Evidence map›Paper›PMID 29692531›Full record

ArticleThe Indian journal of radiology & imaging

Can MRI diffusion-weighted imaging identify postoperative residual/recurrent soft-tissue sarcomas?

Mai Maher ElDaly, Amr Farouk Ibrahim Moustafa, Suzan Mohamed Samy Abdel-Meguid, Ahmed Mohamed Shokry, Nagui Abd El Wahab

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Article in The Indian journal of radiology & imaging. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

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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.

Mai Maher ElDalyDepartment of Diagnostic and Intervention Radiology, National Cancer Institute, Cairo University, Cairo, Egypt.
Amr Farouk Ibrahim MoustafaDepartment of Diagnostic and Intervention Radiology, National Cancer Institute, Cairo University, Cairo, Egypt.
Suzan Mohamed Samy Abdel-MeguidDepartment of Diagnostic and Intervention Radiology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed Mohamed ShokryDepartment of Diagnostic and Intervention Radiology, National Cancer Institute, Cairo University, Cairo, Egypt.
Nagui Abd El WahabDepartment of Diagnostic and Intervention Radiology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate contrast-enhanced magnetic resonance imaging (CE-MRI) and quantitative diffusion-weighted imaging (DWI) with apparent diffusion coefficient (ADC) mapping in the detection of recurrent/residual postoperative soft tissue sarcomas. MATERIALS AND

methodsThis study included 36 patients; 27 patients had postoperative recurrent/residual soft tissue sarcomas and 9 patients had postoperative and treatment-related changes (inflammation/fibrosis). The DWI was obtained with 3 b values including 0, 400, and 800 s/mm

resultsOur results showed that including CE-MRI improved the diagnostic accuracy and sensitivity in recurrence detection compared to conventional non-enhanced sequences. However, it showed low specificity (55.56%) with a high false-positive rate that may lead to an unnecessary biopsy of a mass such as region of postoperative scar tissue.

conclusionThe joint use of gadolinium-enhanced MRI and quantitative DWI with ADC mapping offer added value in the detection of recurrent/residual postoperative soft tissue sarcoma. This combined use increased both the diagnostic sensitivity and specificity with a cut-off average ADC value for detecting nonmyxoid recurrent/residual lesions ≤1.3 × 10

Indexed as

ADC valuediffusion-weighted imagingsoft tissue sarcoma

Identifiers

PMID29692531
PMCPMC5894324

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