Evidence map›Paper›PMID 29789905›Full record

ArticleEuropean radiology2018

Pre-operative MRI staging of endometrial cancer in a multicentre cancer network: can we match single centre study results?

N D Soneji, N Bharwani, A Ferri, V Stewart, A Rockall

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. ESGO/ESTRO/ESP Guidelines for the management of patients with endometrial carcinoma.Virchows Archiv : an international journal of pathology · 2021
    Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Endometrial carcinoma: use of tracer kinetic modeling of dynamic contrast-enhanced MRI for preoperative risk assessment.Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
    Article
  11. Review
  12. Article
  13. Microcystic, Elongated and Fragmented Pattern Invasion Can Adversely Influence Preoperative Staging for Low-grade Endometrial Carcinoma.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2021
    Article
  14. 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

5 authors at 2 institutions in 2 countries.

N D SonejiHammersmith Hospital Imaging Department, Imperial College NHS Healthcare Trust, Du Cane Road, London, W12 OHS, UK. neil.soneji@gmail.com.ORCID http://orcid.org/0000-0001-7816-6826
N BharwaniHammersmith Hospital Imaging Department, Imperial College NHS Healthcare Trust, Du Cane Road, London, W12 OHS, UK.
A FerriHammersmith Hospital Imaging Department, Imperial College NHS Healthcare Trust, Du Cane Road, London, W12 OHS, UK.
V StewartHammersmith Hospital Imaging Department, Imperial College NHS Healthcare Trust, Du Cane Road, London, W12 OHS, UK.
A RockallHammersmith Hospital Imaging Department, Imperial College NHS Healthcare Trust, Du Cane Road, London, W12 OHS, UK.
Imperial College Healthcare NHS Trust · GBRoyal Marsden NHS Foundation Trust · GB

Funding

Cancer Research UK 12783
6 · The paper itself

Abstract

objectivesTo evaluate the staging accuracy of magnetic resonance imaging (MRI) for endometrial cancer in daily practice over a 3-year period at a tertiary referral centre receiving scans from a large number of hospitals with varying protocols. To compare these daily practice results to published data from single-centre studies.

methodsAfter ethical approval, MRI staging records for 270 studies from nine network and three centre hospitals were retrospectively collected and compared with final operative histopathology. The International Federation of Gynaecology and Obstetrics (FIGO) stage, depth of invasion assessment and cervical stromal invasion were analysed and reasons for discrepancies reviewed.

resultsMRI-based complete FIGO stage was fully concordant with histopathology in 65.6%. MRI accuracy for depth of myometrial invasion and cervical stromal invasion was 73.3% and 89.3% respectively. Our results did not match the high accuracy previously reported in studies based on single centres.

conclusionsPublished MRI staging accuracy from small single-centre studies were not replicated in a tertiary referral centre receiving scans with heterogeneous protocols over a 3-year period. These results highlight the challenges faced in daily practice and may reflect achievable and realistic MRI staging accuracies in large rapid throughput referral networks. Adherence to standardised high-quality protocols may help to improve future results. KEY POINTS: • Three-year MRI-staging accuracy for endometrial cancer in a multicentre cancer network • Daily practice MRI-staging accuracy did not meet results of single-centre studies • Large scale cancer network MRI-staging accuracies should be further evaluated • Treatment recommendations should be based on achievable MRI-staging accuracies.

Indexed as

AdultAgedAged, 80 and overEndometrial NeoplasmsFemaleHumansMagnetic Resonance ImagingMiddle AgedMyometriumNeoplasm InvasivenessNeoplasm StagingPreoperative PeriodReproducibility of ResultsRetrospective StudiesCancer stagingData accuracyEndometrial cancerMagnetic resonance imaging (MRI)Tertiary referral centre

Identifiers

PMID29789905
OpenAlexW2803249625

What OpenQuestion holds

Textmetadata
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.