Evidence map›Paper›PMID 21918916›Full record

ArticleEuropean radiology2012

Discrimination of paediatric brain tumours using apparent diffusion coefficient histograms.

Jonathan G Bull, Dawn E Saunders, Christopher A Clark

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Article in European radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

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57citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

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2 · The registry

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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.

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3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  6. Fusion of habitat analysis and deep learning on contrast-enhanced T1-weighted imaging for predicting Ki-67 status in pediatric brain tumors.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
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  10. Posterior fossa tumors in children: current insights.European journal of pediatrics · 2023
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Jonathan G BullImaging and Biophysics Unit, UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.
Dawn E Saunders
Christopher A Clark

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if histograms of apparent diffusion coefficients (ADC) can be used to differentiate paediatric brain tumours.

methodsImaging of histologically confirmed tumours with pre-operative ADC maps were reviewed (54 cases, 32 male, mean age 6.1 years; range 0.1-15.8 years) comprising 6 groups. Whole tumour ADC histograms were calculated; normalised for volume. Stepwise logistic regression analysis was used to differentiate tumour types using histogram metrics, initially for all groups and then for specific subsets.

resultsAll 6 groups (5 dysembryoplastic neuroectodermal tumours, 22 primitive neuroectodermal tumours (PNET), 5 ependymomas, 7 choroid plexus papillomas, 4 atypical teratoid rhabdoid tumours (ATRT) and 9 juvenile pilocytic astrocytomas (JPA)) were compared. 74% (40/54) were correctly classified using logistic regression of ADC histogram parameters. In the analysis of posterior fossa tumours, 80% of ependymomas, 100% of astrocytomas and 94% of PNET-medulloblastoma were classified correctly. All PNETs were discriminated from ATRTs (22 PNET and 4 supratentorial ATRTs) (100%).

conclusionsADC histograms are useful in differentiating paediatric brain tumours, in particular, the common posterior fossa tumours of childhood. PNETs were differentiated from supratentorial ATRTs, in all cases, which has important implications in terms of clinical management. Key Points • MR based apparent diffusion coefficient histograms can help differentiate paediatric brain tumours • ADC histogram parameters correctly classified the great majority of posterior fossa tumours.

Indexed as

AdolescentAstrocytomaBrain NeoplasmsChildChild, PreschoolDiffusionDiffusion Magnetic Resonance ImagingEpendymomaFemaleHumansImage Processing, Computer-AssistedInfantInfant, NewbornMaleMedical OncologyMedulloblastoma

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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.