Evidence map›Paper›PMID 25444304›Full record

ArticleOral oncology2015

Characteristics and kinetics of cervical lymph node regression after radiation therapy for human papillomavirus-associated oropharyngeal carcinoma: quantitative image analysis of post-radiotherapy response.

Chad Tang, Clifton D Fuller, Adam S Garden, Musaddiq J Awan, Rivka R Colen, William H Morrison, Steven J Frank, Beth M Beadle, Jack Phan, Erich M Sturgis and 4 more

Abstract read
In one paragraph

Article in Oral oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Tumour radiosensitivity is associated with immune activation in solid tumours.European journal of cancer (Oxford, England : 1990) · 2017
    Article
  9. 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

14 authors at 1 institution in 1 country.

Chad TangDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Clifton D FullerDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Adam S GardenDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Musaddiq J AwanDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rivka R ColenDepartments of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
William H MorrisonDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Steven J FrankDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Beth M BeadleDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jack PhanDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Erich M SturgisDepartments of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Mark E ZafereoDepartments of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Randal S WeberDepartments of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
David I RosenthalDepartments of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
G Brandon GunnDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: gbgunn@mdanderson.org.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Paul Calabresi Clinical Oncology AwardK12CA088084 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI David S. Hong, Scott Kopetz · 2000 to 2026
$14.0M
NCI NIH HHS K12 CA088084NCI NIH HHS K12 CA088084-14NCI NIH HHS L30 CA136381NCI NIH HHS L30 CA136381-02NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

background and purposeWe sought to characterize the pattern of lymph node regression and morphology following definitive radiation therapy (RT) for human papilloma virus (HPV)-associated oropharyngeal carcinoma in patients with disease control. MATERIALS AND

methodsRadiographically positive cervical lymph nodes from patients treated with definitive RT for HPV-associated oropharyngeal carcinoma were segmented on initial pre- and subsequent post-RT contrast enhanced CT images. Pre-specified quantitative nodal parameters were calculated. Initial nodal parameter correlates of final nodal size, final nodal volume, and time to <1 cm short-axis diameter were determined.

resultsSixty-six radiographically positive lymph node were analyzed in 36 patients. Lymph nodes exhibited initial volume decreases with size stabilization at ∼4 months. Fifteen nodes (23%) underwent complete radiographic response (median 6.4 months following RT; range 2.9-25.6 months). On multivariate time-to-event analysis, initial hypodense/fat component, nodal volume, and short-axis diameter exhibited inverse association, while higher HU standard deviation exhibited a positive association, with reaching <1 cm short-axis diameter (all p<0.05).

conclusionsOur results showed a substantial decrease in nodal volume within the first 1-2 months following RT. These findings support our current nodal imaging paradigm, propose a quantitative methodology, and describe a reference dataset for further validation and comparison studies.

Indexed as

AlphapapillomavirusFemaleHumansLymphatic MetastasisMaleOropharyngeal NeoplasmsTomography, X-Ray ComputedCervical lymph nodesHPVOropharynx cancerQuantitative methodologyRadiographic response

Identifiers

PMID25444304
PMCPMC4502963
OpenAlexW2164199899

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.