Evidence map›Paper›PMID 30505719›Full record

ArticleQuantitative imaging in medicine and surgery2018

Radiation-induced gray matter atrophy in patients with nasopharyngeal carcinoma after intensity modulated radiotherapy: a MRI magnetic resonance imaging voxel-based morphometry study.

Lei Shi, Feng-Lei Du, Zong-Wen Sun, Lan Zhang, Yuan-Yuan Chen, Tie-Ming Xie, Pei-Jing Li, Shuang Huang, Bai-Qiang Dong, Min-Ming Zhang

Abstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Radiomitigators: Breakthroughs in Post-Radiation Recovery.Antioxidants (Basel, Switzerland) · 2026
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  8. Effects of proton therapy on regional [Clinical and translational radiation oncology · 2023
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  18. Review
  19. Article
  20. Neuroanatomical substrates underlying contrast sensitivity.Quantitative imaging in medicine and surgery · 2019
    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

10 authors.

Lei ShiDepartment of Radiology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
Feng-Lei DuDepartment of Radiation Oncology, Zhejiang Cancer Hospital, Hangzhou 310022, China.
Zong-Wen SunDepartment of Oncology, Jining No.1 People's Hospital, Jining 272000, China.
Lan ZhangDepartment of Ophthalmology, Zhejiang Provincial People's Hospital, Hangzhou 310014, China.
Yuan-Yuan ChenZhejiang Key Laboratory of Radiation Oncology, Hangzhou 310022, China.
Tie-Ming XieDepartment of Radiology, Zhejiang Cancer Hospital, Hangzhou 310022, China.
Pei-Jing LiDepartment of Radiology, Zhejiang Cancer Hospital, Hangzhou 310022, China.
Shuang HuangZhejiang Key Laboratory of Radiation Oncology, Hangzhou 310022, China.
Bai-Qiang DongZhejiang Key Laboratory of Radiation Oncology, Hangzhou 310022, China.
Min-Ming ZhangDepartment of Radiology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGray matter (GM) damage after radiotherapy (RT) in nasopharyngeal carcinoma (NPC) patients can result in cognitive impairment, while there may be no visible brain tissue change according to the conventional magnetic resonance imaging (MRI). This study investigated radiation-induced GM volume differences between NPC patients who received RT and those who did not.

methodsHigh-resolution brain structural MRI data from two groups of patients were acquired. The pre-RT group was composed of 56 newly diagnosed but not yet medically treated NPC patients, while the after-RT group consisted of 40 NPC patients who had completed RT more than 1 year ago. Voxel-based morphometry (VBM) was applied to assess GM volumes. Two sample t-test was used to analyze GM volumes voxel-by-voxel using the VBM8 toolbox built in the SPM software. Radiation-induced cortical volume alteration in all NPC patients after RT and dosimetry of 36 patients were analyzed.

resultsCompared to pre-treatment group, cortical volumes of GM were significantly smaller in the left hippocampus, the right pulvinar and the right middle temporal gyrus (MTG, P<0.001, AlphaSim correction, cluster size ≥157). The mean dose (D

conclusionsRadiation to the NPC patients can not only induce damage of the hippocampus, but also other secondary damages of GM.

Indexed as

gray matter volumemagnetic resonance imaging (MRI)Nasopharyngeal carcinoma (NPC)radiotherapy (RT)

Identifiers

PMID30505719
PMCPMC6218213

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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.