Evidence map›Paper›PMID 29721752›Full record

ArticleJournal of neuro-oncology2018

Prediction of survival in patients affected by glioblastoma: histogram analysis of perfusion MRI.

Andrea Romano, Luca Pasquini, Alberto Di Napoli, Francesca Tavanti, Alessandro Boellis, Maria Camilla Rossi Espagnet, Giuseppe Minniti, Alessandro Bozzao

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Association of dynamic susceptibility magnetic resonance imaging at initial tumor diagnosis with the prognosis of different molecular glioma subtypes.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  10. 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.

Andrea RomanoDepartment of Odontostomatological and Maxillo-Facial Sciences, Umberto I Hospital, Sapienza University, Via di Grottarossa, 00135, Rome, Italy. andrea.romano@uniroma1.it.ORCID http://orcid.org/0000-0003-0254-9665
Luca PasquiniNESMOS, Department of Neuroradiology, S. Andrea Hospital, Sapienza University, Rome, Italy.
Alberto Di NapoliNESMOS, Department of Neuroradiology, S. Andrea Hospital, Sapienza University, Rome, Italy.
Francesca TavantiNESMOS, Department of Neuroradiology, S. Andrea Hospital, Sapienza University, Rome, Italy.
Alessandro BoellisNESMOS, Department of Neuroradiology, S. Andrea Hospital, Sapienza University, Rome, Italy.
Maria Camilla Rossi EspagnetNESMOS, Department of Neuroradiology, S. Andrea Hospital, Sapienza University, Rome, Italy.
Giuseppe MinnitiNeuromed - Mediterranean Neurological Institute, Pozzilli, Italy.
Alessandro BozzaoNESMOS, Department of Neuroradiology, S. Andrea Hospital, Sapienza University, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe identification of prognostic biomarkers plays a pivotal role in the management of glioblastoma. The aim of this study was to assess the role of magnetic resonance dynamic susceptibility contrast imaging (DSC-MRI) with histogram analysis in the prognostic evaluation of patients suffering from glioblastoma. MATERIALS AND

methodsSixty-eight patients with newly diagnosed pathologically verified GBM were retrospectively evaluated. All patients underwent MRI investigations, including DSC-MRI, surgical procedure and received postoperative focal radiotherapy plus daily temozolomide (TMZ), followed by adjuvant TMZ therapy. Relative cerebral blood volume (rCBV) histograms were generated from a volume of interest covering the solid portions of the tumor and statistically evaluated for kurtosis, skewness, mean, median and maximum value of rCBV. To verify if histogram parameters could predict survival at 1 and 2 years, receiver operating characteristic (ROC) curves were obtained. Kaplan-Meier method was used to calculate patient's overall survival.

resultsrCBV kurtosis and rCBV skewness showed significant differences between subjects surviving > 1 and > 2 years, According to ROC analysis, the rCBV kurtosis showed the best statistic performance compared to the other parameters; respectively, values of 1 and 2.45 represented an optimised cut-off point to distinguish subjects surviving over 1 or 2 years. Kaplan-Meier curves showed a significant difference between subjects with rCBV kurtosis values higher or lower than 1 (respectively 1021 and 576 days; Log-rank test: p = 0.007), and between subjects with rCBV kurtosis values higher or lower than 2.45 (respectively 802 and 408 days; Log-rank test: p = 0.001).

conclusionThe histogram analysis of perfusion MRI proved to be a valid method to predict survival in patients affected by glioblastoma.

Indexed as

Magnetic Resonance ImagingAdultAgedBlood VolumeBrainBrain NeoplasmsCerebrovascular CirculationChemoradiotherapyContrast MediaFemaleGlioblastomaHumansMaleMiddle AgedNeurosurgical ProceduresPrognosisContrast MediaGlioblastomaHistogramsKurtosisPerfusionSurvival

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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.