Evidence map›Paper›PMID 25013784›Full record

ArticleBioMed research international2014

Intraoperative cerebral glioma characterization with contrast enhanced ultrasound.

Francesco Prada, Luca Mattei, Massimiliano Del Bene, Luca Aiani, Marco Saini, Cecilia Casali, Assunta Filippini, Federico Giuseppe Legnani, Alessandro Perin, Andrea Saladino and 4 more

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 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing 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

43 citing papers in PubMed.

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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

14 authors.

Francesco PradaDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy.ORCID 0000-0003-0653-9317
Luca MatteiDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy ; Università degli Studi di Milano, 20122 Milan, Italy.
Massimiliano Del BeneDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy.ORCID 0000-0002-6672-9721
Luca AianiDepartment of Radiology, Ospedale Valduce, 22100 Como, Italy.
Marco SainiDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy.
Cecilia CasaliDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy.
Assunta FilippiniDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy ; Università degli Studi di Milano, 20122 Milan, Italy.
Federico Giuseppe LegnaniDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy.
Alessandro PerinDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy.
Andrea SaladinoDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy.ORCID 0000-0002-6439-6556
Ignazio Gaspare VetranoDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy ; Università degli Studi di Milano, 20122 Milan, Italy.
Luigi SolbiatiDepartment of Radiology, Ospedale di Circolo, 21052 Busto Arsizio, Italy.ORCID 0000-0002-3109-1449
Alberto MarteganiDepartment of Radiology, Ospedale Valduce, 22100 Como, Italy.
Francesco DiMecoDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", 20133 Milan, Italy ; Department of Neurosurgery, Johns Hopkins Medical School, Baltimore, MD 21218, USA.ORCID 0000-0001-6213-5793

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContrast enhanced ultrasound (CEUS) is a dynamic and continuous modality providing real-time view of vascularization and flow distribution patterns of different organs and tumors. Nevertheless its intraoperative use for brain tumors visualization has been performed few times, and a thorough characterization of cerebral glioma had never been performed before.

aimTo perform the first characterization of cerebral glioma using CEUS and to possibly achieve an intraoperative differentiation of different gliomas.

methodsWe performed CEUS in an off-label setting in 69 patients undergoing surgery for cerebral glioma. An intraoperative qualitative analysis was performed comparing iCEUS with B-mode imaging. A postprocedural semiquantitative analysis was then performed for each case, according to EFSUMB criteria. Results were related to histopathology.

resultsWe observed different CE patterns: LGG show a mild, dotted CE with diffuse appearance and slower, delayed arterial and venous phase. HGG have a high CE with a more nodular, nonhomogeneous appearance and fast perfusion patterns.

conclusionOur study characterizes for the first time human brain glioma with CEUS, providing further insight regarding these tumors' biology. CEUS is a fast, safe, dynamic, real-time, and economic tool that might be helpful during surgery in differentiating malignant and benign gliomas and refining surgical strategy.

Indexed as

AdultAgedBrain NeoplasmsChildContrast MediaFemaleGliomaHumansImage EnhancementMaleMiddle AgedMonitoring, IntraoperativeNeovascularization, PathologicUltrasonographyYoung AdultContrast Media

Identifiers

PMID25013784
PMCPMC4075093

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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.