Evidence map›Paper›PMID 25493270›Full record

ArticleAnnals of clinical and translational neurology2014

Systemic chemotherapy decreases brain glucose metabolism.

Laura L Horky, Victor H Gerbaudo, Alexander Zaitsev, Wen Plesniak, Jon Hainer, Usha Govindarajulu, Ron Kikinis, Jörg Dietrich

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-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

14 citing papers in PubMed, 36 citations in OpenAlex.

  1. Innate [European journal of nuclear medicine and molecular imaging · 2025
    Trial
  2. Review
  3. Cancer treatment-related cognitive impairment.Neuro-oncology advances · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Chemotherapy-Mediated Neuronal Aberration.Pharmaceuticals (Basel, Switzerland) · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Mechanisms of Chemotherapy-Induced Peripheral Neuropathy.International journal of molecular sciences · 2019
    Review
  12. Article
  13. Article
  14. Global and regional brain glucose metabolism decline after systemic chemotherapy.European journal of nuclear medicine and molecular imaging · 2015
    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

8 authors at 3 institutions in 1 country.

Laura L HorkyDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School 75 Francis Street, Boston, Massachusetts, 02115.
Victor H GerbaudoDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School 75 Francis Street, Boston, Massachusetts, 02115.
Alexander ZaitsevDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School 75 Francis Street, Boston, Massachusetts, 02115.
Wen PlesniakDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School 75 Francis Street, Boston, Massachusetts, 02115.
Jon HainerDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School 75 Francis Street, Boston, Massachusetts, 02115.
Usha GovindarajuluDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School 75 Francis Street, Boston, Massachusetts, 02115.
Ron KikinisDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School 75 Francis Street, Boston, Massachusetts, 02115.
Jörg DietrichDivision of Neuro-Oncology, Department of Neurology, Massachusetts General Hospital Cancer Center and Center for Regenerative Medicine, Harvard Medical School 55 Fruit Street, Yawkey 9E, Boston, Massachusetts, 02114.
Harvard University · USBrigham and Women's Hospital · USCenter for Neuro-Oncology · US

Funding

Washington University ConsoritumU54EB005149 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI KIKINIS, RON · 2004 to 2013
$39.3M
WHITE MATTER ARCHITECTURE FROM DT-MRIP41RR013218 · NCRR · BRIGHAM AND WOMEN'S HOSPITAL · PI KIKINIS, RON · 1998 to 2011
$30.6M
Training and DisseminationP41EB015902 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI KIKINIS, RON, WESTIN, CARL-FREDRIK · 2012 to 2022
$20.9M
Image Guided Therapy Center - Ultrasound-based sensor system for the monitoring of COVID-19 patientsP41EB015898 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI TEMPANY, CLARE M · 2012 to 2021
$18.9M
Training Program in Nervous System TumorsK12CA090354 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PLOTKIN, SCOTT R · 2001 to 2025
$16.3M
NCI NIH HHS K12 CA090354NCRR NIH HHS P41 RR013218NIBIB NIH HHS P41 EB015898NIBIB NIH HHS P41 EB015902NIBIB NIH HHS U54 EB005149
6 · The paper itself

Abstract

objectiveCancer patients may experience neurologic adverse effects, such as alterations in neurocognitive function, as a consequence of chemotherapy. The mechanisms underlying such neurotoxic syndromes remain poorly understood. We here describe the temporal and regional effects of systemically administered platinum-based chemotherapy on glucose metabolism in the brain of cancer patients.

methodsUsing sequential FDG-PET/CT imaging prior to and after administration of chemotherapy, we retrospectively characterized the effects of intravenously administered chemotherapy on brain glucose metabolism in a total of 24 brain regions in a homogenous cohort of 10 patients with newly diagnosed non-small-cell lung cancer.

resultsSignificant alterations of glucose metabolism were found in response to chemotherapy in all gray matter structures, including cortical structures, deep nuclei, hippocampi, and cerebellum. Metabolic changes were also notable in frontotemporal white matter (WM) network systems, including the corpus callosum, subcortical, and periventricular WM tracts.

interpretationOur data demonstrate a decrease in glucose metabolism in both gray and white matter structures associated with chemotherapy. Among the affected regions are those relevant to the maintenance of brain plasticity and global neurologic function. This study potentially offers novel insights into the spatial and temporal effects of systemic chemotherapy on brain metabolism in cancer patients.

Identifiers

PMID25493270
PMCPMC4241806
OpenAlexW2164108332

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.