Evidence map›Paper›PMID 30679227›Full record

ArticleBMJ case reports2019

Real-time MRI guidance for intra-arterial drug delivery in a patient with a brain tumor: technical note.

Michal Zawadzki, Jerzy Walecki, Boguslaw Kostkiewicz, Kacper Kostyra, Monica Smith Pearl, Meiyappan Solaiyappan, Piotr Walczak, Miroslaw Janowski

Abstract readCase ReportsVideo-Audio Media
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Bevacizumab: The future of chronic subdural hematoma.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Review
  4. Review
  5. "Time Is Brain" - for Cell Therapies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  6. Multi-modality imaging for precise intra-arterial delivery of mRNA, AAVs, and antibodies to the head and neck area in mice.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Modeling hyperosmotic blood-brain barrier opening within human tissue-engineered in vitro brain microvessels.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Article
  20. Review
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.

Michal ZawadzkiDepartment of Radiology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Jerzy WaleckiDepartment of Radiology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Boguslaw KostkiewiczDepartment of Neurosurgery, Central Clinical Hospital of Ministry of the Interior and Administration, Warsaw, Poland.
Kacper KostyraDepartment of Neurosurgery, Central Clinical Hospital of Ministry of the Interior and Administration, Warsaw, Poland.
Monica Smith PearlDepartment of Radiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0001-9514-8902
Meiyappan SolaiyappanDepartment of Radiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Piotr WalczakDepartment of Radiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Miroslaw JanowskiDepartment of Radiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with malignant brain tumors have a poor prognosis. The blood-brain barrier (BBB) is considered a primary obstacle in therapeutic drug delivery to the brain. Intra-arterial (IA) delivery of therapeutic agents following osmotic BBB opening has been attempted for years, but high variability has limited its widespread implementation. It has recently been shown in animal studies that MRI is superior to X-ray for guiding IA infusions, as it allows direct visualization of the brain parenchyma supplied by the catheter and facilitates predictable drug targeting. Moreover, PET imaging has shown that IA rather than intravenous delivery of bevacizumab results in accumulation in the brain, providing a strong rationale for using the IA route. We present a patient with recurrent butterfly glioblastoma enrolled in a first-in-man MRI-guided neurointervention for targeted IA drug delivery.

Indexed as

Antineoplastic Agents, ImmunologicalBevacizumabBlood-Brain BarrierBrain NeoplasmsGlioblastomaHumansImaging, Three-DimensionalInfusions, Intra-ArterialMagnetic Resonance AngiographyMagnetic Resonance Imaging, InterventionalMiddle AgedAntineoplastic Agents, ImmunologicalBevacizumabbraininterventionmalignantmritechnique

Identifiers

PMID30679227
PMCPMC6347944

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.