Evidence map›Paper›PMID 27033892›Full record

ArticleJournal of nuclear medicine : official publication, Society of Nuclear Medicine2016

Biomarkers for Radiation Pneumonitis Using Noninvasive Molecular Imaging.

Meetha Medhora, Steven Haworth, Yu Liu, Jayashree Narayanan, Feng Gao, Ming Zhao, Said Audi, Elizabeth R Jacobs, Brian L Fish, Anne V Clough

Open access · bronzeAbstract read
In one paragraph

Article in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Biomarkers to Predict Lethal Radiation Injury to the Rat Lung.International journal of molecular sciences · 2023
    Article
  5. Review
  6. Article
  7. Review
  8. In vivo molecular imaging stratifies rats with different susceptibilities to hyperoxic acute lung injury.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. EJNMMI research · 2019
    Article
  18. Guidelines for evaluating myocardial cell death.American journal of physiology. Heart and circulatory physiology · 2019
    Review
  19. Article
  20. 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

10 authors at 3 institutions in 1 country.

Meetha MedhoraDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin Research Service, Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin medhoram@mcw.edu.
Steven HaworthDepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin Research Service, Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin.
Yu LiuCenter for Imaging Research, Medical College of Wisconsin, Milwaukee, Wisconsin.
Jayashree NarayananDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Feng GaoDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Ming ZhaoDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Said AudiDepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin Research Service, Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin Department of Biomedical Engineering, Marquette University, Milwaukee, Wisconsin; and.
Elizabeth R JacobsDepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin Research Service, Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin.
Brian L FishDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Anne V CloughDepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin Research Service, Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin Department of Mathematics, Statistics and Computer Science, Marquette University, Milwaukee, Wisconsin.
Medical College of Wisconsin · USMilwaukee VA Medical Center · USNorthwestern University · US

Funding

Training and educationU19AI067734 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI MOULDER, JOHN E · 2005 to 2009
$18.2M
Development of lisinopril for post-exposure mitigation of late effects from a radU01AI107305 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI MEDHORA, MEETHA M · 2013 to 2017
$3.0M
Innovative Biomarkers to Predict Radiation Lung InjuryR01AI101898 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI MEDHORA, MEETHA M · 2012 to 2016
$1.9M
SPECT Imaging and Computational Modeling for Assessment of Acute Lung InjuryR15HL129209 · NHLBI · MARQUETTE UNIVERSITY · PI SAID H AUDI · 2015 to 2026
$1.8M
Development of ACE Inhibitor as Countermeasure for Radiation-Induced Lung InjuryRC1AI081294 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI MEDHORA, MEETHA M · 2008 to 2010
$1.7M
Novel imaging to identify lung mitochondrial injury and predict recoveryR01HL116530 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI JACOBS, ELIZABETH R · 2013 to 2016
$1.1M
Novel Diagnostics to Detect Lung InjuryI01BX001681 · VA · CLEMENT J. ZABLOCKI VA MEDICAL CENTER · PI JACOBS, ELIZABETH R · 2013 to 2016
–
BLRD VA I01 BX001681NHLBI NIH HHS R01 HL116530NHLBI NIH HHS R15 HL129209NIAID NIH HHS R01 AI101898NIAID NIH HHS RC1 AI081294NIAID NIH HHS U01 AI107305NIAID NIH HHS U19 AI067734
6 · The paper itself

Abstract

unlabelledOur goal is to develop minimally invasive biomarkers for predicting radiation-induced lung injury before symptoms develop. Currently, there are no biomarkers that can predict radiation pneumonitis. Radiation damage to the whole lung is a serious risk in nuclear accidents or in radiologic terrorism. Our previous studies have shown that a single dose of 15 Gy of x-rays to the thorax causes severe pneumonitis in rats by 6-8 wk. We have also developed a mitigator for radiation pneumonitis and fibrosis that can be started as late as 5 wk after radiation.

methodsWe used 2 functional SPECT probes in vivo in irradiated rat lungs. Regional pulmonary perfusion was measured by injection of (99m)Tc-macroaggregated albumin. Perfused volume was determined by comparing the volume of distribution of (99m)Tc-macroaggregated albumin to the anatomic lung volume obtained by small-animal CT. A second probe, (99m)Tc-labeled Duramycin, which binds to apoptotic cells, was used to measure pulmonary cell death in the same rat model.

resultsThe perfused volume of lung was decreased by about 25% at 1, 2, and 3 wk after receipt of 15 Gy, and (99m)Tc-Duramycin uptake was more than doubled at 2 and 3 wk. There was no change in body weight, breathing rate, or lung histology between irradiated and nonirradiated rats at these times. Pulmonary vascular resistance and vascular permeability measured in isolated perfused lungs ex vivo increased at 2 wk after 15 Gy of irradiation.

conclusionOur results suggest that SPECT biomarkers have the potential to predict radiation injury to the lungs before substantial functional or histologic damage is observed. Early prediction of radiation pneumonitis in time to initiate mitigation will benefit those exposed to radiation in the context of therapy, accidents, or terrorism.

Indexed as

AnimalsBacteriocinsBiomarkersEarly DiagnosisFemaleMolecular ImagingOrganotechnetium CompoundsRadiation PneumonitisRadiopharmaceuticalsRatsReproducibility of ResultsSensitivity and SpecificitySerum AlbuminTechnetium Tc 99m Aggregated AlbuminTin CompoundsTomography, Emission-Computed, Single-PhotonBacteriocinsBiomarkersOrganotechnetium CompoundsRadiopharmaceuticalsSerum Albumintechnetium 99m HYNIC-duramycinTechnetium Tc 99m Aggregated Albumintechnetium Tc 99m-Sn aggregated albuminTin Compounds99mTc-Duramycinlung perfusionradiation injuryradiological terrorismSPECT

Identifiers

PMID27033892
PMCPMC5053021
OpenAlexW2313870353

What OpenQuestion holds

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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.