Evidence map›Paper›PMID 31736437›Full record

ArticleMolecular imaging

Multimodal Imaging of Nonenhancing Glioblastoma Regions.

Flóra John, Natasha L Robinette, Alit J Amit-Yousif, Edit Bosnyák, Geoffrey R Barger, Keval D Shah, Sandeep Mittal, Csaba Juhász

Registry-linked trialAbstract read
In one paragraph

Article in Molecular imaging. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02367469 (Tryptophan Metabolism in Human Brain Tumors), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT02367469 completednot on this map

Tryptophan Metabolism in Human Brain Tumors

TypeobservationalSponsorWayne State UniversityRan2014 to 2021Enrolled105ConditionsBrain Tumors
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

8 authors.

Flóra JohnDepartment of Pediatrics, Wayne State University and PET Center and Translational Imaging Laboratory, Children's Hospital of Michigan, Detroit, MI, USA.
Natasha L RobinetteDepartment of Radiology, Wayne State University, Detroit, MI, USA.
Alit J Amit-YousifDepartment of Radiology, Wayne State University, Detroit, MI, USA.
Edit BosnyákDepartment of Pediatrics, Wayne State University and PET Center and Translational Imaging Laboratory, Children's Hospital of Michigan, Detroit, MI, USA.
Geoffrey R BargerDepartment of Neurology, Wayne State University, Detroit, MI, USA.
Keval D ShahDepartment of Neurology, Wayne State University, Detroit, MI, USA.
Sandeep MittalDepartment of Neurosurgery, Wayne State University, Detroit, MI, USA.
Csaba JuhászDepartment of Pediatrics, Wayne State University and PET Center and Translational Imaging Laboratory, Children's Hospital of Michigan, Detroit, MI, USA.ORCID 0000-0002-5067-5554

Funding

Tryptophan Metabolism in Human Brain TumorsR01CA123451 · NCI · WAYNE STATE UNIVERSITY · PI JUHASZ, CSABA, MITTAL, SANDEEP · 2008 to 2018
$3.1M
NCI NIH HHS R01 CA123451
6 · The paper itself

Abstract

backgroundClinical glioblastoma treatment mostly focuses on the contrast-enhancing tumor mass. Amino acid positron emission tomography (PET) can detect additional, nonenhancing glioblastoma-infiltrated brain regions that are difficult to distinguish on conventional magnetic resonance imaging (MRI). We combined MRI with perfusion imaging and amino acid PET to evaluate such nonenhancing glioblastoma regions.

methodsStructural MRI, relative cerebral blood volume (rCBV) maps from perfusion MRI, and α-[

resultsThirteen (65%) tumors showed robust heterogeneity in nonenhancing T2/FLAIR hyperintense areas on AMT-PET, whereas the nonenhancing regions in the remaining 7 cases had homogeneous AMT uptake (low in 6, high in 1). AMT and rCBV T/N ratios showed only a moderate correlation in the nonenhancing regions (

conclusionsThe findings demonstrate the metabolic and perfusion heterogeneity of nonenhancing T2/FLAIR hyperintense glioblastoma regions. Amino acid PET imaging of such regions can detect glioma-infiltrated brain for treatment targeting; however, very low rCBV values outside the contrast-enhancing tumor mass make increased AMT uptake in nonenhancing glioblastoma regions unlikely.

Indexed as

AdultAgedAged, 80 and overBrain NeoplasmsFemaleGlioblastomaHumansMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingPositron-Emission TomographyTryptophanTryptophantryptophan methyl esteramino acidglioblastomaperfusion MRIpositron emission tomography

Identifiers

PMID31736437
PMCPMC6862774

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Registered trials

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.