Evidence map›Paper›PMID 26916251›Full record

ArticleAcademic radiology2016

Comparison of Diffusion Tensor Imaging and Magnetic Resonance Perfusion Imaging in Differentiating Recurrent Brain Neoplasm From Radiation Necrosis.

William R Masch, Page I Wang, Thomas L Chenevert, Larry Junck, Christina Tsien, Jason A Heth, Pia C Sundgren

Open access · greenAbstract readComparative Study
In one paragraph

Article in Academic radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 25 citations in OpenAlex.

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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

7 authors at 5 institutions in 2 countries.

William R MaschDepartment of Radiology, University of Michigan Health System, University of Michigan Medical Center, Room UH B1-D502, 1500 East Medical Center Drive, Ann Arbor, MI 48109. Electronic address: mascwill@med.umich.edu.
Page I WangAlta Vista Radiology, Paradise Valley, Arizona.
Thomas L ChenevertDepartment of Radiology-MRI, University of Michigan Health System, Ann Arbor, Michigan.
Larry JunckDepartment of Neurology, University of Michigan Health System, Ann Arbor, Michigan.
Christina TsienDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Jason A HethDepartment of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan.
Pia C SundgrenDepartment of Diagnostic Radiology, Clinical Sciences Lund, Lund University, Center for Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.
Michigan Medicine · USLund University · SEParadise Valley Community College · USUniversity of Michigan–Ann Arbor · USWashington University in St. Louis · US

Funding

QUANTITATION OF HUMAN BRAIN TUMOR THERAPY RESPONSE BY MRP01CA085878 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHENEVERT, THOMAS L · 2001 to 2017
$31.9M
NCI NIH HHS P01 CA-085878NCI NIH HHS P01 CA085878
6 · The paper itself

Abstract

RATIONALE AND

objectivesTo compare differences in diffusion tensor imaging (DTI) and dynamic susceptibility-weighted contrast-enhanced (DSC) magnetic resonance (MR) perfusion imaging characteristics of recurrent neoplasm and radiation necrosis in patients with brain tumors previously treated with radiotherapy with or without surgery and chemotherapy. MATERIALS AND

methodsPatients with a history of brain neoplasm previously treated with radiotherapy with or without chemotherapy and surgery who developed a new enhancing lesion on posttreatment surveillance MRI were enrolled. DSC perfusion MRI and DTI were performed. Region of interest cursors were manually drawn in the contrast-enhancing lesions, in the perilesional white matter edema, and in the contralateral normal-appearing frontal lobe white matter. DTI and DSC perfusion MR indices were compared in recurrent tumor versus radiation necrosis.

resultsTwenty-two patients with 24 lesions were included. Sixteen (67%) lesions were placed into the recurrent neoplasm group and eight (33%) lesions were placed into the radiation necrosis group using biopsy results as the gold standard in all but three patients. Mean apparent diffusion coefficient values, mean parallel eigenvalues, and mean perpendicular eigenvalues in the contrast-enhancing lesion were significantly lower, and relative cerebral blood volume was significantly higher for the recurrent neoplasm group compared to the radiation necrosis group (P < 0.01, P = 0.03, P < 0.01, and P < 0.01, respectively).

conclusionsThe combined assessment of DTI and DSC MR perfusion properties of new contrast-enhancing lesions is helpful in distinguishing recurrent neoplasm from radiation necrosis in patients with a history of brain neoplasm previously treated with radiotherapy with or without surgery and chemotherapy.

Indexed as

AdolescentAdultAgedBiopsyBrainBrain NeoplasmsCerebral Blood VolumeContrast MediaDiagnosis, DifferentialDiffusion Tensor ImagingFemaleFollow-Up StudiesFrontal LobeHumansMagnetic Resonance ImagingMaleContrast Mediabrain neoplasmbrain tumordiffusion tensor imagingMagnetic resonance perfusion imagingradiation necrosis

Identifiers

PMID26916251
PMCPMC4836992
OpenAlexW2277595520

What OpenQuestion holds

Textmetadata
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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.