Evidence map›Paper›PMID 28772291›Full record

SynthesisJAMA oncology2017

Baseline Surveillance in Li-Fraumeni Syndrome Using Whole-Body Magnetic Resonance Imaging: A Meta-analysis.

Mandy L Ballinger, Ana Best, Phuong L Mai, Payal P Khincha, Jennifer T Loud, June A Peters, Maria Isabel Achatz, Rubens Chojniak, Alexandre Balieiro da Costa, Karina Miranda Santiago and 26 more

Erratum issuedOpen access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in JAMA oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 1% 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

103 citing papers in PubMed, 1 synthesis or guideline pooled it, 192 citations in OpenAlex.

  1. SEOM clinical guideline on heritable TP53-related cancer syndrome (2022).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors at 17 institutions in 7 countries.

Mandy L BallingerCancer Division, Garvan Institute of Medical Research, Sydney, Australia
Ana BestBiostatistics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland
Phuong L MaiClinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland
Payal P KhinchaClinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland
Jennifer T LoudClinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland
June A PetersClinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland
Maria Isabel AchatzClinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland
Rubens ChojniakDepartment of Imaging, A. C. Camargo Cancer Center, São Paulo, Brazil
Alexandre Balieiro da CostaDepartment of Medical Oncology, A. C. Camargo Cancer Center, São Paulo, Brazil
Karina Miranda SantiagoNational Institute for Oncogenomics, A. C. Camargo Cancer Center, São Paulo, Brazil
Judy GarberCenter for Cancer Genetics and Prevention, Dana-Farber Cancer Institute, Boston, Massachusetts
Allison F O'NeillDepartment of Pediatric Hematology/Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts
Rosalind A EelesDivision of Genetics and Epidemiology, The Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, London, England
D Gareth EvansDepartment of Genetic Medicine, St Mary’s Hospital, Manchester, England
Eveline BleikerDivision of Psychosocial Research and Epidemiology, the Netherlands Cancer Institute–Antoni van Leeuwenhoek Hospital, Amsterdam
Gabe S SonkeDepartment of Medical Oncology, the Netherlands Cancer Institute–Antoni van Leeuwenhoek Hospital, Amsterdam
Marielle RuijsFamily Cancer Clinic, the Netherlands Cancer Institute–Antoni van Leeuwenhoek Hospital, Amsterdam
Claudette LooDepartment of Radiology, the Netherlands Cancer Institute–Antoni van Leeuwenhoek Hospital, Amsterdam
Joshua SchiffmanDepartment of Pediatric Hematology/Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City
Anne NaumerDepartment of Pediatric Hematology/Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City
Wendy KohlmannDepartment of Pediatric Hematology/Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City
Louise C StrongDepartment of Genetics, The University of Texas MD Anderson Cancer Center, Houston
Jasmina BojadzievaDepartment of Genetics, The University of Texas MD Anderson Cancer Center, Houston
David MalkinDivision of Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada
Surya P RednamDepartment of Pediatrics, Section of Hematology-Oncology, Texas Children’s Cancer Center, Baylor College of Medicine, Houston
Elena M StoffelDepartment of Internal Medicine, University of Michigan, Ann Arbor
Erika KoeppeDepartment of Internal Medicine, University of Michigan, Ann Arbor
Jeffrey N WeitzelDivision of Clinical Cancer Genetics, City of Hope, Duarte, California
Thomas P SlavinDivision of Clinical Cancer Genetics, City of Hope, Duarte, California
Bita NehorayDivision of Clinical Cancer Genetics, City of Hope, Duarte, California
Mark RobsonClinical Genetics Service, Memorial Sloan Kettering Cancer Center, New York, New York
Michael WalshDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York
Lorenzo ManelliDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
Anita VillaniDivision of Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada
David M ThomasCancer Division, Garvan Institute of Medical Research, Sydney, Australia
Sharon A SavageBiostatistics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland
AC Camargo Hospital · BRNational Cancer Institute · USThe Netherlands Cancer Institute · NLCancer Genetics (United States) · USMemorial Sloan Kettering Cancer Center · USGarvan Institute of Medical Research · AUHospital for Sick Children · CAHuntsman Cancer Institute · USNational Institutes of Health · USThe University of Texas MD Anderson Cancer Center · USUniversity of Michigan–Ann Arbor · USChildren's Cancer Center · USCity of Hope · USDana-Farber Cancer Institute · USNational Health Service · GBSt. Mary’s Hospital · ZAUniversity of Utah · US

Funding

Clinical Genetic Studies of Familial and Hereditary Cancer SyndromesZIACP010144 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI SAVAGE, SHARON A. · 2009 to 2025
$111.8M
Cancer Research UK 15007
6 · The paper itself

Abstract

Importance: Guidelines for clinical management in Li-Fraumeni syndrome, a multiple-organ cancer predisposition condition, are limited. Whole-body magnetic resonance imaging (WBMRI) may play a role in surveillance of this high-risk population. Objective: To assess the clinical utility of WBMRI in germline TP53 mutation carriers at baseline. Data Sources: Clinical and research surveillance cohorts were identified through the Li-Fraumeni Exploration Research Consortium. Study Selection: Cohorts that incorporated WBMRI for individuals with germline TP53 mutations from January 1, 2004, through October 1, 2016, were included. Data Extraction and Synthesis: Data were extracted by investigators from each cohort independently and synthesized by 2 investigators. Random-effects meta-analysis methods were used to estimate proportions. Main Outcomes and Measures: The proportions of participants at baseline in whom a lesion was detected that required follow-up and in whom a new primary malignant neoplasm was detected. Results: A total of 578 participants (376 female [65.1%] and 202 male [34.9%]; mean [SD] age, 33.2 [17.1] years) from 13 cohorts in 6 countries were included in the analysis. Two hundred twenty-five lesions requiring clinical follow-up were detected by WBMRI in 173 participants. Sixty-one lesions were diagnosed in 54 individuals as benign or malignant neoplasms. Overall, 42 cancers were identified in 39 individuals, with 35 new localized cancers treated with curative intent. The overall estimated detection rate for new, localized primary cancers was 7% (95% CI, 5%-9%). Conclusions and Relevance: These data suggest clinical utility of baseline WBMRI in TP53 germline mutation carriers and may form an integral part of baseline clinical risk management in this high-risk population.

Indexed as

AdolescentAdultDiagnosis, DifferentialEarly Detection of CancerFemaleHumansLi-Fraumeni SyndromeMagnetic Resonance ImagingMaleMiddle AgedMutationPopulation SurveillancePractice Guidelines as TopicTumor Suppressor Protein p53Whole Body ImagingYoung AdultTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID28772291
PMCPMC5824277
OpenAlexW2616636749

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.