Evidence map›Paper›PMID 26705318›Full record

ArticleAJNR. American journal of neuroradiology2016

Mitotic Activity in Glioblastoma Correlates with Estimated Extravascular Extracellular Space Derived from Dynamic Contrast-Enhanced MR Imaging.

S J Mills, D du Plessis, P Pal, G Thompson, G Buonacorrsi, C Soh, G J M Parker, A Jackson

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

8 authors.

S J MillsFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.) Imaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK. Samantha.Mills@thewaltoncentre.nhs.uk.ORCID 0000-0002-1017-6654
D du PlessisNeuropathology (D.d.P., P.P.), Salford National Health Service Foundation Trust, Salford, UK.ORCID 0000-0002-3703-0903
P PalNeuropathology (D.d.P., P.P.), Salford National Health Service Foundation Trust, Salford, UK.ORCID 0000-0002-7258-4848
G ThompsonFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.) Imaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.ORCID 0000-0003-1722-2235
G BuonacorrsiImaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.ORCID 0000-0003-2431-6563
C SohFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.).ORCID 0000-0003-3339-1952
G J M ParkerImaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.ORCID 0000-0003-2934-2234
A JacksonFrom the Departments of Neuroradiology (S.J.M., G.T., C.S., A.J.) Imaging Science and Biomedical Engineering (S.J.M., G.T., G.B., G.J.M.P., A.J.), University of Manchester, Manchester, UK.ORCID 0000-0002-1623-0383

Funding

Cancer Research UK 16465Cancer Research UK 18097Cancer Research UK A7473
6 · The paper itself

Abstract

background and purposeA number of parameters derived from dynamic contrast-enhanced MR imaging and separate histologic features have been identified as potential prognosticators in high-grade glioma. This study evaluated the relationships between dynamic contrast-enhanced MRI-derived parameters and histologic features in glioblastoma multiforme. MATERIALS AND

methodsTwenty-eight patients with newly presenting glioblastoma multiforme underwent preoperative imaging (conventional imaging and T1 dynamic contrast-enhanced MRI). Parametric maps of the initial area under the contrast agent concentration curve, contrast transfer coefficient, estimate of volume of the extravascular extracellular space, and estimate of blood plasma volume were generated, and the enhancing fraction was calculated. Surgical specimens were used to assess subtype and were graded (World Health Organization classification system) and were assessed for necrosis, cell density, cellular atypia, mitotic activity, and overall vascularity scores. Quantitative assessment of endothelial surface area, vascular surface area, and a vascular profile count were made by using CD34 immunostaining. The relationships between MR imaging parameters and histopathologic features were examined.

resultsHigh values of contrast transfer coefficient were associated with the presence of frank necrosis (P = .005). High values of the estimate of volume of the extravascular extracellular space were associated with a fibrillary histologic pattern (P < .01) and with increased mitotic activity (P < .05). No relationship was found between mitotic activity and histologic pattern, suggesting that the correlation between the estimate of volume of the extravascular extracellular space and mitotic activity was independent of the histologic pattern.

conclusionsA correlation between the estimate of volume of the extravascular extracellular space and mitotic activity is reported. Further work is warranted to establish how dynamic contrast-enhanced MRI parameters relate to more quantitative histologic measurements, including markers of proliferation and measures of vascular endothelial growth factor expression.

Indexed as

AdultBrain NeoplasmsContrast MediaExtracellular SpaceFemaleGlioblastomaHumansMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingYoung AdultContrast Media

Identifiers

PMID26705318
PMCPMC4817231

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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.