Brain Tumors Presumed Malignant without Biopsy-Evaluation and Treatment Problems

Abstract

Patients with brain tumors may have the following issues: tumors are in deep or vital regions; they refuse the biopsy; the neurosurgeon does not reach the tumoral tissue and the biopsy is irrelevant; advanced cases, considered “outside the surgical and oncological therapeutic resources”. These patients cannot receive oncological treatment or radiotherapy because of the restrictive indications of the insurers (health insurance companies) or because of the risk of allegations of malpractice. Patients will not receive some social security rights (short term sick leave, disability pension) in the same way as cancer patients, but only as a patient with a common illness. Patients can receive palliative treatment, can be hospitalized in oncology departments. We propose to discuss a separate diagnostic and treatment protocol for this group of patients, based on laboratory (ctDNA) and imagistic criteria. Assistive technologies using Computer Vision Model combined with Convolutional Neural Network may help classificate and diagnose these tumors.