Evidence map›Paper›PMID 25006580›Full record

ArticleBioMed research international2014

Diffusion tensor histogram analysis of pediatric diffuse intrinsic pontine glioma.

Emilie A Steffen-Smith, Joelle E Sarlls, Carlo Pierpaoli, Joanna H Shih, Robyn S Bent, Lindsay Walker, Katherine E Warren

Abstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Correlation ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2017
    Article
  6. Article
  7. Article
  8. Article
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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

7 authors.

Emilie A Steffen-SmithPediatric Oncology Branch, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Building 10, Room 1-5750, 9000 Rockville Pike, Bethesda, MD 20892, USA.
Joelle E SarllsIn Vivo NMR Center, National Institute of Neurological Disorders and Stroke, National Institutes of the Health, Bethesda, MD 20892, USA.
Carlo PierpaoliProgram on Pediatric Imaging and Tissue Sciences, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA.
Joanna H ShihBiostatistics and Data Management Section, National Cancer Institute, Center for Cancer Research, National Institutes of the Health, Bethesda, MD 20892, USA.
Robyn S BentPediatric Oncology Branch, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Building 10, Room 1-5750, 9000 Rockville Pike, Bethesda, MD 20892, USA.
Lindsay WalkerProgram on Pediatric Imaging and Tissue Sciences, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA ; Center for Biomedical Engineering, School of Engineering, Brown University, Providence, RI 02912, USA.ORCID 0000-0001-6394-5050
Katherine E WarrenPediatric Oncology Branch, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Building 10, Room 1-5750, 9000 Rockville Pike, Bethesda, MD 20892, USA.

Funding

Noninvasive Evaluation of Pediatric CNS TumorsRAPNOZIABC011299 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WARREN, KATHERINE E · 2010 to 2019
$1.0M
Intramural NIH HHS
6 · The paper itself

Abstract

purposeTo evaluate tumor structure in children with diffuse intrinsic pontine glioma (DIPG) using histogram analyses of mean diffusivity (MD), determine potential treatment and corticosteroid-related effects on MD, and monitor changes in MD distributions over time. MATERIALS AND

methodsDTI was performed on a 1.5T GE scanner. Regions of interest included the entire FLAIR-defined tumor. MD data were used to calculate histograms. Patterns in MD distributions were evaluated and fitted using a two-normal mixture model. Treatment-related effects were evaluated using the R (2) statistic for linear mixed models and Cox proportional hazards models.

results12 patients with DIPG underwent one or more DTI exams. MD histogram distributions varied among patients. Over time, histogram peaks became shorter and broader (P = 0.0443). Two-normal mixture fitting revealed large lower curve proportions that were not associated with treatment response or outcome. Corticosteroid use affected MD histograms and was strongly associated with larger, sharper peaks (R(2) = 0.51, P = 0.0028).

conclusionsMD histograms of pediatric DIPG show significant interpatient and intratumoral differences and quantifiable changes in tumor structure over time. Corticosteroids greatly affected MD and must be considered a confounding factor when interpreting MD results in the context of treatment response.

Indexed as

Adrenal Cortex HormonesBrain Stem NeoplasmsChildChild, PreschoolDiffusion Tensor ImagingFemaleGliomaHumansMaleTime FactorsAdrenal Cortex Hormones

Identifiers

PMID25006580
PMCPMC4071985

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Registered trials

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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.