Evidence map›Paper›PMID 31959839›Full record

ArticleScientific reports2020

Cerebral microbleeds in adult survivors of childhood acute lymphoblastic leukemia treated with cranial radiation.

Nicholas S Phillips, Claudia M Hillenbrand, Bogdan G Mitrea, Jason Yan, Chenghong Li, Matthew A Scoggins, Thomas E Merchant, Gregory T Armstrong, Deokumar Srivastava, Ching-Hon Pui and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Neurotoxic Effects of Childhood Cancer Therapy and Its Potential Neurocognitive Impact.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Review
  5. Rate of radiation-induced microbleed formation on 7T MRI relates to cognitive impairment in young patients treated with radiation therapy for a brain tumor.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2021
    Article
  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

14 authors at 3 institutions in 1 country.

Nicholas S PhillipsDepartment of Epidemiology and Cancer Control, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-2021-4036
Claudia M HillenbrandDepartment of Diagnostic Imaging, Memphis, TN, USA.
Bogdan G MitreaDepartment of Diagnostic Imaging, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-1586-4085
Jason YanDepartment of Psychiatry and Behavioral Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Chenghong LiDepartment of Biostatistics, Memphis, TN, USA.
Matthew A ScogginsDepartment of Diagnostic Imaging, Memphis, TN, USA.
Thomas E MerchantDepartment of Radiation Oncology, Memphis, TN, USA.
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, Memphis, TN, USA.
Deokumar SrivastavaDepartment of Biostatistics, Memphis, TN, USA.
Ching-Hon PuiDepartment of Oncology, Memphis, TN, USA.ORCID http://orcid.org/0000-0003-0303-5658
Leslie L RobisonDepartment of Epidemiology and Cancer Control, Memphis, TN, USA.
Melissa M HudsonDepartment of Epidemiology and Cancer Control, Memphis, TN, USA.
Kevin R KrullDepartment of Epidemiology and Cancer Control, Memphis, TN, USA. kevin.krull@stjude.org.
Noah D SabinDepartment of Diagnostic Imaging, Memphis, TN, USA.
Tennessee Oncology · USAtrium Health Wake Forest Baptist · USSt. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
PROFESSIONAL ONCOLOGY EDUCATION PROGRAMR25CA023944 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE A. GRONEMEYER · 1986 to 2026
$8.3M
Ghrelin antogonism and excessive drinkingU01AA016647 · NIAAA · OREGON HEALTH & SCIENCE UNIVERSITY · PI RYABININ, ANDREY E · 2006 to 2015
$2.5M
Training in Pediatric Cancer Survivorship Outcomes and InterventionsT32CA225590 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Kevin R Krull · 2018 to 2026
$2.4M
Inhibiting Multiple Molecular Targets for Preventing Non-Melanoma Skin CancerR01CA138998 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ATHAR, MOHAMMAD · 2011 to 2015
$1.5M
NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA138998NIAAA NIH HHS U01 AA016647
6 · The paper itself

Abstract

Cranial radiation therapy is associated with white matter-specific brain injury, cortical volume loss, mineralization, microangiopathy and neurocognitive impairment in survivors of childhood acute lymphoblastic leukemia. In this retrospective cross-sectional analysis, neurocognitive testing and 3 T brain MRI's were obtained in 101 survivors treated with cranial radiation. Small focal intracerebral hemorrhages only visible on exquisitely sensitive MRI sequences were identified and localized using susceptibility weighted imaging. Modified Poisson regression was used to assess the effect of cranial radiation on cumulative number and location of microbleeds in each brain region, and multiple linear regression was used to evaluate microbleeds on neurocognitive outcomes, adjusting for age at diagnosis and sex. At least one microbleed was present in 85% of survivors, occurring more frequently in frontal lobes. Radiation dose of 24 Gy conveyed a 5-fold greater risk (95% CI 2.57-10.32) of having multiple microbleeds compared to a dose of 18 Gy. No significant difference was found in neurocognitive scores with either the absence or presence of microbleeds or their location. Greater prevalence of microbleeds in our study compared to prior reports is likely related to longer time since treatment, better sensitivity of SWI for detection of microbleeds and the use of a 3 T MRI platform.

Indexed as

AdultCancer SurvivorsCerebral HemorrhageCranial IrradiationCross-Sectional StudiesDose-Response Relationship, RadiationFemaleFrontal LobeHumansMagnetic Resonance ImagingMaleMental Status and Dementia TestsPrecursor Cell Lymphoblastic Leukemia-LymphomaRetrospective Studies

Identifiers

PMID31959839
PMCPMC6971068
OpenAlexW3000518339

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.