Evidence map›Paper›PMID 25752499›Full record

Trial reportMagnetic resonance in medicine2016

Assessment of lymphatic impairment and interstitial protein accumulation in patients with breast cancer treatment-related lymphedema using CEST MRI.

Manus J Donahue, Paula C M Donahue, Swati Rane, Christopher R Thompson, Megan K Strother, Allison O Scott, Seth A Smith

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Magnetic resonance in medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02611557 (Imaging Noninvasively With Functional-MRI for Onset, Response and Management of Lymphatic Impairment), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT02611557 nacompletednot on this map

Imaging Noninvasively With Functional-MRI for Onset, Response and Management of Lymphatic Impairment

TypeinterventionalSponsorVanderbilt UniversityRan2015 to 2019Enrolled90ConditionsLymphedema, Breast CancerArmsManual lymphatic drainage therapy
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Guideline
  2. JointTomography (Ann Arbor, Mich.) · 2024
    Article
  3. Article
  4. Article
  5. Biogenic Imaging Contrast Agents.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Review
  6. Review
  7. Review
  8. Under recognition and treatment of lymphedema in head and neck cancer survivors - a database study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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 at 2 institutions in 1 country.

Manus J DonahueDepartment of Radiology, Vanderbilt School of Medicine, Nashville, Tennessee.
Paula C M DonahuePhysical Medicine and Rehabilitation, Vanderbilt School of Medicine, Nashville, Tennessee.
Swati RaneDepartment of Radiology, Vanderbilt School of Medicine, Nashville, Tennessee.
Christopher R ThompsonVanderbilt University Institute of Imaging Science, Vanderbilt School of Medicine, Nashville, Tennessee.
Megan K StrotherDepartment of Radiology, Vanderbilt School of Medicine, Nashville, Tennessee.
Allison O ScottDepartment of Radiology, Vanderbilt School of Medicine, Nashville, Tennessee.
Seth A SmithDepartment of Radiology, Vanderbilt School of Medicine, Nashville, Tennessee.
Vanderbilt Health · USVanderbilt University · US

Funding

Quantification of Glymphatic Dysfunction in Patients with Alzheimer's Disease and Related DementiasR01NR015079 · NINR · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DONAHUE, MANUS J · 2014 to 2022
$3.9M
Microstructural Characterization of the Optic Nerve in Optic NeuritisR01EY023240 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SMITH, SETH A · 2014 to 2017
$1.0M
In Vivo Macromolecular and Protein-Based MRI in the Spinal Cord of MS PatientsR21NS087465 · NINDS · VANDERBILT UNIVERSITY · PI SMITH, SETH A · 2014 to 2015
$431k
NEI NIH HHS 1R01EY023240NEI NIH HHS R01 EY023240NINDS NIH HHS 1R21NS087465NINDS NIH HHS R21 NS087465NINR NIH HHS 1R01NR015079NINR NIH HHS R01 NR015079
6 · The paper itself

Abstract

purposeLymphatic impairment is known to reduce quality of life in some of the most crippling diseases of the 21st century, including obesity, lymphedema, and cancer. However, the lymphatics are not nearly as well-understood as other bodily systems, largely owing to a lack of sensitive imaging technologies that can be applied using standard clinical equipment. Here, proton exchange-weighted MRI is translated to the lymphatics in patients with breast cancer treatment-related lymphedema (BCRL).

methodsHealthy volunteers (N = 8) and BCRL patients (N = 7) were scanned at 3 Tesla using customized structural MRI and amide proton transfer (APT) chemical exchange saturation transfer (CEST) MRI in sequence with the hypothesis that APT effects would be elevated in lymphedematous tissue. APT contrast, lymphedema stage, symptomatology, and histology information were evaluated.

resultsNo significant difference between proton-weighted APT contrast in the right and left arms of healthy controls was observed. An increase in APT contrast in the affected arms of patients was found (P = 0.025; Cohen's d = 2.4), and variability among patients was consistent with documented damage to lymphatics as quantified by lymphedema stage.

conclusionAPT CEST MRI may have relevance for evaluating lymphatic impairment in patients with BCRL, and may extend to other pathologies where lymphatic compromise is evident.

Indexed as

AdultAgedBiomarkersBreast NeoplasmsFemaleHumansLymphedemaLymph NodesMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMiddle AgedMolecular ImagingProteinsReproducibility of ResultsSensitivity and SpecificityTreatment OutcomeBiomarkersProteinsAPTbreast cancerCESTlymphaticlymphedemaMRI

Identifiers

PMID25752499
PMCPMC4561605
OpenAlexW2122328170

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.