Evidence map›Paper›PMID 31772852›Full record

ArticleCureus2019

Multidisciplinary Imaging Review Conference Improves Neuro-oncology Radiation Treatment Planning and Follow-up.

Dinesh Rao, Peter Fiester, Jeet Patel, Michael Rutenberg, Adam Holtzman, Roi Dagan, Ronny L Rotondo, Sukhwinder Johnny S Sandhu

Abstract read
In one paragraph

Article in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Dinesh RaoNeuroradiology, University of Florida Health, Jacksonville, USA.
Peter FiesterNeuroradiology, University of Florida Health, Jacksonville, USA.
Jeet PatelNeuroradiology, University of Florida Health, Jacksonville, USA.
Michael RutenbergRadiation Oncology, University of Florida Health, Jacksonville, USA.
Adam HoltzmanRadiation Oncology, The University of Florida Proton Health Therapy Institute, Jacksonville, USA.
Roi DaganRadiation Oncology, The University of Florida Health Proton Therapy Institute, Jacksonville, USA.
Ronny L RotondoRadiation Oncology, The University of Florida Health Proton Therapy Institute, Jacksonville, USA.
Sukhwinder Johnny S SandhuRadiology, Mayo Clinic, Jacksonville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review the impact of a weekly multidisciplinary neuroradiology imaging review on the management of patients undergoing radiotherapy.

methodsA prospective study of the management of 118 patients (30=head and neck, 40=skull base, central nervous system=48) was conducted over a 12-month period from January 2018 through January 2019. After review of each patient's history and relevant imaging, a radiation oncologist completed a form detailing the changes that were made in diagnosis and management. Imaging source (external and internal examinations), availability of outside reports, report timeliness, the value of reports, changes in interpretation, changes in clinical management, and changes in prognosis were documented. Changes in interpretation and management were designated as major or minor depending on the significance of the change. The managing radiation oncologist indicated whether the imaging review conference substituted for a peer-to-peer consultation with a neuroradiologist.

resultsNearly half (47%) of all patients had a change in interpretation. Of those, 32% of patients had a major change in interpretation, while 14% had a minor change in interpretation. The existence of the multidisciplinary imaging review conference prevented a peer-to-peer consultation (interruption) by the radiation oncologists to the neuroradiologists in 90% of the cases presented. Further analysis was performed.

conclusionThe involvement of neuroradiologists in a joint radiation oncology imaging review conference resulted in changes in diagnostic imaging interpretation that led to significant changes in management, expected prognosis, and workflow.

Indexed as

head and neck cancerradiation oncologyskull base tumortumor boards

Identifiers

PMID31772852
PMCPMC6837274

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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.