Evidence map›Paper›PMID 21430586›Full record

ArticleNeurosurgery2011

Colocalization of gadolinium-diethylene triamine pentaacetic acid with high-molecular-weight molecules after intracerebral convection-enhanced delivery in humans.

John H Sampson, Martin Brady, Raghu Raghavan, Ankit I Mehta, Allan H Friedman, David A Reardon, Neil A Petry, Daniel P Barboriak, Terence Z Wong, Michael R Zalutsky and 2 more

Abstract readCase Reports
In one paragraph

Article in Neurosurgery, 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
3.2field-weighted citation impact, top 8% 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, 71 citations in OpenAlex.

  1. Recurrent Glioblastoma Treated with Recombinant Poliovirus.The New England journal of medicine · 2018
    Trial
  2. Review
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  10. Personalized therapeutic delivery in the neurosurgical operating room.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  11. Review
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  13. Extracellular diffusion quantified by magnetic resonance imaging during rat C6 glioma cell progression.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2017
    Article
  14. Article
  15. Immunotoxin Therapy for Lung Cancer.Chinese medical journal · 2017
    Article
  16. Review
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  19. Article
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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

12 authors at 3 institutions in 1 country.

John H SampsonDivision of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA. john.sampson@duke.edu
Martin Brady
Raghu Raghavan
Ankit I Mehta
Allan H Friedman
David A Reardon
Neil A Petry
Daniel P Barboriak
Terence Z Wong
Michael R Zalutsky
Denise Lally-Goss
Darell D Bigner
Duke University · USDuke Medical Center · USDuke University Hospital · US

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
TUMOR SUPPRESSOR GENES IN HUMAN MEDULLOBLASTOMAP50NS020023 · NINDS · DUKE UNIVERSITY · PI ZALUTSKY, MICHAEL ROD · 1985 to 2013
$17.3M
BRAIN TUMORS: IMMUNOLOGICAL AND BIOLOGICAL STUDIESR37CA011898 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1988 to 2012
$8.1M
RADIOTHERAPY USING MONOCLONAL ANTIBODIES AND ASTATINER01CA042324 · NCI · DUKE UNIVERSITY · PI ZALUTSKY, MICHAEL ROD · 1985 to 2020
$4.6M
NINDS Research Education Programs for Residents and Fellows in NeurosurgeryR25NS065731 · NINDS · DUKE UNIVERSITY · PI FECCI, PETER, HASAN, DAVID M. · 2009 to 2023
$968k
NCI NIH HHS R01 CA042324NCI NIH HHS R37 CA011898NCRR NIH HHS 1 UL1 RR024128-01NCRR NIH HHS UL1 RR024128NINDS NIH HHS 1R25-NS065731-01NINDS NIH HHS P50 NS020023NINDS NIH HHS P50-NS020023NINDS NIH HHS R25 NS065731
6 · The paper itself

Abstract

backgroundConvection-enhanced delivery (CED) permits site-specific therapeutic drug delivery within interstitial spaces at increased dosages through circumvention of the blood-brain barrier. CED is currently limited by suboptimal methodologies for monitoring the delivery of therapeutic agents that would permit technical optimization and enhanced therapeutic efficacy.

objectiveTo determine whether a readily available small-molecule MRI contrast agent, gadolinium-diethylene triamine pentaacetic acid (Gd-DTPA), could effectively track the distribution of larger therapeutic agents.

methodsGd-DTPA was coinfused with the larger molecular tracer, I-labeled human serum albumin (I-HSA), during CED of an EGFRvIII-specific immunotoxin as part of treatment for a patient with glioblastoma.

resultsInfusion of both tracers was safe in this patient. Analysis of both Gd-DTPA and I-HSA during and after infusion revealed a high degree of anatomical and volumetric overlap.

conclusionGd-DTPA may be able to accurately demonstrate the anatomic and volumetric distribution of large molecules used for antitumor therapy with high resolution and in combination with fluid-attenuated inversion recovery (FLAIR) imaging, and provide additional information about leaks into cerebrospinal fluid spaces and resection cavities. Similar studies should be performed in additional patients to validate our findings and help refine the methodologies we used.

Indexed as

AlgorithmsAstrocytomaBrain NeoplasmsCombined Modality TherapyContrast MediaConvectionDose-Response Relationship, DrugDrug Delivery SystemsGadolinium DTPAHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedPositron-Emission TomographySerum Albumin, Radio-IodinatedContrast MediaGadolinium DTPASerum Albumin, Radio-Iodinated

Identifiers

PMID21430586
PMCPMC3154565
OpenAlexW2080576795

What OpenQuestion holds

Textmetadata
LicenceTDM
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.