Evidence map›Paper›PMID 31432278›Full record

ReviewEJNMMI research2019

Imaging-guided precision medicine in glioblastoma patients treated with immune checkpoint modulators: research trend and future directions in the field of imaging biomarkers and artificial intelligence.

Mathieu Sinigaglia, Tarek Assi, Florent L Besson, Samy Ammari, Myriam Edjlali, Whitney Feltus, Laura Rozenblum-Beddok, Binsheng Zhao, Lawrence H Schwartz, Fatima-Zohra Mokrane and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in EJNMMI research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Advances in PET/CT Imaging for Breast Cancer.Journal of clinical medicine · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. CNS Toxicity of Immunotherapy.Clinical research (Milpitas, Calif.) · 2020
    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

11 authors at 6 institutions in 2 countries.

Mathieu SinigagliaDepartment of Imaging Nuclear Medicine, Institut Claudius Regaud-Institut Universitaire du Cancer de Toulouse-Oncopole, Toulouse, France.
Tarek AssiDépartement de médecine oncologique, Gustave Roussy, Université Paris-Saclay, 94805, Villejuif, France.
Florent L BessonDepartment of Biophysics and Nuclear Medicine, Bicêtre University Hospital, Assistance Publique-Hôpitaux de Paris, 78 rue du Général Leclerc, 94275, Le Kremlin-Bicêtre, France.
Samy AmmariDépartement d'imagerie médicale, Gustave Roussy, Université Paris-Saclay, 94805, Villejuif, France.
Myriam EdjlaliINSERM U894, Service d'imagerie morphologique et fonctionnelle, Hôpital Sainte-Anne, Université Paris Descartes, 1, rue Cabanis, 75014, Paris, France.
Whitney FeltusDepartment of Radiology, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, 10039, USA.
Laura Rozenblum-BeddokService de Médecine Nucléaire, AP-HP, Hôpital La Pitié-Salpêtrière, Sorbonne Université, 75013, Paris, France.
Binsheng ZhaoDepartment of Radiology, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, 10039, USA.
Lawrence H SchwartzDepartment of Radiology, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, 10039, USA.
Fatima-Zohra MokraneDepartment of Radiology, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, 10039, USA.
Laurent DercleDepartment of Radiology, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, 10039, USA. laurent.dercle@gmail.com.ORCID http://orcid.org/0000-0002-1322-0710
NewYork–Presbyterian Hospital · USUniversité Paris-Saclay · FRDélégation Paris 5 · FRInstitut universitaire du cancer de Toulouse Oncopole · FRSorbonne Université · FRUniversité Paris-Sud · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunotherapies that employ immune checkpoint modulators (ICMs) have emerged as an effective treatment for a variety of solid cancers, as well as a paradigm shift in the treatment of cancers. Despite this breakthrough, the median survival time of glioblastoma patients has remained at about 2 years. Therefore, the safety and anti-cancer efficacy of combination therapies that include ICMs are being actively investigated. Because of the distinct mechanisms of ICMs, which restore the immune system's anti-tumor capacity, unconventional immune-related phenomena are increasingly being reported in terms of tumor response and progression, as well as adverse events. Indeed, immunotherapy response assessments for neuro-oncology (iRANO) play a central role in guiding cancer patient management and define a "wait and see strategy" for patients treated with ICMs in monotherapy with progressive disease on MRI. This article deciphers emerging research trends to ameliorate four challenges unaddressed by the iRANO criteria: (1) patient selection, (2) identification of immune-related phenomena other than pseudoprogression (i.e., hyperprogression, the abscopal effect, immune-related adverse events), (3) response assessment in combination therapies including ICM, and (4) alternatives to MRI. To this end, our article provides a structured approach for standardized selection and reporting of imaging modalities to enable the use of precision medicine by deciphering the characteristics of the tumor and its immune environment. Emerging preclinical or clinical innovations are also discussed as future directions such as immune-specific targeting and implementation of artificial intelligence algorithms.

Indexed as

Artificial IntelligenceDurvalumabGliblastomaImagingImmunotherapyiRANOMRNivolumabPembrolizumabPETPidilizumabRadiomicsRANO

Identifiers

PMID31432278
PMCPMC6702257
OpenAlexW2969236372

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.