Evidence map›Paper›PMID 23954320›Full record

Trial reportMagnetic resonance imaging2013

Early assessment of breast cancer response to neoadjuvant chemotherapy by semi-quantitative analysis of high-temporal resolution DCE-MRI: preliminary results.

Richard G Abramson, Xia Li, Tamarya Lea Hoyt, Pei-Fang Su, Lori R Arlinghaus, Kevin J Wilson, Vandana G Abramson, A Bapsi Chakravarthy, Thomas E Yankeelov

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Magnetic resonance imaging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

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  18. Simultaneous measurement of TNMR in biomedicine · 2017
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  20. Bloch-SiegertTomography (Ann Arbor, Mich.) · 2016
    Article
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

9 authors at 2 institutions in 2 countries.

Richard G AbramsonDepartment of Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN; Institute of Imaging Science, Vanderbilt University, Nashville, TN; Vanderbilt-Ingram Center, Vanderbilt University, Nashville, TN. Electronic address: richard.abramson@vanderbilt.edu.
Xia Li
Tamarya Lea Hoyt
Pei-Fang Su
Lori R Arlinghaus
Kevin J Wilson
Vandana G Abramson
A Bapsi Chakravarthy
Thomas E Yankeelov
Vanderbilt University · USNational Cheng Kung University · TW

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
Quantitative MRI for Predicting Response of Breast Cancer to Neoadjuvant TherapyU01CA142565 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KARCZMAR, GREGORY S., NANDA, RITA · 2010 to 2019
$4.5M
Evaluation of MRI Biomarkers of Breast Cancer ResponseR01CA129961 · NCI · VANDERBILT UNIVERSITY · PI YANKEELOV, THOMAS E · 2008 to 2011
$1.2M
NCI NIH HHS 1R01CA129961NCI NIH HHS 1U01CA142565NCI NIH HHS P30 CA068485NCI NIH HHS P30 CA68485NCI NIH HHS P50 CA098131NCI NIH HHS R01 CA129961NCI NIH HHS U01 CA142565PHS HHS 1P50 098131
6 · The paper itself

Abstract

purposeTo evaluate whether semi-quantitative analysis of high temporal resolution dynamic contrast-enhanced MRI (DCE-MRI) acquired early in treatment can predict the response of locally advanced breast cancer (LABC) to neoadjuvant chemotherapy (NAC). MATERIALS AND

methodsAs part of an IRB-approved prospective study, 21 patients with LABC provided informed consent and underwent high temporal resolution 3T DCE-MRI before and after 1cycle of NAC. Using measurements performed by two radiologists, the following parameters were extracted for lesions at both examinations: lesion size (short and long axes, in both early and late phases of enhancement), radiologist's subjective assessment of lesion enhancement, and percentages of voxels within the lesion demonstrating progressive, plateau, or washout kinetics. The latter data were calculated using two filters, one selecting for voxels enhancing ≥50% over baseline and one for voxels enhancing ≥100% over baseline. Pretreatment imaging parameters and parameter changes following cycle 1 of NAC were evaluated for their ability to discriminate patients with an eventual pathological complete response (pCR).

resultsAll 21 patients completed NAC followed by surgery, with 9 patients achieving a pCR. No pretreatment imaging parameters were predictive of pCR. However, change after cycle 1 of NAC in percentage of voxels demonstrating washout kinetics with a 100% enhancement filter discriminated patients with an eventual pCR with an area under the receiver operating characteristic curve (AUC) of 0.77. Changes in other parameters, including lesion size, did not predict pCR.

conclusionSemi-quantitative analysis of high temporal resolution DCE-MRI in patients with LABC can discriminate patients with an eventual pCR after one cycle of NAC.

Indexed as

Chemotherapy, AdjuvantMagnetic Resonance ImagingNeoadjuvant TherapyAdultArea Under CurveBreast NeoplasmsComputer GraphicsContrast MediaFemaleHumansMiddle AgedObserver VariationProspective StudiesTime FactorsTreatment OutcomeContrast MediaDCE-MRIEnhancement kineticsImaging biomarkersNeoadjuvant chemotherapyNeoadjuvant therapyOperable breast cancerPreoperative chemotherapyPrimary chemotherapyResponse assessment

Identifiers

PMID23954320
PMCPMC3807825
OpenAlexW2115791320

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.