Evidence map›Paper›PMID 31953672›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2020

Imaging glioma biology: spatial comparison of amino acid PET, amide proton transfer, and perfusion-weighted MRI in newly diagnosed gliomas.

S Schön, J Cabello, F Liesche-Starnecker, M Molina-Romero, P Eichinger, M Metz, I Karimov, C Preibisch, J Keupp, A Hock and 7 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. The confounding effects of microvascular physiology on the uptake and diagnostic accuracy of [European journal of nuclear medicine and molecular imaging · 2026
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  12. Assessment of Brain Tumour Perfusion Using Early-PhaseMolecular imaging and biology · 2024
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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

17 authors at 3 institutions in 1 country.

S SchönDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
J CabelloDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
F Liesche-StarneckerDepartment of Neuropathology, Institute of Pathology, Technical University of Munich, Munich, Germany.
M Molina-RomeroImage-based Biomedical Modeling, Technical University of Munich, Munich, Germany.
P EichingerDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
M MetzDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
I KarimovDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
C PreibischDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
J KeuppPhilips Research, Hamburg, Germany.
A HockPhilips Health Systems, Zurich, Switzerland.
B MeyerDepartment of Neurosurgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
W WeberDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
C ZimmerDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
T PykaDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
I YakushevDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
J GemptDepartment of Neurosurgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
B WiestlerDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany. b.wiestler@tum.de.ORCID 0000-0002-2963-7772
TUM Klinikum · DETechnical University of Munich · DEPhilips (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImaging glioma biology holds great promise to unravel the complex nature of these tumors. Besides well-established imaging techniques such O-(2-[18F]fluoroethyl)-L-tyrosine (FET)-PET and dynamic susceptibility contrast (DSC) perfusion imaging, amide proton transfer-weighted (APTw) imaging has emerged as a promising novel MR technique. In this study, we aimed to better understand the relation between these imaging biomarkers and how well they capture cellularity and vascularity in newly diagnosed gliomas.

methodsPreoperative MRI and FET-PET data of 46 patients (31 glioblastoma and 15 lower-grade glioma) were segmented into contrast-enhancing and FLAIR-hyperintense areas. Using established cutoffs, we calculated hot-spot volumes (HSV) and their spatial overlap. We further investigated APTw and CBV values in FET-HSV. In a subset of 10 glioblastoma patients, we compared cellularity and vascularization in 34 stereotactically targeted biopsies with imaging.

resultsIn glioblastomas, the largest HSV was found for APTw, followed by PET and CBV (p < 0.05). In lower-grade gliomas, APTw-HSV was clearly lower than in glioblastomas. The spatial overlap of HSV was highest between APTw and FET in both tumor entities and regions. APTw correlated significantly with cellularity, similar to FET, while the association with vascularity was more pronounced in CBV and FET.

conclusionsWe found a relevant spatial overlap in glioblastomas between hotspots of APTw and FET both in contrast-enhancing and FLAIR-hyperintense tumor. As suggested by earlier studies, APTw was lower in lower-grade gliomas compared with glioblastomas. APTw meaningfully contributes to biological imaging of gliomas.

Indexed as

Brain NeoplasmsGliomaAmidesAmino AcidsBiologyHumansMagnetic Resonance ImagingPerfusionPositron-Emission TomographyProtonsTyrosineAmidesAmino AcidsProtonsTyrosineAmide proton transfer-weighted (APTw) imagingCerebral blood volume (CBV)GlioblastomaO-(2-[18F]fluoroethyl)-l-tyrosine (FET) PET

Identifiers

PMID31953672
PMCPMC7188730
OpenAlexW2999642358

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.