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Table 1 Simpson grading for Meningioma

From: Treatment of patients with atypical meningiomas Simpson grade 4 and 5 with a carbon ion boost in combination with postoperative photon radiotherapy: The MARCIE Trial

Radical

Stage 1

complete excision, including dura and bone

Stage 2

complete excision + supposed reliable coagulation of dural attachment.

Non-radical

Stage 3

complete excision but insufficient dural coagulation or bone excision (non visible on MR, according to surgeon's opinion)

Stage 4

incomplete excision, macroscopic rest visible (on MRI)

Stage 5

biopsy only (visible on MRI)