RT Conference Proceedings T1 From Regions to Manifolds: linking Radiomic Signatures with PCA and UMAP Brain Representations in Glioma A1 Jiménez-Mesa, Carmen A1 Wan, Yizhou A1 Sansone, Giulio A1 Gallego-Molina, Nicolás J. A1 Ortiz-García, Andrés A1 Vázquez-García, Cristóbal A1 Górriz-Sáez, Juan Manuel A1 Price, Stephen J. A1 Suckling, John A1 Mamalakis, Michail K1 Gliomas K1 Diagnóstico por imagen K1 Cirugía - Innovaciones tecnológicas AB Surgical resection is the standard treatment for glioma patients, yet postoperative outcomes remain highly variable. In this study, we investigated structural brain reorganisation following surgery using a multiscale imaging approach. We extracted five key radiomic features from T1-weighted MRI scans within 116 anatomical regions and the tumor area and applied Support Vector Machine classification to identify regions predictive of shorter- versus longer-term survival. To characterise global structural variability, both Principal Component Analysis (PCA) and Uniform Manifold Approximation and Projection (UMAP) were applied across patients to derive low-dimensional spatial representations. Region-based analysis highlighted peri-tumoral cortices, as well as subcortical and cerebellar structures, as most discriminative. At the global level, the application of Euclidean distance computed in the embedding spaces revealed more pronounced longitudinal changes in shorter-term survivors, whereas longer-term survivors exhibited comparatively more stable patterns over time. Overlaying radiomic regions on Euclidean distance maps from the PCA components indicated partial spatial correspondence, suggesting complementary information from local and global features. These results demonstrate the utility of combining regional radiomics with global manifold learning to characterise postoperative brain changes and their association with survival. This multiscale framework may inform future prognostic models and guide surgical and therapeutic strategies in glioma patients. YR 2026 FD 2026 LK https://hdl.handle.net/10630/46783 UL https://hdl.handle.net/10630/46783 LA eng DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 4 jun 2026