Evidence map›Paper›PMID 31897778›Full record

ArticlePituitary2020

MRI texture analysis in acromegaly and its role in predicting response to somatostatin receptor ligands.

Brandon P Galm, Colleen Buckless, Brooke Swearingen, Martin Torriani, Anne Klibanski, Miriam A Bredella, Nicholas A Tritos

Abstract read
PubMed Publisher
In one paragraph

Article in Pituitary, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 14% 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, 22 citations in OpenAlex.

  1. Changes in olfactory function and olfactory bulb after treatment for acromegaly.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Trial
  2. Pituitary adenoma imaging as a determinant of acromegaly diagnosis and outcomes.The Journal of clinical endocrinology and metabolism · 2026
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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

7 authors at 1 institution in 1 country.

Brandon P GalmNeuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, 100 Blossom Street, Suite 140, Boston, MA, 02114, USA. brandongalm@gmail.com.ORCID http://orcid.org/0000-0001-5006-5070
Colleen BucklessDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Brooke SwearingenDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Martin TorrianiDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Anne KlibanskiNeuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, 100 Blossom Street, Suite 140, Boston, MA, 02114, USA.
Miriam A BredellaDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Nicholas A TritosNeuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, 100 Blossom Street, Suite 140, Boston, MA, 02114, USA.
Harvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGiven the paucity of reliable predictors of tumor recurrence, progression, or response to somatostatin receptor ligand (SRL) therapy in acromegaly, we attempted to determine whether preoperative MR image texture was predictive of these clinical outcomes. We also determined whether image texture could differentiate somatotroph adenomas from non-functioning pituitary adenomas (NFPAs).

methodsWe performed a retrospective study of patients with acromegaly due to a macroadenoma who underwent transsphenoidal surgery at our institution between 2007 and 2015. Clinical data were extracted from electronic medical records. MRI texture analysis was performed on preoperative non-enhanced T1-weighted images using ImageJ (NIH). Logistic and Cox models were used to determine if image texture parameters predicted outcomes.

resultsEighty-nine patients had texture parameters measured, which were compared to that of NFPAs, while 64 of these patients had follow-up and were included in the remainder of analyses. Minimum pixel intensity, skewness, and kurtosis were significantly different in somatotroph adenomas versus NFPAs (area under the receiver operating characteristic curve, 0.7771, for kurtosis). Furthermore, those with a maximum pixel intensity above the median had an increased odds of IGF-I normalization on SRL therapy (OR 5.96, 95% CI 1.33-26.66), which persisted after adjusting for several potential predictors of response. Image texture did not predict tumor recurrence or progression.

conclusionOur data suggest that MRI texture analysis can distinguish NFPAs from somatotroph macroadenomas with good diagnostic accuracy and can predict normalization of IGF-I with SRL therapy.

Indexed as

AcromegalyAdultFemaleGrowth Hormone-Secreting Pituitary AdenomaHumansInsulin-Like Growth Factor ILogistic ModelsMagnetic Resonance ImagingMaleMiddle AgedPituitary NeoplasmsProportional Hazards ModelsReceptors, SomatostatinRetrospective StudiesROC CurveInsulin-Like Growth Factor IReceptors, SomatostatinAcromegalyImage texturePituitary adenomaSomatostatin receptor ligands

Identifiers

PMID31897778
OpenAlexW2998641098

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.