Evidence map›Paper›PMID 23861469›Full record

ArticleCancer research2013

EPR oxygen images predict tumor control by a 50% tumor control radiation dose.

Martyna Elas, Jessica M Magwood, Brandi Butler, Chanel Li, Rona Wardak, Rebekah DeVries, Eugene D Barth, Boris Epel, Samuel Rubinstein, Charles A Pelizzari and 2 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
  2. Computationally efficient 4D spectral-spatial EPR imaging.Journal of magnetic resonance (San Diego, Calif. : 1997) · 2025
    Article
  3. Accelerated EPR imaging using deep learning denoising.Magnetic resonance in medicine · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. The Challenges of OInternational journal of molecular sciences · 2022
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Small Animal IMRT Using 3D-Printed Compensators.International journal of radiation oncology, biology, physics · 2021
    Article
  14. Article
  15. Article
  16. Development of a PET/EPRI combined imaging system for assessing tumor hypoxia.Journal of instrumentation : an IOP and SISSA journal · 2021
    Article
  17. Article
  18. EPR Everywhere.Applied magnetic resonance · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
    DeVries, Rebekah [added]
5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Martyna ElasDepartments of Radiation and Cellular Oncology and Radiology, Pritzker School of Medicine, Chicago, Illinois, USA.
Jessica M Magwood
Brandi Butler
Chanel Li
Rona Wardak
Rebekah DeVries
Eugene D Barth
Boris Epel
Samuel Rubinstein
Charles A Pelizzari
Ralph R Weichselbaum
Howard J Halpern
Jagiellonian University · PLUniversity of Chicago · US

Funding

Very Low Frequency EPR Imaging in Vivo Phisiology P41 EB02034P41EB002034 · NIBIB · UNIVERSITY OF CHICAGO · PI HALPERN, HOWARD J · 2003 to 2017
$16.1M
Radiation Biology of EPR Oxygen ImagesR01CA098575 · NCI · UNIVERSITY OF CHICAGO · PI HALPERN, HOWARD J · 2003 to 2022
$4.5M
NCI NIH HHS R01 CA098575NCI NIH HHS R01-CA-98575NIBIB NIH HHS P41 EB002034NIBIB NIH HHS P41-EB-002034
6 · The paper itself

Abstract

Clinical trials to ameliorate hypoxia as a strategy to relieve the radiation resistance it causes have prompted a need to assay the precise extent and location of hypoxia in tumors. Electron paramagnetic resonance oxygen imaging (EPR O2 imaging) provides a noninvasive means to address this need. To obtain a preclinical proof-of-principle that EPR O2 images could predict radiation control, we treated mouse tumors at or near doses required to achieve 50% control (TCD50). Mice with FSa fibrosarcoma or MCa4 carcinoma were subjected to EPR O2 imaging and immediately radiated to a TCD50 or TCD50 ± 10 Gy. Statistical analysis was permitted by collection of approximately 1,300 tumor pO2 image voxels, including the fraction of tumor voxels with pO2 less than 10 mm Hg (HF10). Tumors were followed for 90 days (FSa) or 120 days (MCa4) to determine local control or failure. HF10 obtained from EPR images showed statistically significant differences between tumors that were controlled by the TCD50 and those that were not controlled for both FSa and MCa4. Kaplan-Meier analysis of both types of tumors showed that approximately 90% of mildly hypoxic tumors were controlled (HF10%< 10%), and only 37% (FSA) and 23% (MCa4) tumors controlled if hypoxic. EPR pO2 image voxel distributions in these approximately 0.5 mL tumors provide a prediction of radiation curability independent of radiation dose. These data confirm the significance of EPR pO2 hypoxic fractions. The 90% control of low HF10 tumors argue that 0.5 mL subvolumes of tumors may be more sensitive to radiation and may need less radiation for high tumor control rates. Cancer Res; 73(17); 5328-35. ©2013 AACR.

Indexed as

Electron Spin Resonance SpectroscopyAdenocarcinomaAnimalsFemaleFibrosarcomaHypoxiaImage Processing, Computer-AssistedMiceMice, Inbred C3HOxygenPrognosisRadiation ToleranceRadiotherapy DosageSurvival RateTumor Cells, CulturedOxygen

Identifiers

PMID23861469
PMCPMC3913470
OpenAlexW2041880997

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.