlights the immunological differences between primary BCs and BCBMs and the potential importance of ARG2 expression in T-cell depletion and clinical outcome.
Language	English
Publishing date	2022-11-21
Publishing country	England
Document type	Journal Article
ISSN	2059-7029
ISSN (online)	2059-7029
DOI	10.1016/j.esmoop.2022.100636
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Article ; Online: Is stereotactic radiosurgery under-utilised in the treatment of surgically excisable cerebral metastases?

Lee, M K / Javadpour, M / Jenkinson, M D

British journal of neurosurgery

2013 Volume 27, Issue 5, Page(s) 658–661

Abstract: Background/objective: Brain metastases are a significant cause of morbidity and mortality. Treatment options included surgery, whole brain radiotherapy and stereotactic radiosurgery alone or in combination. There has been a significant increase in ... ...

Abstract	Background/objective: Brain metastases are a significant cause of morbidity and mortality. Treatment options included surgery, whole brain radiotherapy and stereotactic radiosurgery alone or in combination. There has been a significant increase in stereotactic radiosurgery (SRS) provision in the UK over the last 5 years. We investigated the proportion of surgically resected brain metastases that would be suitable for SRS. Methods: We retrospectively collected data on 116 consecutive patients undergoing surgical resection of brain metastases. Suitable radiological targets for SRS were defined as solid tumours < 30 mm maximum diameter with no hydrocephalus and no symptomatic mass effect. Results: One hundred and two cases (88%) were solitary metastasis and fourteen (12%) had multiple metastases. Median maximum tumour diameter was 34 mm (range: 12-70 mm). Approximately one-third of patients (n = 41) had surgically resected brain metastasis suitable for SRS. Median OS was 7.7 months for those suitable for SRS and 5.4 months for those not suitable for SRS (Fig. 3; Log Rank: P = 0.52). Conclusions: In surgically amenable tumours, day case SRS could also be used in approximately one-third of cases, thereby avoiding craniotomy and reducing length of stay. These data may be useful in planning service provision, and for drawing up business plans for a new SRS services. Nationally agreed guidelines for SRS for brain metastases have been developed and a full health economic analysis warrants further investigation to determine the cost effectiveness of SRS compared to craniotomy.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Brain Neoplasms/mortality ; Brain Neoplasms/secondary ; Brain Neoplasms/surgery ; Humans ; Kaplan-Meier Estimate ; Length of Stay ; Middle Aged ; Radiosurgery/mortality ; Radiosurgery/utilization ; Retrospective Studies ; Young Adult
Language	English
Publishing date	2013-10
Publishing country	England
Document type	Journal Article
ZDB-ID	639029-8
ISSN	1360-046X ; 0268-8697
ISSN (online)	1360-046X
ISSN	0268-8697
DOI	10.3109/02688697.2013.791666
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Article ; Online: Second surgery for progressive glioblastoma: a multi-centre questionnaire and cohort-based review of clinical decision-making and patient outcomes in current practice.

Brennan, P M / Borchert, R / Coulter, C / Critchley, G R / Hall, B / Holliman, D / Phang, I / Jefferies, S J / Keni, S / Lee, L / Liaquat, I / Marcus, H J / Thomson, S / Thorne, L / Vintu, M / Wiggins, A N / Jenkinson, M D / Erridge, S

Journal of neuro-oncology

2021 Volume 153, Issue 1, Page(s) 99–107

Abstract: Purpose: Glioblastoma prognosis is poor. Treatment options are limited at progression. Surgery may benefit, but no quality guidelines exist to inform patient selection. We sought to describe variations in surgical management at progression, highlight ... ...

Abstract	Purpose: Glioblastoma prognosis is poor. Treatment options are limited at progression. Surgery may benefit, but no quality guidelines exist to inform patient selection. We sought to describe variations in surgical management at progression, highlight where further evidence is needed, and build towards a consensus strategy. Methods: Current practice in selection of patients with progressive GBM for second surgery was surveyed online amongst specialists in the UK and Europe. We complemented this with an assessment of practice in a retrospective cohort study from six United Kingdom neurosurgical units. We used descriptive statistics to analyse the data. Results: 234 questionnaire responses were received. Maintaining or improving patient quality of life was key to decision making, with variation as to whether patient age, performance status or intended extent of resection was relevant. MGMT methylation status was not important. Half considered no minimum time after first surgery. 288 patients were reported in the cohort analysis. Median time to second surgery from first surgery 390 days. Median overall survival 815 days, with no association between time to second surgery and time to death (p = 0.874). Conclusions: This is the most wide-ranging examination of contemporaneous practice in management of GBM progression. Without evidence-based guidelines, the variation is unsurprising. We propose consensus guidelines for consideration, to reduce heterogeneity in decision making, support data collection and analysis of factors influencing outcomes, and to inform clinical trials to establish whether second surgery improves patient outcomes, or simply selects to patients already performing well.
MeSH term(s)	Clinical Decision-Making ; Cohort Studies ; Glioblastoma/surgery ; Humans ; Quality of Life ; Retrospective Studies ; Surveys and Questionnaires
Language	English
Publishing date	2021-03-31
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ZDB-ID	604875-4
ISSN	1573-7373 ; 0167-594X
ISSN (online)	1573-7373
ISSN	0167-594X
DOI	10.1007/s11060-021-03748-0
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Article ; Online: Biology, genetics and imaging of glial cell tumours.

