Evidence map›Paper›PMID 29622553›Full record

ArticleAJNR. American journal of neuroradiology2018

Edge Contrast of the FLAIR Hyperintense Region Predicts Survival in Patients with High-Grade Gliomas following Treatment with Bevacizumab.

N Bahrami, D Piccioni, R Karunamuni, Y-H Chang, N White, R Delfanti, T M Seibert, J A Hattangadi-Gluth, A Dale, N Farid and 1 more

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Artificial intelligence-based MRI radiomics and radiogenomics in glioma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Texture Analysis in Cerebral Gliomas: A Review of the Literature.AJNR. American journal of neuroradiology · 2019
    Review
  13. 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

11 authors.

N BahramiFrom the Center for Multimodal Imaging and Genetics (N.B., N.W., C.R.M.) nabahrami@ucsd.edu naeim.bahrami@gmail.com.ORCID 0000-0001-7491-3302
D PiccioniDepartment of Neurosciences (D.P., A.D., N.F.).ORCID 0000-0001-6006-0126
R KarunamuniDepartment of Radiation Medicine (R.K., T.M.S., J.A.H.-G.), University of California, San Diego, La Jolla, California.ORCID 0000-0001-6918-0589
Y-H ChangDepartment of Psychiatry (N.B., Y.-H.C., C.R.M.).ORCID 0000-0003-0953-0094
N WhiteFrom the Center for Multimodal Imaging and Genetics (N.B., N.W., C.R.M.).ORCID 0000-0003-4564-2237
R DelfantiDepartment of Radiology (N.B., N.W., R.D., A.D., N.F., C.R.M.).ORCID 0000-0002-2373-5419
T M SeibertDepartment of Radiation Medicine (R.K., T.M.S., J.A.H.-G.), University of California, San Diego, La Jolla, California.ORCID 0000-0002-4089-7399
J A Hattangadi-GluthDepartment of Radiation Medicine (R.K., T.M.S., J.A.H.-G.), University of California, San Diego, La Jolla, California.ORCID 0000-0001-8222-606X
A DaleMultimodal Imaging Laboratory (N.B., N.W., A.D., C.R.M.).ORCID 0000-0002-6126-2966
N FaridDepartment of Radiology (N.B., N.W., R.D., A.D., N.F., C.R.M.).ORCID 0000-0002-0876-1934
C R McDonaldFrom the Center for Multimodal Imaging and Genetics (N.B., N.W., C.R.M.).ORCID 0000-0002-0721-5640

Funding

San Diego Clinical and Translational Research InstituteUL1TR000100 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2012 to 2015
$19.7M
Multimodal Imaging of Language in the Preoperative Evaluation of EpilepsyR01NS065838 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCDONALD, CARRIE R · 2010 to 2018
$4.4M
Clinical and Transtional Science InstituteTL1TR000144 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$643k
HSRD VA TPR 15-229NCATS NIH HHS TL1 TR000144NCATS NIH HHS UL1 TR000100NINDS NIH HHS R01 NS065838
6 · The paper itself

Abstract

background and purposeTreatment with bevacizumab is standard of care for recurrent high-grade gliomas; however, monitoring response to treatment following bevacizumab remains a challenge. The purpose of this study was to determine whether quantifying the sharpness of the fluid-attenuated inversion recovery hyperintense border using a measure derived from texture analysis-edge contrast-improves the evaluation of response to bevacizumab in patients with high-grade gliomas. MATERIALS AND

methodsMRIs were evaluated in 33 patients with high-grade gliomas before and after the initiation of bevacizumab. Volumes of interest within the FLAIR hyperintense region were segmented. Edge contrast magnitude for each VOI was extracted using gradients of the 3D FLAIR images. Cox proportional hazards models were generated to determine the relationship between edge contrast and progression-free survival/overall survival using age and the extent of surgical resection as covariates.

resultsAfter bevacizumab, lower edge contrast of the FLAIR hyperintense region was associated with poorer progression-free survival (

conclusionsTexture analysis using edge contrast of the FLAIR hyperintense region may be an important predictive indicator in patients with high-grade gliomas following treatment with bevacizumab. Specifically, low FLAIR edge contrast may partially reflect areas of early tumor infiltration. This study adds to a growing body of literature proposing that quantifying features may be important for determining outcomes in patients with high-grade gliomas.

Indexed as

AdultAgedAntineoplastic AgentsBevacizumabBrain NeoplasmsFemaleGliomaHumansImage Interpretation, Computer-AssistedImaging, Three-DimensionalKaplan-Meier EstimateMagnetic Resonance ImagingMaleMiddle AgedAntineoplastic AgentsBevacizumab

Identifiers

PMID29622553
PMCPMC6002890

What OpenQuestion holds

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LicenceTDM
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.