Evidence map›Paper›PMID 19365694›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2009

Staging anal cancer: prospective comparison of transanal endoscopic ultrasound and magnetic resonance imaging.

S D Otto, L Lee, H J Buhr, B Frericks, S Höcht, A J Kroesen

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Recent Advances in the Management of Anal Cancer.Healthcare (Basel, Switzerland) · 2023
    Review
  2. Value of PET imaging for radiation therapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Review
  3. Review
  4. Article
  5. Prognostic role of ultrasonography staging in patients with anal cancer.World journal of gastrointestinal oncology · 2020
    Article
  6. Rectal Endoscopic Ultrasound in Clinical Practice.Current gastroenterology reports · 2019
    Review
  7. Review
  8. Review
  9. [Primary treatment of anal cancer].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018
    Article
  10. Review
  11. Diagnosis and Diagnostic Imaging of Anal Canal Cancer.Surgical oncology clinics of North America · 2017
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Anal cancer - a review.International journal of health sciences · 2012
    Article
  17. Review
  18. Anorectal Cancer: Critical Anatomic and Staging Distinctions That Affect Use of Radiation Therapy.Radiographics : a review publication of the Radiological Society of North America, Inc
    Review
  19. Review
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

6 authors.

S D OttoCampus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Germany. s.otto@charite.de
L Lee
H J Buhr
B Frericks
S Höcht
A J Kroesen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe staging of anal cancer is extremely important for therapy and prognosis. Transanal endoscopic ultrasound and magnetic resonance imaging are routinely applied. The aim of this prospective comparative study is to evaluate whether tumor staging is concordant between these techniques.

methodsForty-five anal cancer patients underwent endoscopic ultrasound and magnetic resonance imaging. Histological confirmation was obtained in all patients. The two test methods were compared with the kappa concordance index and sensitivity for the initial method of tumor detection was calculated. For six patients who were operated upon because of tumor progression, the results were evaluated against the histological tumor stage.

resultsHigh concordance was found in the assessment of tumor size and nodal status (kappa index 0.63 and 0.77). Cancer patients were correctly identified with 100% sensitivity (45/45) by endoscopic ultrasound and with 88.9% (40/45) sensitivity by magnetic resonance imaging. In the six operated patients, T stage was correctly assessed in four of six patients by endoscopic ultrasound and in three of six patients by magnetic resonance imaging.

conclusionThe results of endoscopic ultrasound strongly coincide with those of magnetic resonance imaging. Endoscopic ultrasound may be superior to magnetic resonance imaging for detection of small superficial tumors. However, magnetic resonance imaging is needed for N staging.

Indexed as

EndosonographyMagnetic Resonance ImagingAdenocarcinomaAdultAgedAged, 80 and overAnus NeoplasmsBiopsy, NeedleCarcinoma, Squamous CellCohort StudiesFemaleHumansImmunohistochemistryMaleMiddle AgedNeoplasm Invasiveness

Identifiers

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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.