Abstract AIMS The spatial positioning of gliomas within the brain significantly influences prognosis, potentially mirroring the genetic landscape of their precursor cells. Furthermore, the association between glioma subtypes and their spatial distribution underscores a complex interplay that may illuminate underlying pathogenetic mechanisms. This study explores the intricate relationship between the location of gliomas and their classification according to the 2021 WHO guidelines, aiming to unravel the spatial and genetic nuances that define glioma heterogeneity. METHOD In this study, preoperative anatomical MRI data from 242 glioma patients were meticulously analyzed to elucidate spatial distribution patterns in relation to tumor genetics. The imaging data underwent registration to the MNI-152 standard brain space, facilitating uniform analysis. Subsequent tumor segmentation and division of the brain into 84 distinct subregions allowed for a detailed examination of tumor locations. A statistical analysis was conducted to explore the stereospecific frequency of glioma occurrence across these subregions, correlating findings with tumor grade and pivotal genetic markers, including MGMT promoter methylation, IDH1 mutation, 1p/19q co-deletion, and CDKN2A/B homozygous deletion. RESULTS We developed 21 distinct tumor frequency atlases based on subtypes (Glioblastoma, Oligodendroglioma, Astrocytoma), biomarker status (IDH, 1p19q, MGMT, CDKN2A/B), and grade (2, 3, 4). Employing probability vectors for statistical analysis revealed a significant correlation among different subtypes, locations and overall survival. Furthermore, we used a Visualization tool to build a 3D heatmap for each tumor subtype, more intuitively illustrating spatial correlations. CONCLUSION Our study underscores the prognostic value of tumor location and its correlation with glioma subtypes and patient outcomes, suggesting a potential pathway to personalized treatments. Future efforts will focus on incorporating multi-omics data into spatial radiographic analyses.