Evidence map›Paper›PMID 29808930›Full record

SynthesisBritish journal of haematology2018

Diagnostic markers for CNS lymphoma in blood and cerebrospinal fluid: a systematic review.

Anouk van Westrhenen, Lisanne C A Smidt, Tatjana Seute, Stefan Nierkens, Abraham C J Stork, Monique C Minnema, Tom J Snijders

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in British journal of haematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

44 citing papers in PubMed, 49 citations in OpenAlex.

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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

7 authors at 1 institution in 2 countries.

Anouk van WestrhenenUniversity Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-1987-5793
Lisanne C A SmidtUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Tatjana SeuteUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Stefan NierkensUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Abraham C J StorkUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Monique C MinnemaUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Tom J SnijdersUniversity Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-0857-081X
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnosing central nervous system (CNS) lymphoma remains a challenge. Most patients have to undergo brain biopsy to obtain tissue for diagnosis, with associated risks of serious complications. Diagnostic markers in blood or cerebrospinal fluid (CSF) could facilitate early diagnosis with low complication rates. We performed a systematic literature search for studies on markers in blood or cerebrospinal fluid for the diagnosis CNS lymphoma and assessed the methodological quality of studies with the Quality Assessment of Diagnostic Accuracy Studies tool (QUADAS-2). We evaluated diagnostic value of the markers at a given threshold, as well as differences between mean or median levels in patients versus control groups. Twenty-five studies were included, reporting diagnostic value for 18 markers in CSF (microRNAs -21, -19b, and -92a, RNU2-1f, CXCL13, interleukins -6, -8, and -10, soluble interleukin-2-receptor, soluble CD19, soluble CD27, tumour necrosis factor-alfa, beta-2-microglobulin, antithrombin III, soluble transmembrane activator and calcium modulator and cyclophilin ligand interactor, soluble B cell maturation antigen, neopterin and osteopontin) and three markers in blood (microRNA-21 soluble CD27, and beta-2-microglobulin). All studies were at considerable risk of bias and there were concerns regarding the applicability of 15 studies. CXCL-13, beta-2-microglobulin and neopterin have the highest potential in diagnosing CNS lymphoma, but further study is still needed before they can be used in clinical practice.

Indexed as

Biomarkers, Tumorbeta 2-MicroglobulinCentral Nervous System NeoplasmsChemokine CXCL13HumansNeopterinbeta 2-MicroglobulinBiomarkers, TumorChemokine CXCL13CXCL13 protein, humanNeopterinbloodcentral nervous system (CNS) lymphomacerebrospinal fluid (CSF)diagnostic marker(s)liquid biopsy

Identifiers

PMID29808930
PMCPMC6099264
OpenAlexW2805418493

What OpenQuestion holds

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LicenceCC BY-NC
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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.