Evidence map›Paper›PMID 31354382›Full record

ArticleSarcoma2019

How Effective Are Noninvasive Tests for Diagnosing Malignant Peripheral Nerve Sheath Tumors in Patients with Neurofibromatosis Type 1? Diagnosing MPNST in NF1 Patients.

Maria Schwabe, Stanislav Spiridonov, Elizabeth L Yanik, Jack W Jennings, Travis Hillen, Maria Ponisio, Douglas J McDonald, Farrokh Dehdashti, Cara A Cipriano

Open access · hybridAbstract read
In one paragraph

Article in Sarcoma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Diagnostic value ofJournal of neuro-oncology · 2022
    Article
  9. Treatment of malignant peripheral nerve sheath tumors in pediatric NF1 disease.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Review
  10. 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

9 authors at 1 institution in 1 country.

Maria SchwabeWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.ORCID https://orcid.org/0000-0002-2371-903X
Stanislav SpiridonovWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Elizabeth L YanikWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Jack W JenningsWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Travis HillenWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Maria PonisioWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Douglas J McDonaldWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Farrokh DehdashtiWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Cara A CiprianoWashington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110, USA.ORCID https://orcid.org/0000-0002-1609-9899
Washington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDistinguishing between benign and malignant peripheral nerve sheath tumors (MPNSTs) in neurofibromatosis 1 (NF1) patients prior to excision can be challenging. How can MPNST be most accurately diagnosed using clinical symptoms, magnetic resonance imaging (MRI) findings (tumor size, depth, and necrosis), positron emission tomography (PET) measures (SUV

resultsOur population of 41 patients contained 34 benign and 36 malignant tumors. Clinical findings did not reliably predict MPNST. Tumor depth below fascia was highly sensitive; larger tumors were more likely to be malignant but without a useful cutoff for diagnosis. Necrosis on MRI was highly accurate and was the only significant variable in the regression model. PET measures were highly accurate, with AUCs comparable and cutoff points consistent with prior studies. A diagnostic algorithm was created using MRI and PET findings.

conclusionsMRI and PET were more effective at diagnosing MPNST than clinical features. We created an algorithm for preoperative evaluation of peripheral nerve sheath tumors in NF1 patients, for which additional validation will be indicated.

Identifiers

PMID31354382
PMCPMC6636541
OpenAlexW2953955304

What OpenQuestion holds

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Registered trials

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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.