Evidence map›Paper›PMID 24337497›Full record

ArticleActa neuropathologica2014

Embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma, and medulloepithelioma share molecular similarity and comprise a single clinicopathological entity.

Andrey Korshunov, Dominik Sturm, Marina Ryzhova, Volker Hovestadt, Marco Gessi, David T W Jones, Marc Remke, Paul Northcott, Arie Perry, Daniel Picard and 18 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Acta neuropathologica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04794686 (ETMR One), which is not on this map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 1% 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.

NCT04794686 recruitingnot on this mapstarted 2020, after this paper: background citation

ETMR One: An International Registry and Research Platform for Children With Embryonal Tumor With Multilayer Rosettes

Typeobservational_patient_registrySponsorHackensack Meridian HealthRan2020 to 2030Enrolled100ConditionsEmbryonal Tumor With Multilayered Rosettes
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 238 citations in OpenAlex.

  1. Extracranial extra-CNS spread of embryonal tumor with multilayered rosettes (ETMR): case series and systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018
    Pooled it
  2. Orbital tumor inAmerican journal of ophthalmology case reports · 2026
    Article
  3. Timing of radiotherapy and autologous stem cell transplantation in embryonal tumor with multilayered rosettes: a critical narrative review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Review
  4. Recurrent C19MC-altered embryonal tumors with multilayered rosettes: outcomes of stereotactic radiosurgery.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Cancers · 2025
    Review
  15. Review
  16. Genetic mutation and immune infiltration in embryonal tumor with multilayered rosettes.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  17. Article
  18. Spinal Cord Medulloepithelioma in a Cat.Veterinary sciences · 2024
    Article
  19. [Pediatric brain tumors].Pathologie (Heidelberg, Germany) · 2023
    Review
  20. Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 18 institutions in 9 countries.

Andrey KorshunovClinical Cooperation Unit Neuropathology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Dominik Sturm
Marina Ryzhova
Volker Hovestadt
Marco Gessi
David T W Jones
Marc Remke
Paul Northcott
Arie Perry
Daniel Picard
Marc Rosenblum
Manila Antonelli
Eleonora Aronica
Ulrich Schüller
Martin Hasselblatt
Adelheid Woehrer
Olga Zheludkova
Ella Kumirova
Stephanie Puget
Michael D Taylor
Felice Giangaspero
V Peter Collins
Andreas von Deimling
Peter Lichter
Annie Huang
Torsten Pietsch
Stefan M Pfister
Marcel Kool
German Cancer Research Center · DEDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology · RUHeidelberg University · DESapienza University of Rome · ITSickKids Foundation · CAUniversity of Bonn · DEAcademic Medical Center · NLBurdenko Neurosurgery Institute · RUHospital for Sick Children · CALudwig-Maximilians-Universität München · DEMedical University of Vienna · ATMemorial Sloan Kettering Cancer Center · USSorbonne Paris Cité · FRUniversity Hospital Heidelberg · DEUniversity Hospital Münster · DEUniversity of California, San Francisco · USUniversity of Cambridge · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Three histological variants are known within the family of embryonal rosette-forming neuroepithelial brain tumors. These include embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma (EBL), and medulloepithelioma (MEPL). In this study, we performed a comprehensive clinical, pathological, and molecular analysis of 97 cases of these rare brain neoplasms, including genome-wide DNA methylation and copy number profiling of 41 tumors. We identified uniform molecular signatures in all tumors irrespective of histological patterns, indicating that ETANTR, EBL, and MEPL comprise a single biological entity. As such, future WHO classification schemes should consider lumping these variants into a single diagnostic category, such as embryonal tumor with multilayered rosettes (ETMR). We recommend combined LIN28A immunohistochemistry and FISH analysis of the 19q13.42 locus for molecular diagnosis of this tumor category. Recognition of this distinct pediatric brain tumor entity based on the fact that the three histological variants are molecularly and clinically uniform will help to distinguish ETMR from other embryonal CNS tumors and to better understand the biology of these highly aggressive and therapy-resistant pediatric CNS malignancies, possibly leading to alternate treatment strategies.

Indexed as

Brain NeoplasmsChildChild, PreschoolChromosomes, Human, Pair 19Diagnosis, DifferentialDNA Copy Number VariationsDNA MethylationFemaleGenetic LociHumansImmunohistochemistryInfantIn Situ Hybridization, FluorescenceMaleNeoplasm Recurrence, LocalNeoplasms, Germ Cell and Embryonal

Identifiers

PMID24337497
PMCPMC4102829
OpenAlexW2150770815

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.