Evidence map›Paper›PMID 29222688›Full record

ArticleSkeletal radiology2018

Comparison of qualitative and quantitative CT and MRI parameters for monitoring of longitudinal spine involvement in patients with multiple myeloma.

M Horger, J Fritz, W M Thaiss, H Ditt, K Weisel, M Haap, Christopher Kloth

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Role of whole-body MRI for treatment response assessment in multiple myeloma: comparison between clinical response and imaging response.Cancer imaging : the official publication of the International Cancer Imaging Society · 2020
    Article
  6. 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

7 authors at 4 institutions in 2 countries.

M HorgerDepartment of Diagnostic and Interventional Radiology, Eberhard-Karls-University Tübingen, D-72076, Tübingen, Germany.
J FritzJohns Hopkins University School of Medicine, Russell H. Morgan Department of Radiology and Radiological Science, 601 N. Caroline Street, JHOC 3142, Baltimore, MD, 21287, USA.
W M ThaissDepartment of Diagnostic and Interventional Radiology, Eberhard-Karls-University Tübingen, D-72076, Tübingen, Germany.
H DittSiemens AG Healthcare, Sector Imaging and Interventional Radiology, Siemensstr. 1, D-91301, Forchheim, Germany.
K WeiselDepartment of Internal Medicine II, Eberhard-Karls-University Tübingen, Otfried-Müller-Str. 8, D-72076, Tübingen, Germany.
M HaapDepartment of Internal Medicine IV, Eberhard-Karls-University Tübingen, D-72076, Tübingen, , Otfried-Müller-Str. 8, Germany.
Christopher KlothDepartment of Diagnostic and Interventional Radiology, University Hospital Ulm, Albert-Einstein-Alle 23, 89081, ULM, Germany. christopher.kloth@uniklinik-ulm.de.
University of Tübingen · DEJohns Hopkins University · USSiemens Healthcare (Germany) · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare qualitative and quantitative computed tomography (CT) and magnetic resonance imaging (MRI) parameters for longitudinal disease monitoring of multiple myeloma (MM) of the axial skeleton. MATERIALS AND

methodsWe included 31 consecutive patients (17 m; mean age 59.20 ± 8.08 years) with MM, who underwent all baseline (n = 31) and at least one or more (n = 47) follow-up examinations consisting of multi-parametric non-enhanced whole-body MRI (

resultsHematological response categories were CR (14/47, 29.7%), PR (2/47, 4.2%), SD (16/47, 34.0%) and PD (15/47, 29.9%). Qualitative-CT-evaluation showed PD in 12/47 (25.5%) and SD/PR/VGPR/CR in 35/47 (74.5%) cases. These results were confirmed by quantitative-CT in all focal lytic lesions (p < 0.001). Quantitative-CT at sites with diffuse bone involvement showed significant increase of maximum bone attenuation (p < 0.001*) and significant decrease of minimal bone (p < 0.002*) in the SD/PR/VGPR/CR group. Qualitative MRI showed PD in 14/47 (29.7%) and SD/PR/VGPR/CR in 33/47 (70.3%). Quantitative MRI diagnosis showed a statistically significant decrease in signal intensity on short tau inversion recovery sequences (STIR) in bone marrow in patients with diffuse bone marrow involvement achieving SD/PR/VGPR/CR (p < 0.001*).

conclusionImaging response monitoring using MRI is superior to CT only if qualitative parameters are used, whereas there was no definite benefit from using quantitative parameters with either CT or MRI.

Indexed as

AdultAgedDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMultiple MyelomaRetrospective StudiesSpinal NeoplasmsTomography, X-Ray ComputedWhole Body ImagingCTMRIMultiple myelomaQualitative and quantitative analysis

Identifiers

PMID29222688
OpenAlexW2771273398

What OpenQuestion holds

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Registered trials

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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.