Evidence map›Paper›PMID 28755324›Full record

ReviewJournal of neuro-oncology2017

Volumetric quantification of glioblastoma: experiences with different measurement techniques and impact on survival.

Christian Henker, Thomas Kriesen, Änne Glass, Björn Schneider, Jürgen Piek

Abstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Journal of neuro-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

5 authors.

Christian HenkerDepartment of Neurosurgery, University Medicine of Rostock, Schillingallee 35, 18057, Rostock, Germany. Christian.Henker@med.uni-rostock.de.ORCID http://orcid.org/0000-0002-7591-3192
Thomas KriesenDepartment of Neurosurgery, University Medicine of Rostock, Schillingallee 35, 18057, Rostock, Germany.
Änne GlassInstitute for Biostatistics and Informatics in Medicine, University Medicine of Rostock, Ernst-Heydemann-Str. 8, 18057, Rostock, Germany.
Björn SchneiderInstitute for Pathology, University Medicine of Rostock, Strempelstraße 14, 18057, Rostock, Germany.
Jürgen PiekDepartment of Neurosurgery, University Medicine of Rostock, Schillingallee 35, 18057, Rostock, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The potential impact of different radiological features of glioblastoma multiforme (GBM) on overall survival (OS) like tumor volume, peritumoral edema (PTE), necrosis volume, necrosis-tumor ratio (NTR) and edema-tumor ratio (ETR) is still very controversial. To determine the influence of volumetric data on OS und to compare different measuring techniques described in literature. We prospectively evaluated preoperative MR images from 30 patients harboring a primary supratentorial GBM. All patients received gross-total tumor resection followed by standard radiation and chemotherapy (temozolomide). By 3D semi-automated segmentation, we measured tumor volume, necrosis volume, PTE, postoperative residual tumor volume and calculated ETR, NTR and the extent of resection. After critical review of the existing literature we compared alternative measuring techniques with the gold standard of 3D segmentation. Statistical analysis showed a significant impact of the preoperative tumor and necrosis volumes on OS (p = 0.041, respectively p = 0.039). Furthermore, NTR also showed a significant association with OS (p = 0.005). Comparison of previously described measuring techniques and scorings with our results showed that no other technique is reliable and accurate enough as a predictive tool. The critical review of previously published studies revealed mainly inaccurate measurement techniques and patient selection as potential reasons for inconsistent results. Preoperatively measured necrosis volume and NTR are the most important radiological features of GBM with a strong influence on OS. No other measuring techniques are specific enough and comparable with 3D segmentation.

Indexed as

Image Interpretation, Computer-AssistedMagnetic Resonance ImagingTumor BurdenAgedBrainCombined Modality TherapyDNA Modification MethylasesDNA Repair EnzymesFemaleGlioblastomaHumansImaging, Three-DimensionalIsocitrate DehydrogenaseMaleMiddle AgedNecrosisDNA Modification MethylasesDNA Repair EnzymesIDH1 protein, humanIsocitrate DehydrogenaseMGMT protein, humanTumor Suppressor ProteinsGlioblastomaImagingPrognostic factorsSurvivalVolumetric quantification

Identifiers

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.