Evidence map›Paper›PMID 29065920›Full record

ArticleBreast cancer research : BCR2017

Addition of T2-guided optical tomography improves noncontrast breast magnetic resonance imaging diagnosis.

Jinchao Feng, Junqing Xu, Shudong Jiang, Hong Yin, Yan Zhao, Jiang Gui, Ke Wang, Xiuhua Lv, Fang Ren, Brian W Pogue and 1 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 33 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

11 authors at 2 institutions in 2 countries.

Jinchao FengThayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH, 03755, USA.
Junqing XuDepartment of Radiology, Xijing Hospital, Xi'an, 710032, China.
Shudong JiangThayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH, 03755, USA.
Hong YinDepartment of Radiology, Xijing Hospital, Xi'an, 710032, China. yinhong@fmmu.edu.cn.
Yan ZhaoThayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH, 03755, USA.
Jiang GuiGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire, 03755, USA.
Ke WangDepartment of Radiology, Xijing Hospital, Xi'an, 710032, China.
Xiuhua LvDepartment of Radiology, Xijing Hospital, Xi'an, 710032, China.
Fang RenDepartment of Radiology, Xijing Hospital, Xi'an, 710032, China.
Brian W PogueThayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH, 03755, USA.
Keith D PaulsenThayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH, 03755, USA. keith.d.paulsen@dartmouth.edu.
Dartmouth College · USXijing Hospital · CN

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
FREQUENCY DOMAIN OPTICAL IMAGING OF BREAST CANCERR01CA069544 · NCI · DARTMOUTH COLLEGE · PI PAULSEN, KEITH D. · 1996 to 2012
$2.4M
Monitoring Neoadjuvant Chemotherapy Responses with NIR TomographyR01CA176086 · NCI · DARTMOUTH COLLEGE · PI JIANG, SHUDONG · 2014 to 2018
$2.0M
NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA069544NCI NIH HHS R01 CA176086
6 · The paper itself

Abstract

backgroundWhile dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) is recognized as the most sensitive examination for breast cancer detection, it has a substantial false positive rate and gadolinium (Gd) contrast agents are not universally well tolerated. As a result, alternatives to diagnosing breast cancer based on endogenous contrast are of growing interest. In this study, endogenous near-infrared spectral tomography (NIRST) guided by T2 MRI was evaluated to explore whether the combined imaging modality, which does not require contrast injection or involve ionizing radiation, can achieve acceptable diagnostic performance.

methodsTwenty-four subjects-16 with pathologically confirmed malignancy and 8 with benign abnormalities-were simultaneously imaged with MRI and NIRST prior to definitive pathological diagnosis. MRIs were evaluated independently by three breast radiologists blinded to the pathological results. Optical image reconstructions were constrained by grayscale values in the T2 MRI. MRI and NIRST images were used, alone and in combination, to estimate the diagnostic performance of the data. Outcomes were compared to DCE results.

resultsSensitivity, specificity, accuracy, and area under the curve (AUC) of noncontrast MRI when combined with T2-guided NIRST were 94%, 100%, 96%, and 0.95, respectively, whereas these values were 94%, 63%, 88%, and 0.81 for DCE MRI alone, and 88%, 88%, 88%, and 0.94 when DCE-guided NIRST was added.

conclusionIn this study, the overall accuracy of imaging diagnosis improved to 96% when T2-guided NIRST was added to noncontrast MRI alone, relative to 88% for DCE MRI, suggesting that similar or better diagnostic accuracy can be achieved without requiring a contrast agent.

Indexed as

AdultBreastBreast NeoplasmsContrast MediaFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMiddle AgedTomography, OpticalContrast MediaBreast cancerNear infrared spectral tomographyNoncontrast MRIT2 MRI-guided

Identifiers

PMID29065920
PMCPMC5655871
OpenAlexW2765625483

What OpenQuestion holds

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LicenceCC BY
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.