Evidence map›Paper›PMID 17954616›Full record

ArticleRadiology2007

Blood vessel morphologic changes depicted with MR angiography during treatment of brain metastases: a feasibility study.

Elizabeth Bullitt, Nancy U Lin, J Keith Smith, Donglin Zeng, Eric P Winer, Lisa A Carey, Weili Lin, Matthew G Ewend

Open access · greenAbstract read
In one paragraph

Article in Radiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
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  5. Detecting vascular normalization in epithelial ovarian cancer.Medical oncology (Northwood, London, England) · 2025
    Review
  6. Article
  7. Novel Radiomic Measurements of Tumor-Associated Vasculature Morphology on Clinical Imaging as a Biomarker of Treatment Response in Multiple Cancers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Article
  8. Review
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  15. CNS metastases in breast cancer: old challenge, new frontiers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Treatment of Breast Cancer Brain Metastases.Current breast cancer reports · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Elizabeth BullittComputer Assisted Surgery and Imaging Laboratory, University of North Carolina, 247 Wing E, CB 7062, Chapel Hill, NC 27599, USA. bullitt@med.unc.edu
Nancy U Lin
J Keith Smith
Donglin Zeng
Eric P Winer
Lisa A Carey
Weili Lin
Matthew G Ewend
Harvard University · USSegeberger Kliniken · DEUniversity of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KATHERINE A. HOADLEY · 1992 to 2026
$59.3M
Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JOY, MELANIE S · 1985 to 2008
$38.5M
Variation in Receptor Tyrosine Kinases and Breast Cancer RiskP50CA089393 · NCI · DANA-FARBER CANCER INSTITUTE · PI HARRIS, LYNDSAY NORINE · 2000 to 2009
$28.8M
Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
SPORE IN BREAST CANCERP50CA058185 · NCI · GEORGETOWN UNIVERSITY · PI DICKSON, ROBERT B. · 1992 to 2004
$4.0M
3D Cerebral Vessel Location for Surgical PlanningR01EB000219 · NIBIB · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULLITT, ELIZABETH · 2002 to 2008
$3.0M
NCI NIH HHS P30 CA016086NCI NIH HHS P30CA16086-29S1NCI NIH HHS P30CA58223NCI NIH HHS P50 CA058185NCI NIH HHS P50 CA058223NCI NIH HHS P50 CA089393NCI NIH HHS P50CA089393-05S1NCI NIH HHS P50CA58185-AV-55P2NCI NIH HHS P50CA89393-AV-55PNCI NIH HHS T32 CA009172NCRR NIH HHS M01 RR000046NCRR NIH HHS M01RR00046NIBIB NIH HHS R01 EB000219NIBIB NIH HHS R01EB000219
6 · The paper itself

Abstract

purposeTo prospectively determine if magnetic resonance (MR) angiography can depict intracranial vascular morphologic changes during treatment of brain metastases from breast cancer and if serial quantitative vessel tortuosity measurements can be used to predict tumor treatment response sooner than traditional methods. MATERIALS AND

methodsInstitutional review board approval and informed consent were obtained for this HIPAA-compliant study. Twenty-two women aged 31-61 years underwent brain MR angiography prior to and 2 months after initiation of lapatinib therapy for brain metastases from breast cancer. Vessels were extracted from MR angiograms with a computer program. Changes in vessel number, radius, and tortuosity were calculated mathematically, normalized with values obtained in 34 healthy control subjects (19 women, 15 men; age range, 19-72 years), and compared with subsequent assessments of tumor volume and clinical course.

resultsAll patients exhibited abnormal vessel tortuosity at baseline. Nineteen (86%) patients did not exhibit improvement in vessel tortuosity at 2-month follow-up, and all patients demonstrated tumor growth at 4-month follow-up. Vessel tortuosity measurements enabled us to correctly predict treatment failure 1-2 months earlier than did traditional methods. Three (14%) patients had quantitative improvement in vessel tortuosity at 2-month follow-up, with drop out of small abnormal vessels and straightening of large vessels. Each of the two patients for whom further follow-up data were available responded to treatment for more than 6 months.

conclusionStudy results established the feasibility of using MR angiography to quantify vessel shape changes during therapy. Although further research is required, results suggest that changes in vessel tortuosity might enable early prediction of tumor treatment response.

Indexed as

Magnetic Resonance AngiographyAdultAgedBrain NeoplasmsBreast NeoplasmsFeasibility StudiesFemaleHumansMaleMiddle AgedProspective Studies

Identifiers

PMID17954616
PMCPMC2615672
OpenAlexW2014186757

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.