Evidence map›Paper›PMID 28396997›Full record

ArticleEuropean radiology2017

Diffusion-weighted (DW) MRI in lung cancers: ADC test-retest repeatability.

Alex Weller, Marianthi Vasiliki Papoutsaki, John C Waterton, Arturo Chiti, Sigrid Stroobants, Joost Kuijer, Matthew Blackledge, Veronica Morgan, Nandita M deSouza

Open access · greenAbstract readMulticenter Study
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 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.9field-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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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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 6 institutions in 4 countries.

Alex WellerCRUK Cancer Imaging Centre, Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Downs Road, Surrey, SM2 5PT, UK. alex.weller@icr.ac.uk.ORCID http://orcid.org/0000-0003-0506-5236
Marianthi Vasiliki PapoutsakiCRUK Cancer Imaging Centre, Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Downs Road, Surrey, SM2 5PT, UK.
John C WatertonUniversity of Manchester, Manchester, UK.
Arturo ChitiHumanitas University, Milan, Italy.
Sigrid StroobantsUniversiteit Antwerpen, Antwerpen, Belgium.
Joost KuijerVrije Universiteit Medisch Centrum, Amsterdam, The Netherlands.
Matthew BlackledgeCRUK Cancer Imaging Centre, Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Downs Road, Surrey, SM2 5PT, UK.
Veronica MorganDepartment of Medicine, Royal Marsden NHS Foundation Trust, London, UK.
Nandita M deSouzaCRUK Cancer Imaging Centre, Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Downs Road, Surrey, SM2 5PT, UK.
Royal Marsden NHS Foundation Trust · GBEngineering and Physical Sciences Research Council · GBHumanitas University · ITUniversity of Antwerp · BEUniversity of Manchester · GBVrije Universiteit Amsterdam · NL

Funding

Cancer Research UK 16464Department of Health PDF-2012-05-441
6 · The paper itself

Abstract

purposeTo determine the test-retest repeatability of Apparent Diffusion Coefficient (ADC) measurements across institutions and MRI vendors, plus investigate the effect of post-processing methodology on measurement precision.

methodsThirty malignant lung lesions >2 cm in size (23 patients) were scanned on two occasions, using echo-planar-Diffusion-Weighted (DW)-MRI to derive whole-tumour ADC (b = 100, 500 and 800smm

resultsWhole-tumour ADC values ranged from 0.66-1.94x10

conclusionA free-breathing DW-MRI protocol for imaging malignant lung tumours achieved satisfactory within-patient repeatability and was robust to changes in post-processing software, justifying its use in multi-centre trials. For response evaluation in individual patients, a change in ADC >21.9% will reflect treatment-related change. KEY POINTS: • In lung cancer, free-breathing DWI-MRI produces acceptable images with evaluable ADC measurement. • ADC repeatability coefficient-of-variation is 7.1% for lung tumours >2 cm. • ADC repeatability coefficient-of-variation is 3.9% for lung tumours >3 cm. • ADC measurement precision is unaffected by the post-processing software used. • In multicentre trials, 22% increase in ADC indicates positive treatment response.

Indexed as

AdultAgedAged, 80 and overDiagnosis, DifferentialDiffusion Magnetic Resonance ImagingFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingProspective StudiesReproducibility of ResultsROC CurveTumor BurdenApparent Diffusion Coefficient (ADC)Diffusion-weighted MRILung CancerRepeatabilityReproducibility

Identifiers

PMID28396997
PMCPMC6175053
OpenAlexW2606523859

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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.