Evidence map›Paper›PMID 29492602›Full record

ArticleAbdominal radiology (New York)2018

Computed tomography findings after radiofrequency ablation in locally advanced pancreatic cancer.

Steffi J E Rombouts, Tyche C Derksen, Chung Y Nio, Richard van Hillegersberg, Hjalmar C van Santvoort, Marieke S Walma, Izaak Q Molenaar, Maarten S van Leeuwen

Open access · hybridAbstract read
In one paragraph

Article in Abdominal radiology (New York), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
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

8 authors at 3 institutions in 1 country.

Steffi J E RomboutsDepartment of Surgery, University Medical Center Utrecht Cancer Center, 3508 GA, Utrecht, PO Box 85500, The Netherlands.
Tyche C DerksenDepartment of Surgery, University Medical Center Utrecht Cancer Center, 3508 GA, Utrecht, PO Box 85500, The Netherlands. tychederksen@gmail.com.
Chung Y NioDepartment of Radiology, Academic Medical Center Amsterdam, PO Box 22660, 1100 DD, Amsterdam, The Netherlands.
Richard van HillegersbergDepartment of Surgery, University Medical Center Utrecht Cancer Center, 3508 GA, Utrecht, PO Box 85500, The Netherlands.
Hjalmar C van SantvoortDepartment of Surgery, Sint Antonius Hospital, Nieuwegein, The Netherlands.
Marieke S WalmaDepartment of Surgery, University Medical Center Utrecht Cancer Center, 3508 GA, Utrecht, PO Box 85500, The Netherlands.
Izaak Q MolenaarDepartment of Surgery, University Medical Center Utrecht Cancer Center, 3508 GA, Utrecht, PO Box 85500, The Netherlands.
Maarten S van LeeuwenDepartment of Radiology, University Medical Center Utrecht Cancer Center, 3508 GA, Utrecht, PO Box 85500, The Netherlands. m.s.vanleeuwen@umcutrecht.nl.
University Medical Center Utrecht · NLAcademic Medical Center · NLSt. Antonius Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of the study was to provide a systematic evaluation of the computed tomography(CT) findings after radiofrequency ablation (RFA) in locally advanced pancreatic cancer(LAPC).

methodsEighteen patients with intra-operative RFA-treated LAPC were included in a prospective case series. All CT-scans performed prior to RFA and 1 week and 3 months of post-RFA, according to standard regimen, were assessed by two radiologists in consensus, using standardized radiological scoring lists.

results51 CT-scans were assessed. One week after RFA, the ablation zone was visible in all patients as a (partially) sharply defined (83%), heterogeneous area (94%). At 3 months of follow-up, the ablation zone was completely invaded by tumor in 67% of patients and still present, but decreased in 33%. In two patients (11%), local thrombosis and/or occlusion of the superior mesenteric vein occurred. The occlusions persisted without clinical consequences and the thrombosis disappeared. A peripancreatic fluid collection was visible 1 week after RFA in 3 patients, wherein the ablation zone extended ventrally outside of the pancreas.

conclusionsDirectly after RFA for LAPC, a well-defined ablation zone is visible on CT-imaging. This ablation zone is usually replaced by tumor ingrowth after 3 months. Moreover, the ablation zone regularly included vascular structures, with rare asymptomatic venous occlusion or thrombosis and without adverse effects on arteries.

Indexed as

Radiofrequency AblationTomography, X-Ray ComputedAgedFeasibility StudiesFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalNetherlandsPancreatic NeoplasmsPostoperative ComplicationsProspective StudiesComputed tomographyImaging findingsLocally advanced pancreatic cancerRadiofrequency ablation

Identifiers

PMID29492602
PMCPMC6132871
OpenAlexW2792835836

What OpenQuestion holds

Textmetadata
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.