Evidence map›Paper›PMID 21286939›Full record

Trial reportAnnals of surgical oncology2011

Antiangiogenic therapy for primary liver cancer: correlation of changes in dynamic contrast-enhanced magnetic resonance imaging with tissue hypoxia markers and clinical response.

Adam C Yopp, Lawrence H Schwartz, Nancy Kemeny, David H Gultekin, Mithat Gönen, Zubin Bamboat, Jinru Shia, Dana Haviland, Michael I D'Angelica, Yuman Fong and 3 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Annals of surgical oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
7.6field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 80 citations in OpenAlex.

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  15. DCE-MRI-Derived Volume Transfer Constant (KTechnology in cancer research & treatment · 2018
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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

13 authors at 2 institutions in 1 country.

Adam C YoppDepartment of Surgery, Division of Surgical Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Lawrence H Schwartz
Nancy Kemeny
David H Gultekin
Mithat Gönen
Zubin Bamboat
Jinru Shia
Dana Haviland
Michael I D'Angelica
Yuman Fong
Ronald P DeMatteo
Peter J Allen
William R Jarnagin
Memorial Sloan Kettering Cancer Center · USThe University of Texas Southwestern Medical Center · US

Funding

Hepatic Arterial Flouridine and IV Bevacizumab for Primary Hepatic MalignancyR21CA121553 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI JARNAGIN, WILLIAM ROBERT · 2007 to 2008
$624k
NCI NIH HHS R21 CA121553
6 · The paper itself

Abstract

backgroundThis study utilized the imaging data of primary liver cancer (PLC) treated with floxuridine (FUDR) and bevacizumab to test the hypothesis that dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) parameters correlate with tissue hypoxia markers and treatment outcome.

methodsSeventeen patients with PLC were treated with hepatic artery infusional (HAI) FUDR for 14 days followed by systemic bevacizumab therapy. DCE-MRI images were obtained at baseline and after HAI FUDR and bevacizumab therapy. The parameters (K(trans), AUC) pertaining to perfusion and vascular permeability of the tumor and adjacent liver parenchyma were measured with DCE-MRI. Tissue obtained at baseline was stained for hypoxia markers (anti-hypoxia inducible factor-1α, anti-carbonic anhydrase IX, and vascular endothelial growth factor). Changes in DCE-MRI parameters were correlated with tissue hypoxia and time to progression (TTP).

resultsThe median TTP was 8.8 months. Significant decreases in AUC90 (P = 0.004), AUC180 (P = 0.004), and K(trans) (P = 0.05) were noted in tumors after bevacizumab but not in nontumor areas. TTP correlated inversely with changes in AUC90 and AUC180 after bevacizumab (P = 0.002 and P = 0.0001). Reductions in tumor perfusion (AUC90 and AUC180) were greater in tumors expressing anti-hypoxia inducible factor-1α (P = 0.02 and 0.03), vascular endothelial growth factor (P = 0.01 and P = 0.01), and anti-carbonic anhydrase IX (P = 0.009 and P = 0.009).

conclusionsIn patients with PLC, bevacizumab induces a reduction in tumor perfusion measured by DCE-MRI. These changes correlate with TTP and tissue markers of tumor hypoxia.

Indexed as

Magnetic Resonance ImagingAgedAged, 80 and overAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedAntigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiomarkers, TumorCarbonic Anhydrase IXCarbonic AnhydrasesContrast MediaFemaleFloxuridineFollow-Up StudiesHumansAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedAntigens, NeoplasmBevacizumabBiomarkers, TumorCA9 protein, humanCarbonic Anhydrase IXCarbonic AnhydrasesContrast MediaFloxuridineHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID21286939
PMCPMC3137666
OpenAlexW2068283599

What OpenQuestion holds

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Registered trials

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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.