Evidence map›Paper›PMID 26577289›Full record

ArticleThe British journal of radiology2016

MRI may be used as a prognostic indicator in patients with extra-abdominal desmoid tumours.

Firouzeh Kamali, Wei-Lien Wang, B A Guadagnolo, Patricia S Fox, Valerae O Lewis, Alexander J Lazar, Anthony P Conley, Vinod Ravi, Mohammad Toliyat, Harshad S Ladha and 2 more

Open access · greenAbstract read
In one paragraph

Article in The British journal of radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Desmoid-Type Fibromatosis-Clinical Study of an Uncommon Disease.Indian journal of surgical oncology · 2020
    Article
  11. Article
  12. Current Update on Desmoid Fibromatosis.Journal of computer assisted tomography
    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

12 authors at 2 institutions in 1 country.

Firouzeh Kamali1 Department of Diagnostic Radiology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Wei-Lien Wang3 Department of Pathology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
B A Guadagnolo4 Department of Radiation Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Patricia S Fox6 Departments of Biostatistics, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Valerae O Lewis7 Departments of Orthopedic Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Alexander J Lazar3 Department of Pathology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Anthony P Conley8 Departments of Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Vinod Ravi8 Departments of Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Mohammad Toliyat9 Department of Diagnostic Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Harshad S Ladha1 Department of Diagnostic Radiology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Brian P Hobbs5 Departments of Health Services Research, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Behrang Amini1 Department of Diagnostic Radiology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-4962-3466
The University of Texas MD Anderson Cancer Center · USThe University of Texas Southwestern Medical Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

objectiveTo determine the association of MRI features of extra-abdominal desmoid tumours (DTs) with prognosis.

methodsMRIs for 90 patients with DT were retrospectively reviewed for imaging features associated with biological behaviour. The primary end point was progression (for lesions managed with chemotherapy, radiation therapy and observation) or recurrence (following surgery). Time to event was studied using univariate and multivariable Cox proportional hazards regression models when accounting for demographic, clinicopathological and imaging variables. Kaplan-Meier plots were used to estimate event-free rate (EFR).

resultsUnivariate analysis revealed a significant relationship between EFR and treatment, location and compartment of origin [subcutaneous (SC), superficial fascial, intramuscular (IM) and deep fascial/intermuscular]. None of the imaging features commonly associated with biological behaviour of DTs (e.g., shape, enhancement, T2 signal etc.) or surgical margins (in surgical cases) was associated with EFR. Multivariate analysis showed that treatment modality and compartment of origin were independent predictors of EFR. Superficial and deep fascial lesions had a significantly worse EFR as a group [hazard ratio: 3.9; 95% confidence interval (CI): 1.83-8.32; p = 0.0004] than did the SC and IM lesions as a group. 5-year EFR for the fascial lesions was 18% (95% CI: 6-36%), compared with 57% (95% CI: 25-79%) for the SC and IM groups.

conclusionIntramuscular or SC DTs may be associated with improved prognosis. If validated on multireader and prospective studies, these results can provide for rapid risk stratification at the time of initial MRI. ADVANCES IN KNOWLEDGE: This work has shown that imaging features commonly associated with biological activity of desmoid tumours (e.g. shape, T2 signal and enhancement) do not appear to be associated with prognosis in patients undergoing a variety of treatment modalities. The compartment of origin of the lesion, which can be determined on pre-operative MRI, was shown to be associated with prognosis and can allow for risk stratification in patients with DTs.

Indexed as

AdolescentChildChild, PreschoolDesmoid TumorsDisease ProgressionFemaleHumansInfantMagnetic Resonance ImagingMaleNeoplasm Recurrence, LocalPrognosisRegistriesRetrospective Studies

Identifiers

PMID26577289
PMCPMC4985189
OpenAlexW2173051913

What OpenQuestion holds

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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.