Adult IDH-wildtype glioblastoma patients provided informed consent for study, with prospective cohort (n=44) and retrospective cohort (n=18) analyzed. Tissue processing included dissociation, cell culture, and drug screening via PCY method. Key steps involved cell seeding, drug testing, immunocytochemistry, confocal microscopy, and PCY score calculation. Genetic alterations were determined via targeted next-generation sequencing, and scRNA-seq was used for single-cell transcriptome analysis. Additional techniques included siRNA knockdown, DRUG-seq, calcium assays, electrophysiology, and in vivo drug testing in mice.