Evidence map›Paper›PMID 29101607›Full record

ArticleFamilial cancer2018

Development of a high risk pancreatic screening clinic using 3.0 T MRI.

Chad A Barnes, Elizabeth Krzywda, Shannon Lahiff, Dena McDowell, Kathleen K Christians, Paul Knechtges, Parag Tolat, Mark Hohenwalter, Kulwinder Dua, Abdul H Khan and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Familial cancer, 2018. 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
0.7field-weighted citation impact, top 27% 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, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Genetic testing to guide screening for pancreatic ductal adenocarcinoma: Results of a microsimulation model.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  6. Review
  7. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Chad A BarnesGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.
Elizabeth KrzywdaGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.
Shannon LahiffGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.
Dena McDowellGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.
Kathleen K ChristiansGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.
Paul KnechtgesGreater Midwest Pancreatic Cancer Screening Program, Department of Radiology, The Medical College of Wisconsin, Milwaukee, WI, USA.
Parag TolatGreater Midwest Pancreatic Cancer Screening Program, Department of Radiology, The Medical College of Wisconsin, Milwaukee, WI, USA.
Mark HohenwalterGreater Midwest Pancreatic Cancer Screening Program, Department of Radiology, The Medical College of Wisconsin, Milwaukee, WI, USA.
Kulwinder DuaGreater Midwest Pancreatic Cancer Screening Program, Department of Gastroenterology, The Medical College of Wisconsin, Milwaukee, WI, USA.
Abdul H KhanGreater Midwest Pancreatic Cancer Screening Program, Department of Gastroenterology, The Medical College of Wisconsin, Milwaukee, WI, USA.
Douglas B EvansGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.
Jennifer GeurtsGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.
Susan TsaiGreater Midwest Pancreatic Cancer Screening Program, Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA. stsai@mcw.edu.
Medical College of Wisconsin · US

Funding

American Cancer Society (US) 8600426
6 · The paper itself

Abstract

Selective screening for pancreatic cancer (PC) has been proposed. We describe the establishment of a comprehensive multidisciplinary screening program using 3.0 T MRI. Criteria for screening included the presence of PC in: ≥ 2 first degree relatives (FDR), 1 FDR and 1 s degree relative (SDR), ≥ 3 any degree relatives (ADR), or any known hereditary cancer syndrome with increased PC risk. Imaging with 3.0 T MRI was performed routinely and endoscopic ultrasound was used selectively. Screening was completed in 75 patients (pts). Hereditary cancer syndromes were present in 42 (56%) of the 75 pts: BRCA2 (18), ATM (8), BRCA1 (6), CDKN2A (4), PALB2 (3), Lynch (2), and Peutz-Jeghers (1). A family history of PC was present in ≥ 2 FDR in 12 (16%) pts, 1 FDR and 1 SDR in 5 (7) pts, and ≥ 3 ADR in 16 (21%) pts. Of the 65 pts who received screening MRI, 28 (43%) pts had pancreatic cystic lesions identified, including 1 (1%) patient in whom a cholangiocarcinoma was diagnosed as well. No patient underwent surgical resection. Using a 3.0 T MRI to screen patients at high risk for developing PC identified radiographic abnormalities in 43% of patients, which were stable on subsequent surveillance. Specific guidelines for the frequency of surveillance and indications for surgery remain areas of active investigation as the global experience with high risk screening continues to mature.

Indexed as

AdultAgedEarly Detection of CancerEndosonographyFeasibility StudiesFemaleGenetic CounselingGenetic Predisposition to DiseaseGenetic TestingHumansMagnetic Resonance ImagingMaleMiddle AgedNeoplastic Syndromes, HereditaryPancreasPancreatic NeoplasmsFamilial pancreatic cancerHigh riskPancreas cancer screening

Identifiers

PMID29101607
OpenAlexW2766235302

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.