Evidence map›Paper›PMID 31832213›Full record

ArticleNeuro-oncology practice2019

Diagnostic accuracy and added value of qualitative radiological review of

Karen A Manias, Simrandip K Gill, Lesley MacPherson, Adam Oates, Benjamin Pinkey, Paul Davies, Niloufar Zarinabad, Nigel P Davies, Ben Babourina-Brooks, Martin Wilson and 1 more

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. European Society for Paediatric Oncology (SIOPE) MRI guidelines for imaging patients with central nervous system tumours.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Review
  5. 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 3 institutions in 1 country.

Karen A ManiasInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.ORCID 0000-0002-5922-4418
Simrandip K GillInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.
Lesley MacPhersonDepartment of Radiology, Birmingham Children's Hospital, UK.
Adam OatesDepartment of Radiology, Birmingham Children's Hospital, UK.
Benjamin PinkeyDepartment of Radiology, Birmingham Children's Hospital, UK.
Paul DaviesInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.
Niloufar ZarinabadInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.
Nigel P DaviesInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.
Ben Babourina-BrooksInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.
Martin WilsonSchool of Psychology, University of Birmingham, UK.
Andrew C PeetInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.
Birmingham Children's Hospital · GBUniversity of Birmingham · GBUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

methodsChildren presenting to a tertiary pediatric center with brain lesions from December 2015 through 2017 were included. MRI and single-voxel MRS were acquired on 52 tumors and sequentially interpreted by 3 radiologists, blinded to histopathology. Proportions of correct diagnoses and interrater agreement at each stage were compared. Cases were reviewed to determine added value of qualitative radiological review of MRS through increased certainty of correct diagnosis, reduced number of differentials, or diagnosis following spectroscopist evaluation. Final diagnosis was agreed by the tumor board at study end.

resultsRadiologists' principal MRI diagnosis was correct in 69%, increasing to 77% with MRS. MRI + MRS resulted in significantly more additional correct diagnoses than MRI alone (

conclusionsMRS can improve the accuracy of noninvasive diagnosis of pediatric brain tumors and add value in the diagnostic pathway. Incorporation into practice has the potential to facilitate early diagnosis, guide treatment planning, and improve patient care.

Indexed as

1H-magnetic resonance spectroscopy (MRS)diagnostic accuracymetabolite profilesMRIpediatric brain tumors

Identifiers

PMID31832213
PMCPMC6899053
OpenAlexW2943971611

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.