Evidence map›Paper›PMID 29674173›Full record

ReviewTranslational oncology2018

Precision Medicine with Imprecise Therapy: Computational Modeling for Chemotherapy in Breast Cancer.

Matthew T McKenna, Jared A Weis, Amy Brock, Vito Quaranta, Thomas E Yankeelov

Abstract readReview
In one paragraph

Review in Translational oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Review
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  5. Review
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  7. Polymer-Based Nanosystems-A Versatile Delivery Approach.Materials (Basel, Switzerland) · 2021
    Review
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  13. Review
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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

5 authors.

Matthew T McKennaVanderbilt University Institute of Imaging Science, Nashville, TN; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN.
Jared A WeisDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN.
Amy BrockDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, TX.
Vito QuarantaDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN.
Thomas E YankeelovDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, TX; Department of Diagnostic Medicine, The University of Texas at Austin, Austin, TX; Department of Oncology, The University of Texas at Austin, Austin, TX; Institute for Computational and Engineering Sciences, The University of Texas at Austin, Austin, TX; Livestrong Cancer Institutes, The University of Texas at Austin, Austin, TX. Electronic address: thomas.yankeelov@utexas.edu.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Quantitative MRI for Predicting Response of Breast Cancer to Neoadjuvant TherapyU01CA142565 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KARCZMAR, GREGORY S., NANDA, RITA · 2010 to 2019
$4.5M
Quantitative Multiscale Imaging to Optimize Cancer Treatment StrategiesR01CA186193 · NCI · VANDERBILT UNIVERSITY · PI QUARANTA, VITO, RERICHA, ERIN C · 2014 to 2019
$3.1M
Image Driven Multi-Scale Modeling to Predict Treatment Response in Breast CancerU01CA174706 · NCI · VANDERBILT UNIVERSITY · PI QUARANTA, VITO, YANKEELOV, THOMAS E · 2013 to 2018
$2.5M
Development and Validation of a Predictive Model of Chemotherapy in Breast CancerF30CA203220 · NCI · VANDERBILT UNIVERSITY · PI MCKENNA, MATTHEW T. · 2016 to 2019
$134k
NCI NIH HHS F30 CA203220NCI NIH HHS R01 CA186193NCI NIH HHS U01 CA142565NCI NIH HHS U01 CA174706NIGMS NIH HHS T32 GM007347
6 · The paper itself

Abstract

Medical oncology is in need of a mathematical modeling toolkit that can leverage clinically-available measurements to optimize treatment selection and schedules for patients. Just as the therapeutic choice has been optimized to match tumor genetics, the delivery of those therapeutics should be optimized based on patient-specific pharmacokinetic/pharmacodynamic properties. Under the current approach to treatment response planning and assessment, there does not exist an efficient method to consolidate biomarker changes into a holistic understanding of treatment response. While the majority of research on chemotherapies focus on cellular and genetic mechanisms of resistance, there are numerous patient-specific and tumor-specific measures that contribute to treatment response. New approaches that consolidate multimodal information into actionable data are needed. Mathematical modeling offers a solution to this problem. In this perspective, we first focus on the particular case of breast cancer to highlight how mathematical models have shaped the current approaches to treatment. Then we compare chemotherapy to radiation therapy. Finally, we identify opportunities to improve chemotherapy treatments using the model of radiation therapy. We posit that mathematical models can improve the application of anticancer therapeutics in the era of precision medicine. By highlighting a number of historical examples of the contributions of mathematical models to cancer therapy, we hope that this contribution serves to engage investigators who may not have previously considered how mathematical modeling can provide real insights into breast cancer therapy.

Identifiers

PMID29674173
PMCPMC6056758

What OpenQuestion holds

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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.