Evidence map›Paper›PMID 29937522›Full record

ArticleInternational journal of molecular sciences2018

Circulating Tumour DNA Analysis for Tumour Genome Characterisation and Monitoring Disease Burden in Extramedullary Multiple Myeloma.

Sridurga Mithraprabhu, Shreerang Sirdesai, Maoshan Chen, Tiffany Khong, Andrew Spencer

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of molecular sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.1field-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

27 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Extramedullary Disease-Achilles Heel in Myeloma?American journal of hematology · 2026
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  7. Article
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  10. Article
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  12. Genetic Abnormalities in Extramedullary Multiple Myeloma.International journal of molecular sciences · 2023
    Review
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  14. Article
  15. Article
  16. 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 at 1 institution in 1 country.

Sridurga MithraprabhuMyeloma Research Group, Australian Centre for Blood Diseases, Alfred Hospital⁻Monash University, Melbourne 3004, Australia. durga.mithraprabhu@monash.edu.ORCID 0000-0003-1034-5179
Shreerang SirdesaiMalignant Haematology and Stem Cell Transplantation, Alfred Hospital, Melbourne 3004, Australia. s.sirdesai@alfred.org.au.
Maoshan ChenMyeloma Research Group, Australian Centre for Blood Diseases, Alfred Hospital⁻Monash University, Melbourne 3004, Australia. maoshan.chen@monash.edu.ORCID 0000-0002-3827-4969
Tiffany KhongMyeloma Research Group, Australian Centre for Blood Diseases, Alfred Hospital⁻Monash University, Melbourne 3004, Australia. tiffany.khong@monash.edu.
Andrew SpencerMyeloma Research Group, Australian Centre for Blood Diseases, Alfred Hospital⁻Monash University, Melbourne 3004, Australia. aspencer@netspace.net.au.
The Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutational characterisation in extramedullary multiple myeloma (EM-MM) patients is challenging due to inaccessible EM plasmacytomas, unsafe nature of multiple biopsies and the spatial and temporal genomic heterogeneity apparent in MM (Graphical abstract). Conventional monitoring of disease burden is through serum markers and PET-CT, however these modalities are sometimes inadequate (serum markers), not performed in a timely manner (PET-CT) and uninformative for identifying mutations driving disease progression. DNA released into the blood by tumour cells (ctDNA) contains the predominant clones derived from the multiple disease foci. Blood-derived ctDNA can, therefore, provide a holistic illustration of the major drivers of disease progression. In this report, the utility of ctDNA, as an adjunct to currently available modalities in EM-MM, is presented for a patient with EM and oligosecretory (OS) disease. Whole exome sequencing of contemporaneously acquired tumour tissue and matched ctDNA samples revealed the presence of spatial and temporal genetic heterogeneity and the identification of pathways associated with drug resistance. Longitudinal monitoring of plasma samples revealed that ctDNA can be utilised to define the dynamic clonal evolution co-existent with disease progression and as an adjunct non-invasive marker of tumour burden.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCirculating Tumor DNAClonal EvolutionDisease ProgressionExome SequencingFemaleGTP PhosphohydrolasesHematopoietic Stem Cell TransplantationHumansMembrane ProteinsMiddle AgedMultiple MyelomaMutationPlasma CellsPlasmacytomaBiomarkers, TumorCirculating Tumor DNAGTP PhosphohydrolasesMembrane ProteinsNRAS protein, humancell-free DNActDNAdigital PCRextramedullary MMspatial heterogeneitywhole exome sequencing

Identifiers

PMID29937522
PMCPMC6073672
OpenAlexW2809441387

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.