Evidence map›Paper›PMID 28721605›Full record

ArticleMolecular imaging and biology2018

How to Provide Gadolinium-Free PET/MR Cancer Staging of Children and Young Adults in Less than 1 h: the Stanford Approach.

Anne M Muehe, Ashok J Theruvath, Lillian Lai, Maryam Aghighi, Andrew Quon, Samantha J Holdsworth, Jia Wang, Sandra Luna-Fineman, Neyssa Marina, Ranjana Advani and 2 more

Abstract read
In one paragraph

Article in Molecular imaging and biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Clinical PET/MR.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
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  7. Validation of Deep Learning-based Augmentation for ReducedRadiology. Artificial intelligence · 2021
    Article
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  11. Whole-Body [Molecular imaging and biology · 2020
    Article
  12. Article
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  15. Whole-body PET/MRI of Pediatric Patients: The Details That Matter.Journal of visualized experiments : JoVE · 2017
    Article
  16. Review
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

12 authors at 4 institutions in 2 countries.

Anne M MueheDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA.
Ashok J TheruvathDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA.
Lillian LaiDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA.
Maryam AghighiDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA.
Andrew QuonDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA.
Samantha J HoldsworthDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA.
Jia WangEnvironmental Health and Safety, Stanford University, Stanford, CA, USA.
Sandra Luna-FinemanDepartment of Pediatrics, Pediatric Hematology/Oncology, Lucile Packard Children's Hospital, Stanford University, Stanford, CA, USA.
Neyssa MarinaDepartment of Pediatrics, Pediatric Hematology/Oncology, Lucile Packard Children's Hospital, Stanford University, Stanford, CA, USA.
Ranjana AdvaniDepartment of Medicine, Hematology/Oncology, Stanford Hospital, Stanford University, Stanford, CA, USA.
Jarrett RosenbergDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA.
Heike E Daldrup-LinkDepartment of Radiology, Pediatric Radiology, Lucile Packard Children's Hospital, Stanford University, 725 Welch Rd, Stanford, CA, 94305-5654, USA. H.E.Daldrup-Link@stanford.edu.
Lucile Packard Children's Hospital · USStanford University · USJohannes Gutenberg University Mainz · DEStanford Medicine · US

Funding

Personalized Whole Body Staging for Children with Cancer: A Solution to the Conundrum of Long-Term Side Effects from CT and PET/CT ScansR01HD081123 · NICHD · STANFORD UNIVERSITY · PI DALDRUP-LINK, HEIKE ELIZABETH · 2015 to 2019
$2.5M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R01 HD081123-01A1NICHD NIH HHS R01 HD081123
6 · The paper itself

Abstract

purposeTo provide clinically useful gadolinium-free whole-body cancer staging of children and young adults with integrated positron emission tomography/magnetic resonance (PET/MR) imaging in less than 1 h. PROCEDURES: In this prospective clinical trial, 20 children and young adults (11-30 years old, 6 male, 14 female) with solid tumors underwent 2-deoxy-2-[

resultsTailored workflows significantly reduced scan times from 36 to 24 min for head to mid thigh scans (p < 0.001). These streamlined PET/MR scans were obtained with significantly reduced radiation exposure (mean 3.4 mSv) compared to PET/CT with diagnostic CT (mean 13.1 mSv; p = 0.003). Using the iron supplement ferumoxytol "off label" as an MR contrast agent avoided gadolinium chelate administration. The ferumoxytol-enhanced PET/MR scans provided equal or superior tumor staging results compared to clinical standard tests in 17 out of 20 patients. Compared to PET/CT, PET/MR had comparable detection rates for pulmonary nodules with diameters of equal or greater than 5 mm (94 vs. 100 %), yet detected significantly fewer nodules with diameters of less than 5 mm (20 vs 100 %) (p = 0.03). [

conclusionOur streamlined ferumoxytol-enhanced PET/MR protocol provided cancer staging of children and young adults in less than 1 h with equivalent or superior clinical information compared to clinical standard staging tests. The detection of small pulmonary nodules with PET/MR needs to be improved.

Indexed as

Magnetic Resonance ImagingPositron Emission Tomography Computed TomographyAdolescentAdultChildGadoliniumHumansLung NeoplasmsMultimodal ImagingNeoplasmsNeoplasm StagingTomography, X-Ray ComputedYoung AdultGadoliniumCancerMagnetic resonance imagingNanoparticlesPediatricsPositron-emission tomography

Identifiers

PMID28721605
PMCPMC5773418
OpenAlexW2737796916

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.