Evidence map›Paper›PMID 24305721›Full record

ArticleNeuro-oncology2014

Challenges for the functional diffusion map in pediatric brain tumors.

Matthew Grech-Sollars, Dawn E Saunders, Kim P Phipps, Ramneek Kaur, Simon M L Paine, Thomas S Jacques, Jonathan D Clayden, Chris A Clark

Abstract read
In one paragraph

Article in Neuro-oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

8 authors.

Matthew Grech-SollarsImaging and Biophysics Unit, UCL Institute of Child Health, University College London, London, UK (M.G-S., J.D.C., C.A.C.); Department of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK (D.E.S.); Department of Neuro-oncology, Great Ormond Street Hospital for Children NHS Foundation Trust, London UK (K.P.P.); Neural Development Unit, Birth Defects Research Centre, UCL Institute of Child Health, University College London, London, UK (S.M.L.P., T.S.J.); Department of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK (S.M.L.P., T.S.J.).
Dawn E Saunders
Kim P Phipps
Ramneek Kaur
Simon M L Paine
Thomas S Jacques
Jonathan D Clayden
Chris A Clark

Funding

Cancer Research UK 10342Cancer Research UK C7809/A10342Medical Research Council G1002276
6 · The paper itself

Abstract

backgroundThe functional diffusion map (fDM) has been suggested as a tool for early detection of tumor treatment efficacy. We aim to study 3 factors that could act as potential confounders in the fDM: areas of necrosis, tumor grade, and change in tumor size.

methodsThirty-four pediatric patients with brain tumors were enrolled in a retrospective study, approved by the local ethics committee, to examine the fDM. Tumors were selected to encompass a range of types and grades. A qualitative analysis was carried out to compare how fDM findings may be affected by each of the 3 confounders by comparing fDM findings to clinical image reports.

resultsResults show that the fDM in areas of necrosis do not discriminate between treatment response and tumor progression. Furthermore, tumor grade alters the behavior of the fDM: a decrease in apparent diffusion coefficient (ADC) is a sign of tumor progression in high-grade tumors and treatment response in low-grade tumors. Our results also suggest using only tumor area overlap between the 2 time points analyzed for the fDM in tumors of varying size.

conclusionsInterpretation of fDM results needs to take into account the underlying biology of both tumor and healthy tissue. Careful interpretation of the results is required with due consideration to areas of necrosis, tumor grade, and change in tumor size.

Indexed as

Diffusion Magnetic Resonance ImagingAdolescentAstrocytomaBrain NeoplasmsChildChild, PreschoolFemaleGlioblastomaHumansInfantMaleapparent diffusion coefficientchildhood tumorsdiffusion-weighted magnetic resonance imagingfunctional diffusion mapparametric response map

Identifiers

PMID24305721
PMCPMC3922510

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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.