Walker, C / Baborie, A / Crooks, D / Wilkins, S / Jenkinson, M D

The British journal of radiology

2012 Volume 84 Spec No 2, Page(s) S90–106

Abstract: Despite advances in therapy, gliomas remain associated with poor prognosis. Clinical advances will be achieved through molecularly targeted biological therapies, for which knowledge of molecular genetic and gene expression characteristics in relation to ... ...

Abstract	Despite advances in therapy, gliomas remain associated with poor prognosis. Clinical advances will be achieved through molecularly targeted biological therapies, for which knowledge of molecular genetic and gene expression characteristics in relation to histopathology and in vivo imaging are essential. Recent research supports the molecular classification of gliomas based on genetic alterations or gene expression profiles, and imaging data supports the concept that molecular subtypes of glioma may be distinguished through non-invasive anatomical, physiological and metabolic imaging techniques, suggesting differences in the baseline biology of genetic subtypes of infiltrating glioma. Furthermore, MRI signatures are now being associated with complex gene expression profiles and cellular signalling pathways through genome-wide microarray studies using samples obtained by image guidance which may be co-registered with clinical imaging. In this review we describe the pathobiology, molecular pathogenesis, stem cells and imaging characteristics of gliomas with emphasis on astrocytomas and oligodendroglial neoplasms.
MeSH term(s)	Adult ; Animals ; Astrocytoma/diagnosis ; Astrocytoma/genetics ; Brain Neoplasms/diagnosis ; Brain Neoplasms/genetics ; Breast/pathology ; Child ; Gene Expression Profiling ; Glioma/diagnosis ; Glioma/genetics ; Humans ; Magnetic Resonance Imaging/methods ; Mice ; Molecular Biology ; Oligodendroglioma/diagnosis ; Oligodendroglioma/genetics
Language	English
Publishing date	2012-03-15
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2982-8
ISSN	1748-880X ; 0007-1285
ISSN (online)	1748-880X
ISSN	0007-1285
DOI	10.1259/bjr/23430927
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Article: Giant-cell tumour of the tendon sheath.

Scott, S J / Jenkinson, M D

The Journal of bone and joint surgery. British volume

2000 Volume 82, Issue 8, Page(s) 1206

MeSH term(s)	Carcinoma, Giant Cell/radiotherapy ; Carcinoma, Giant Cell/surgery ; Humans ; Mitotic Index ; Muscle Neoplasms/radiotherapy ; Muscle Neoplasms/surgery ; Neoplasm Recurrence, Local/prevention & control ; Patient Selection ; Radiotherapy, Adjuvant ; Research Design/standards ; Risk Factors ; Tendons ; Treatment Outcome
Language	English
Publishing date	2000-11
Publishing country	England
Document type	Comment ; Letter
ZDB-ID	220626-2
ISSN	2044-5377 ; 0301-620X ; 0447-9076
ISSN (online)	2044-5377
ISSN	0301-620X ; 0447-9076
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Article ; Online: The role of the corpus callosum in seizure spread: MRI lesion mapping in oligodendrogliomas.

Wieshmann, U C / Milinis, K / Paniker, J / Das, K / Jenkinson, M D / Brodbelt, A / Crooks, D / Keller, S S

Epilepsy research

2014 Volume 109, Page(s) 126–133

Abstract: Background: Some patients with oligodendrogliomas have generalized tonic-clonic seizures (GTCS) while others have only partial seizures (PS). We investigated the relationship between tumour localization and seizure generalization using quantitative ... ...

Abstract	Background: Some patients with oligodendrogliomas have generalized tonic-clonic seizures (GTCS) while others have only partial seizures (PS). We investigated the relationship between tumour localization and seizure generalization using quantitative lesion mapping on magnetic resonance images. Methods: Twenty one patients with histologically proven oligodendrogliomas and GTCS (n=11) or PS (n=10) were studied. Data were acquired on a 3 Tesla MRI System. We performed lesion mapping techniques to compare the spatial distribution of oligodendrogliomas between patient groups, and quantitatively determined the extent to which lesions intersected each probabilistic regions-of-interest, including the cerebral lobes, thalamus, striatum, and genu of the corpus callosum. Results: In patients experiencing GTCS, the greatest lesion load was observed in mesial frontal regions, including cortex connected to the genu. In contrast, the greatest lesion load in patients experiencing PS was observed more caudo-laterally in orbitofrontal and temporal lobes, but typically sparing cortex connected to the genu. The number of lesion intersections with genu region of interest was significantly greater in patients experiencing GTCS relative to patients with PS (p=0.03). There were no significant differences between patient groups with respect to lesion intersection with the individual cerebral lobes, thalamus and striatum, or with respect to overall oligodendroglioma size. Conclusion: Our data suggest that the genu of the corpus callosum may be a major pathway for seizure generalization in patients with oligodendrogliomas.
MeSH term(s)	Adult ; Brain Neoplasms/pathology ; Corpus Callosum/pathology ; Female ; Humans ; Image Processing, Computer-Assisted ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Oligodendroglioma/pathology ; Seizures/pathology
Language	English
Publishing date	2014-11-08
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632939-1
ISSN	1872-6844 ; 0920-1211
ISSN (online)	1872-6844
ISSN	0920-1211
DOI	10.1016/j.eplepsyres.2014.10.023
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