Evidence map›Paper›PMID 28663267›Full record

Trial reportAJNR. American journal of neuroradiology2017

Comparison of Gadoterate Meglumine and Gadobutrol in the MRI Diagnosis of Primary Brain Tumors: A Double-Blind Randomized Controlled Intraindividual Crossover Study (the REMIND Study).

K R Maravilla, D San-Juan, S J Kim, G Elizondo-Riojas, J R Fink, W Escobar, A Bag, D R Roberts, J Hao, C Pitrou and 3 more

Open access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
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  9. Observational
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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

13 authors at 11 institutions in 7 countries.

K R MaravillaFrom the Department of Radiology (K.R.M., J.R.F.), University of Washington Medical Center, Seattle, Washington kmarav@uw.edu.ORCID http://orcid.org/0000-0001-9188-5374
D San-JuanClinical Research Department (D.S.-J.), National Institute of Neurology and Neurosurgery, Mexico City, Mexico.ORCID http://orcid.org/0000-0001-6685-5851
S J KimDepartment of Radiology (S.J.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0001-7070-7333
G Elizondo-RiojasUniversidad Autonoma de Nuevo Leon (G.E.-R.), Hospital Universitario Dr. Jose Eleuterio Gonzalez, Monterrey, Mexico.ORCID http://orcid.org/0000-0002-9555-430X
J R FinkFrom the Department of Radiology (K.R.M., J.R.F.), University of Washington Medical Center, Seattle, Washington.ORCID http://orcid.org/0000-0003-3399-2248
W EscobarCentro Medico Imbanaco (W.E.), Cali, Colombia.ORCID http://orcid.org/0000-0001-9777-2960
A BagDepartment of Radiology (A.B.), University of Alabama, Birmingham, Alabama.ORCID http://orcid.org/0000-0001-6164-5863
D R RobertsMedical University of South Carolina (D.R.R.), Charleston, South Carolina.ORCID http://orcid.org/0000-0002-6302-8233
J HaoGuerbet (J.H., C.P.), Roissy-Charles de Gaulle, France.ORCID http://orcid.org/0000-0002-5504-1948
C PitrouGuerbet (J.H., C.P.), Roissy-Charles de Gaulle, France.ORCID http://orcid.org/0000-0003-3441-2268
A J TsiourisDepartment of Radiology (A.J.T.), Weill Cornell Medical College, New York, New York.ORCID http://orcid.org/0000-0002-9281-716X
E HerskovitsDepartment of Radiology (E.H.), University of Maryland, Baltimore, Maryland.ORCID http://orcid.org/0000-0001-9445-1774
J B FiebachCenter for Stroke Research Berlin (J.B.F.), Charité-Universitätsmedizin, Berlin, Germany.ORCID http://orcid.org/0000-0002-7936-6958
Guerbet (France) · FRUniversity of Washington Medical Center · USCentro Internacional de Entrenamiento e Investigaciones Medicas · COCharité - Universitätsmedizin Berlin · DECornell University · USMedical University of South Carolina · USUlsan College · KRUniversidad Autónoma de Nuevo León · MXUniversity of Alabama at Birmingham · USUniversity of Maryland, Baltimore · USVietnam National Children's Hospital · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeEffective management of patients with brain tumors depends on accurate detection and characterization of lesions. This study aimed to demonstrate the noninferiority of gadoterate meglumine versus gadobutrol for overall visualization and characterization of primary brain tumors. MATERIALS AND

methodsThis multicenter, double-blind, randomized, controlled intraindividual, crossover, noninferiority study included 279 patients. Both contrast agents (dose = 0.1 mmol/kg of body weight) were assessed with 2 identical MRIs at a time interval of 2-14 days. The primary end point was overall lesion visualization and characterization, scored independently by 3 off-site readers on a 4-point scale, ranging from "poor" to "excellent." Secondary end points were qualitative assessments (lesion border delineation, internal morphology, degree of contrast enhancement, diagnostic confidence), quantitative measurements (signal intensity), and safety (adverse events). All qualitative assessments were also performed on-site.

resultsFor all 3 readers, images of most patients (>90%) were scored good or excellent for overall lesion visualization and characterization with either contrast agent; and the noninferiority of gadoterate meglumine versus gadobutrol was statistically demonstrated. No significant differences were observed between the 2 contrast agents regarding qualitative end points despite quantitative mean lesion percentage enhancement being higher with gadobutrol (

conclusionsThe noninferiority of gadoterate meglumine versus gadobutrol for overall visualization and characterization of primary brain tumors was demonstrated.

Indexed as

Contrast MediaMeglumineOrganometallic CompoundsAdolescentAdultAgedAged, 80 and overBrain NeoplasmsCross-Over StudiesDouble-Blind MethodFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedContrast Mediagadobutrolgadoterate meglumineMeglumineOrganometallic Compounds

Identifiers

PMID28663267
PMCPMC7963719
OpenAlexW2728267367

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.