Evidence map›Paper›PMID 27519911›Full record

ArticleEuropean radiology2017

Osteonecrosis detected by whole body magnetic resonance in patients with Hodgkin Lymphoma treated by BEACOPP.

Domenico Albano, Caterina Patti, Ludovico La Grutta, Emanuele Grassedonio, Antonino Mulè, Giuseppe Brancatelli, Roberto Lagalla, Massimo Midiri, Massimo Galia

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In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.2field-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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  16. Imaging features of solid renal masses.The British journal of radiology · 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

9 authors at 2 institutions in 1 country.

Domenico AlbanoDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy. albanodomenico@me.com.ORCID http://orcid.org/0000-0001-7989-9861
Caterina PattiDepartment of Hematology I, Azienda Ospedali Riuniti Villa Sofia-Cervello, Viale Strasburgo 233, 90146, Palermo, Italy.
Ludovico La GruttaDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy.
Emanuele GrassedonioDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy.
Antonino MulèDepartment of Hematology I, Azienda Ospedali Riuniti Villa Sofia-Cervello, Viale Strasburgo 233, 90146, Palermo, Italy.
Giuseppe BrancatelliDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy.
Roberto LagallaDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy.
Massimo MidiriDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy.
Massimo GaliaDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy.
University of Palermo · ITOspedale Vincenzo Cervello · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of our retrospective review of prospectively acquired Whole Body Magnetic Resonance (WB-MRI) scans was to assess the incidence of osteonecrosis in patients who received different chemotherapies.

methodsWe evaluated the WB-MRI scans performed on 42 patients with Hodgkin Lymphoma treated by three chemotherapy regimens (6ABVD, 2ABVD + 4BEACOPP, 2ABVD + 8BEACOPP), excluding patients with the main risk factors for osteonecrosis.

resultsSix out of seven patients (86 %) who received eight BEACOPP and one out of five patients (20 %) treated by four BEACOPP presented osteonecrosis, with a statistically significant difference of frequency between the two groups of patients (p < 0.05); no injury has been reported in patients treated by only ABVD. Among a total of 48 osteonecrotic lesions observed, 48 % were detected in the knee; multifocal osteonecrosis were detected in six out of seven patients (86 %).

conclusionsThe development of osteonecrosis is strictly related to the chemotherapy protocol adopted and the number of cycles received, with a strong correlation between the dose of corticosteroids included in the BEACOPP scheme and this complication. WB-MRI can be considered as a helpful tool that allows detecting earlier osteonecrotic lesions in patients treated with corticosteroids. KEY POINTS: • Osteonecrosis is a possible complication of patients with Lymphoma treated by chemotherapy. • Osteonecrosis is related to the corticosteroids included within the BEACOPP protocol. • WB-MRI allows detecting osteonecrotic lesions in patients treated with corticosteroids.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsBleomycinCyclophosphamideDose-Response Relationship, DrugDoxorubicinDrug Administration ScheduleEtoposideFemaleGlucocorticoidsHodgkin DiseaseHumansImage Interpretation, Computer-AssistedIncidenceMagnetic Resonance ImagingBleomycinCyclophosphamideDoxorubicinEtoposideGlucocorticoidsPrednisoneProcarbazineVincristineBEACOPPLymphomaMagnetic resonance imagingOsteonecrosisWhole body imaging

Identifiers

PMID27519911
OpenAlexW2510952054

What OpenQuestion holds

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Registered trials

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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.