Evidence map›Paper›PMID 25438810›Full record

ArticleCNS oncology2014

Diagnosis of pseudoprogression using MRI perfusion in patients with glioblastoma multiforme may predict improved survival.

Seymur Gahramanov, Csanad Varallyay, Rose Marie Tyson, Cynthia Lacy, Rongwei Fu, Joao Prola Netto, Morad Nasseri, Tricia White, Randy L Woltjer, Sakir Humayun Gultekin and 1 more

Abstract read
In one paragraph

Article in CNS oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

31 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  6. [Neuro-oncology practice · 2022
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  13. Synthesis, Characterization, andFrontiers in pharmacology · 2020
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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

11 authors at 2 institutions in 1 country.

Seymur GahramanovDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Csanad Varallyay
Rose Marie Tyson
Cynthia Lacy
Rongwei Fu
Joao Prola Netto
Morad Nasseri
Tricia White
Randy L Woltjer
Sakir Humayun Gultekin
Edward A Neuwelt
Oregon Health & Science University · USWayne State University · US

Funding

Two Compartment Models to Improve Brain Tumor TherapyR01CA137488 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2008 to 2019
$7.3M
Opening of the Blood Brain Barrier to Antitumor AgentsR37NS044687 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2002 to 2008
$3.5M
Opening of the blood-brain barrier to antitumor agentsR01NS044687 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2010 to 2014
$3.1M
Nanoparticle MR Imaging of BBB Inflammation at High Tesla in CNS TumorsR01NS053468 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2007 to 2011
$2.8M
Delivery issues in lung cancer CNS metastasesI01BX001354 · VA · PORTLAND VA MEDICAL CENTER · PI NEUWELT, EDWARD A. · 2012 to 2015
–
BLRD VA I01 BX001354CCR NIH HHS HHSN261200800001CNCI NIH HHS CA137488NCI NIH HHS HHSN261200800001ENCI NIH HHS R01 CA137488NINDS NIH HHS NS44687NINDS NIH HHS NS53468NINDS NIH HHS R01 NS044687NINDS NIH HHS R01 NS053468NINDS NIH HHS R37 NS044687
6 · The paper itself

Abstract

aimsThis retrospective study determined the survival of glioblastoma patients with or without pseudoprogression.

methodsA total of 68 patients were included. Overall survival was compared between patients showing pseudoprogression (in most cases diagnosed using perfusion MRI with ferumoxytol) and in patients without pseudoprogession. MGMT methylation status was also analyzed in the pseudoprogression cases.

resultsMedian survival in 24 (35.3%) patients with pseudoprogression was 34.7 months (95% CI: 20.3-54.1), and 13.4 months (95% CI: 11.1-19.5) in 44 (64.7%) patients without pseudoprogression (p < 0.0001). The longest survival was a median of 54.1 months in patients with combination of pseudoprogression and (MGMT) promoter methylation.

conclusionPseudoprogression is associated with better outcome, especially if concurring with MGMT promoter methylation. Patients never diagnosed with pseudoprogression had poor survival. This study emphasizes the importance of differentiating tumor progression and pseudoprogression using perfusion MRI.

Indexed as

Magnetic Resonance ImagingAdultAgedBrain NeoplasmsChemoradiotherapyDisease ProgressionDNA Modification MethylasesDNA Repair EnzymesFemaleGlioblastomaHumansKaplan-Meier EstimateMaleMiddle AgedPromoter Regions, GeneticRetrospective StudiesDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTumor Suppressor Proteinsferumoxytolglioblastomaperfusion MRIpseudoprogressiontemozolomide

Identifiers

PMID25438810
PMCPMC4590772
OpenAlexW2004458290

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.