Evidence map›Paper›PMID 27502790›Full record

ArticleSkeletal radiology2016

Desmoid fibromatosis: MRI features of response to systemic therapy.

Pooja J Sheth, Spencer Del Moral, Breelyn A Wilky, Jonathan C Trent, Jonathan Cohen, Andrew E Rosenberg, H Thomas Temple, Ty K Subhawong

Abstract read
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Clinical Activity of the γ-Secretase Inhibitor PF-03084014 in Adults With Desmoid Tumors (Aggressive Fibromatosis).Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
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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 at 3 institutions in 1 country.

Pooja J ShethDepartment of Radiology, University of Miami Miller School of Medicine/Jackson Memorial Hospital, 1611 NW 12th Avenue, JMH WW 279, Miami, FL, 33136, USA.
Spencer Del MoralDivision of Hematology/Oncology, Department of Medicine, University of Miami Miller School of Medicine/Sylvester Comprehensive Cancer Center, Miami, FL, 33136, USA.
Breelyn A WilkyDivision of Hematology/Oncology, Department of Medicine, University of Miami Miller School of Medicine/Sylvester Comprehensive Cancer Center, Miami, FL, 33136, USA.
Jonathan C TrentDivision of Hematology/Oncology, Department of Medicine, University of Miami Miller School of Medicine/Sylvester Comprehensive Cancer Center, Miami, FL, 33136, USA.
Jonathan CohenOncology and Radiation Associates, 1321 NW 14th Street, Suite 207, Miami, FL, 33125, USA.
Andrew E RosenbergDepartment of Pathology, University of Miami Miller School of Medicine, Miami, FL, 33136, USA.
H Thomas TempleCenter for Orthopedic Innovations, 3659 S. Miami Avenue, Suite 4008, Miami, FL, 33133, USA.
Ty K SubhawongDepartment of Radiology, University of Miami Miller School of Medicine/Jackson Memorial Hospital, 1611 NW 12th Avenue, JMH WW 279, Miami, FL, 33136, USA. tsubhawong@med.miami.edu.
University of Miami · USJackson Memorial Hospital · USRadiation Oncology Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveImaging criteria for measuring the response of desmoid fibromatosis to systemic therapy are not well established. We evaluated a series of patients with desmoids who underwent systemic therapy to document magnetic resonance imaging (MRI) features associated with a positive clinical response. MATERIALS AND

methodsThis Institutional Review Board-approved retrospective study included 23 patients (mean age 40.5) with 29 extra-abdominal tumors. Therapeutic regimens included cytotoxic chemotherapy (n = 19), targeted therapy (n = 3), and nonsteroid anti-inflammatory drugs (NSAIDS; n = 1). Clinical effects were categorized as progressive disease, stable, or partial response. Maximum tumor dimension (Dmax), approximate tumor volume (VTumor), and quantitative tumor T2 hyperintensity and contrast enhancement (relative to muscle) for pre- and post-treatment MRIs were compared.

resultsThree lesions progressed, 5 lesions were stable, whereas 21 showed a clinical response. Dmax decreased more in responders (mean -11.0 %) than in stable/progressive lesions (mean -3.6 and 0 % respectively, p = 0.28, ANOVA); by Response Evaluation Criteria in Solid Tumors (RECIST 1.1) 27 out of 29 lesions were "stable," including the 3 progressive lesions. In responders, VTumor change averaged -29.4 %, but -19.2 % and +32.5 % in stable and progressive lesions respectively (p = 0.002, ANOVA); by 3D criteria 14 out of 29 lesions showed a partial response. T2 hyperintensity decreased by 50-54 % in partial response/stable disease, but only by 10 % in progressive lesions (p = 0.049, t test). Changes in contrast enhancement ranged from -23 % to 0 %, but were not statistically significant among response groups (p = 0.37). Change in T2 hyperintensity showed a positive correlation with volumetric change (r = 0.40).

conclusionDecreases in volume and T2 hyperintensity reflect the positive response of desmoid fibromatosis to systemic therapy; RECIST 1.1 criteria are not sensitive to clinically determined tumor response.

Indexed as

AdultAgedAged, 80 and overAnti-Inflammatory Agents, Non-SteroidalAntineoplastic AgentsDesmoid TumorsDrug MonitoringFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityTreatment OutcomeAnti-Inflammatory Agents, Non-SteroidalAntineoplastic Agents3DDesmoid fibromatosisExtra-abdominalMRIResponse criteriaSystemic therapy

Identifiers

PMID27502790
OpenAlexW2498794351

What OpenQuestion holds

Textmetadata
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.