Evidence map›Paper›PMID 27366777›Full record

ArticleEuropean journal of radiology open2016

Perfusion magnetic resonance imaging provides additional information as compared to anatomical imaging for decision-making in vestibular schwannoma.

M C Kleijwegt, A G L van der Mey, F T Wiggers-deBruine, M J A Malessy, M J P van Osch

Open access · goldAbstract read
In one paragraph

Article in European journal of radiology open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Intracranial paragangliomas versus schwannomas: Role of dynamic susceptibility contrast perfusion and diffusion MRI.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022
    Article
  6. Article
  7. 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

5 authors at 1 institution in 1 country.

M C KleijwegtENT Department, Leiden University Medical Center, Leiden, The Netherlands.
A G L van der MeyENT Department, Leiden University Medical Center, Leiden, The Netherlands.
F T Wiggers-deBruineRadiology Department, Leiden University Medical Center, Leiden, The Netherlands.
M J A MalessyNeurosurgery Department, Leiden University Medical Center, Leiden, The Netherlands.
M J P van OschC.J. Gorter Center for High Field MRI, Radiology Department, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe added value of perfusion MRI for decision-making in vestibular schwannoma (VS) patients is unknown. MRI offers two perfusion methods: the first employing contrast agent (dynamic susceptibility contrast (DSC)-MRI) that provides information on cerebral blood volume (CBV) and cerebral blood flow (CBF), the second by magnetic labeling of blood (arterial spin labeling (ASL)-MRI), providing CBF-images. The goal of the current study is to investigate whether DSC and ASL perfusion MRI provides complimentary information to current anatomical imaging in treatment selection process of VS.

methodsNine patients with growing VS with extrameatal diameter >9 mm were included (>2 mm/year and 20% volume expansion/year) and one patient with 23 mm extrameatal VS without growth. DSC and ASL perfusion MRI were obtained on 3 T MRI. Perfusion in VS was scored as hyperintense, hypointense or isointense compared to the contralateral region.

resultsSeven patients showed hyperintense signal on DSC and ASL sequences. Three patients showed iso- or hypointense signal on at least one perfusion map (1 patient hypointense on both DSC-MRI and ASL; 1 patient isointense on DSC-CBF; 1 patient isointense on ASL). All patients showed enhancement on post-contrast T1 anatomical scan.

conclusionPerfusion MR provides additional information compared to anatomical imaging for decision-making in VS.

Indexed as

AAO-HNS, American Academy of Otolaryngology-Head and Neck SurgeryASL, arterial spin labelingCA, contrast agentCBF, cerebral blood flowCBV, cerebral blood volumeDecision makingDSC, dynamic susceptibility contrastDynamic susceptibility contrast (DSC) and arterial spin labeling (ASL)EPI, echo planar imagingFA, flip angleFOV, field of viewGd, gadoliniumMRI, magnetic resonance imagingMR, magnetic resonancePCASL, pseudo-continuous arterial spin labelingPerfusion weighted MRrCBV, relative CBVRF, radiofrequencySNR, signal to noise ratioTE, echo timeTR, repetition timeVestibular schwannomaVS, vestibular schwannoma

Identifiers

PMID27366777
PMCPMC4919314
OpenAlexW2432018254

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.