Evidence map›Paper›PMID 28150325›Full record

ArticleJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine2017

Accuracy of Contrast-Enhanced Ultrasound Compared With Magnetic Resonance Imaging in Assessing the Tumor Response After Neoadjuvant Chemotherapy for Breast Cancer.

Sandy C Lee, Edward Grant, Pulin Sheth, Agustin A Garcia, Bhushan Desai, Lingyun Ji, Susan Groshen, Darryl Hwang, Mary Yamashita, Linda Hovanessian-Larsen

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  15. Contrast-Enhanced Ultrasound Imaging of Breast Masses: Adjunct Tool to Decrease the Number of False-Positive Biopsy Results.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2019
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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

10 authors at 2 institutions in 1 country.

Sandy C LeeDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Edward GrantDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Pulin ShethDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Agustin A GarciaDepartment of Internal Medicine, Section of Hematology/Oncology, Louisiana State University, New Orleans, Louisiana, USA.
Bhushan DesaiDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Lingyun JiDepartment of Preventive Medicine , Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Susan GroshenDepartment of Preventive Medicine , Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Darryl HwangDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Mary YamashitaDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Linda Hovanessian-LarsenDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
University of Southern California · USLouisiana State University · US

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Saul Priceman · 1985 to 2026
$181.4M
NCI NIH HHS P30 CA014089
6 · The paper itself

Abstract

objectivesThis pilot study compared contrast enhanced ultrasound (US) with contrast-enhanced magnetic resonance imaging (MRI) in assessing the treatment response in patients with breast cancer receiving preoperative neoadjuvant chemotherapy (NAC).

methodsThis prospective Institutional Review Board-approved and Health Insurance Portability and Accountability Act-compliant study included 30 patients, from January 2014 to October 2015, with invasive breast cancer detected by mammography, conventional US imaging, or both and scheduled for NAC. Informed consent was obtained. Contrast-enhanced US (perflutren lipid microspheres, 10 μL/kg) and MRI (gadopentetate dimeglumine, 0.1 mmol/kg) scans were performed at baseline before starting NAC and after completing NAC before surgery. Results of the imaging techniques were compared with each other and with histopathologic findings obtained at surgery using the Spearman correlation. Tumor size and enhancement parameters were compared for 15 patients with contrast-enhanced US, MRI, and surgical pathologic findings.

resultsThe median tumor size at baseline was 3.1 cm on both contrast-enhanced US and MRI scans. The Spearman correlation showed strong agreement in tumor size at baseline between contrast-enhanced US and MRI (r = 0.88; P < .001) but less agreement in tumor size after NAC (r = 0.66; P = .004). Trends suggested that contrast-enhanced US (r = 0.75; P < .001) had a better correlation than MRI (r = 0.42; P = .095) with tumor size at surgery. Contrast-enhanced US was as effective as MRI in predicting a complete pathologic response (4 patients; 75.0% accuracy for both) and a non-complete pathologic response (11 patients; 72.7% accuracy for both).

conclusionsContrast enhanced US is a valuable imaging modality for assessing the treatment response in patients receiving NAC and had a comparable correlation as MRI with breast cancer size at surgery.

Indexed as

Contrast MediaAdultAntineoplastic AgentsBreast NeoplasmsChemotherapy, AdjuvantFemaleHumansImage EnhancementMagnetic Resonance ImagingMiddle AgedNeoadjuvant TherapyPilot ProjectsProspective StudiesTreatment OutcomeUltrasonography, MammaryYoung AdultAntineoplastic AgentsContrast Mediabreast cancerbreast ultrasoundcontrast-enhanced ultrasoundmagnetic resonance imagingneoadjuvant chemotherapyultrasound

Identifiers

PMID28150325
PMCPMC7710668
OpenAlexW2585381253

What OpenQuestion holds

Textmetadata
LicenceTDM
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.