Evidence map›Paper›PMID 31974084›Full record

ArticleAJNR. American journal of neuroradiology2020

MRI Patterns of Extrapontine Lesion Extension in Diffuse Intrinsic Pontine Gliomas.

L Makepeace, M Scoggins, B Mitrea, Y Li, A Edwards, C L Tinkle, S Hwang, A Gajjar, Z Patay

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. MR Imaging of Pediatric Brain Tumors.Diagnostics (Basel, Switzerland) · 2022
    Review
  6. MRI-based diagnosis and treatment of pediatric brain tumors: is tissue sample always needed?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Review
  7. Review
  8. Review
  9. Article
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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

9 authors at 5 institutions in 2 countries.

L MakepeaceFrom the Departments of Diagnostic Imaging (L.M., M.S., B.M., A.E., S.H., Z.P.).ORCID 0000-0003-3416-6407
M ScogginsFrom the Departments of Diagnostic Imaging (L.M., M.S., B.M., A.E., S.H., Z.P.).ORCID 0000-0003-1783-4274
B MitreaFrom the Departments of Diagnostic Imaging (L.M., M.S., B.M., A.E., S.H., Z.P.).ORCID 0000-0002-1586-4085
Y LiBiostatistics (Y.L.).ORCID 0000-0002-7046-4316
A EdwardsFrom the Departments of Diagnostic Imaging (L.M., M.S., B.M., A.E., S.H., Z.P.).ORCID 0000-0003-2979-5508
C L TinkleRadiation Oncology (C.L.T.).ORCID 0000-0001-5552-2664
S HwangFrom the Departments of Diagnostic Imaging (L.M., M.S., B.M., A.E., S.H., Z.P.).ORCID 0000-0002-6496-2087
A GajjarOncology (A.G.), St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0001-5019-0699
Z PatayFrom the Departments of Diagnostic Imaging (L.M., M.S., B.M., A.E., S.H., Z.P.) Zoltan.Patay@STJUDE.ORG.ORCID 0000-0003-1479-9864
MACOM (United States) · USCancer Research And Biostatistics · USInstitute of Zoology of the Slovak Academy of Sciences · SKPalmetto Hematology Oncology · 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
NCI NIH HHS P30 CA021765NCI NIH HHS R25 CA023944
6 · The paper itself

Abstract

background and purposeDiffuse intrinsic pontine glioma is a devastating childhood cancer that despite being primarily diagnosed by MR imaging alone, lacks robust prognostic imaging features. This study investigated patterns and quantification of extrapontine lesion extensions as potential prognostic imaging biomarkers for survival in children with newly diagnosed diffuse intrinsic pontine glioma. MATERIALS AND

methodsVolumetric analysis of baseline MR imaging studies was completed in 131 patients with radiographically defined typical diffuse intrinsic pontine gliomas. Extrapontine tumor extension was classified according to the direction of extension: midbrain, medulla oblongata, and right and left middle cerebellar peduncles; various extrapontine lesion extension patterns were evaluated. The Kaplan-Meier method was used to estimate survival differences; linear regression was used to evaluate clinical-radiographic variables prognostic of survival.

resultsAt least 1 extrapontine lesion extension was observed in 125 patients (95.4%). Of the 11 different extrapontine lesion extension patterns encountered in our cohort, 2 were statistically significant predictors of survival. Any extension into the middle cerebellar peduncles was prognostic of shorter overall survival (

conclusionsWithin this large cohort of patients with typical diffuse intrinsic pontine gliomas, 2 specific extrapontine lesion extension patterns were associated with a significant overall survival advantage or disadvantage. Our findings may be valuable for risk stratification and radiation therapy planning in future clinical trials.

Indexed as

AdolescentBrain Stem NeoplasmsChildChild, PreschoolDiffuse Intrinsic Pontine GliomaFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMalePrognosisRetrospective Studies

Identifiers

PMID31974084
PMCPMC7015203
OpenAlexW3002136581

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.