Evidence map›Paper›PMID 23657892›Full record

Trial reportRadiology2013

Solitary painful osseous metastases: correlation of imaging features with pain palliation after radiofrequency ablation--a multicenter american college of radiology imaging network study.

Jeffrey P Guenette, Michael J Lopez, Eunhee Kim, Damian E Dupuy

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-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

12 citing papers in PubMed, 37 citations in OpenAlex.

  1. Observational
  2. Review
  3. Ablation Techniques in Cancer Pain.Cancer treatment and research · 2021
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Interventional MSK procedures: the hip.The British journal of radiology · 2016
    Review
  9. Article
  10. Article
  11. [Expert consensus for thermal ablation of primary and metastatic lung tumors].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2014
    Article
  12. 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

4 authors at 2 institutions in 1 country.

Jeffrey P GuenetteWarren Alpert Medical School and Department of Biostatistics and Center for Statistical Sciences, Brown University, Providence, RI, USA.
Michael J Lopez
Eunhee Kim
Damian E Dupuy
Brown University · USRhode Island Hospital · US

Funding

ARRA - ADOPT New Technologies for RDC/CDMSU01CA080098 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI SCHNALL, MITCHELL D. · 1999 to 2011
$182.7M
BIOSTATISTICS DATA MANAGEMENT CENTER FOR ACROINU01CA079778 · NCI · BROWN UNIVERSITY · PI GATSONIS, CONSTANTINE A. · 1999 to 2011
$48.6M
Advancing the Culture of PhD Learning & Scholarship in Biology & Health SciencesR25GM083270 · NIGMS · BROWN UNIVERSITY · PI CAMPBELL, ANDREW G., HARRINGTON, ELIZABETH O · 2008 to 2021
$7.5M
NCI NIH HHS U01 CA079778NCI NIH HHS U01 CA080098NIGMS NIH HHS R25 GM083270NIGMS NIH HHS T R25GM083270
6 · The paper itself

Abstract

purposeTo identify the correlation of pre- and postablation imaging features with pain relief, pain intensity, and patient mood after radiofrequency (RF) ablation of solitary painful osseous metastases. MATERIALS AND

methodsThis prospective, multicenter group trial was approved by each institutional review board. Participants were enrolled between November 1, 2001, and April 6, 2006. Written informed consent was obtained from all subjects, and patient confidentiality protocols were followed in compliance with HIPAA. Computed tomography (CT)-guided RF ablation and contrast material-enhanced 1-month follow-up CT and/or magnetic resonance imaging were performed in 49 subjects (24 men, 25 women; age range, 34-83 years) with a confirmed malignant solitary bone lesion of maximum dimension of 8 cm or smaller that was causing intractable pain. Pain intensity and patient mood were measured before and after RF ablation. Tumor imaging features were recorded. Unadjusted and adjusted linear mixed-effects models, with a random intercept for each subject, were used to model patient mood, pain relief, and pain intensity scores at three times after ablation as a function of each tumor characteristic.

resultsDecreased postablation tumor pain correlated with preablation tumor volume (P = .02) and pathologic fracture (P = .01), while pain relief correlated with pathologic fracture (P = .03) and percentage of bone-tumor interface (BTI) ablated (P = .02). Conversely, presence of an irregular rim after ablation (P = .02) and rim thickness (P = .01) correlated with increased pain. There was no evidence in this study that RF ablation of larger tumor percentage or larger volume leads to better pain relief or decreased pain (P > .05).

conclusionExisting pathologic fracture and smaller tumor size appear to be predictive parameters of success when selecting patients for palliative RF ablation of painful solitary osseous metastases. Successful palliation also appears to be related to the percentage of BTI ablated.

Indexed as

AdultAgedAged, 80 and overBone NeoplasmsCatheter AblationCausalityComorbidityFemaleHumansMaleMiddle AgedPainPalliative CarePrevalenceRisk FactorsStatistics as Topic

Identifiers

PMID23657892
PMCPMC3750418
OpenAlexW2042087049

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.