Evidence map›Paper›PMID 32204544›Full record

ArticleCancers2020

Predicting Glioblastoma Recurrence from Preoperative MR Scans Using Fractional-Anisotropy Maps with Free-Water Suppression.

Marie-Christin Metz, Miguel Molina-Romero, Jana Lipkova, Jens Gempt, Friederike Liesche-Starnecker, Paul Eichinger, Lioba Grundl, Bjoern Menze, Stephanie E Combs, Claus Zimmer and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Predicting glioblastoma progression using MR diffusion tensor imaging: A systematic review.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Pooled it
  3. Article
  4. Impact of Free Water Correction on the Mean Diffusivity of Glioblastoma is Regional and b-value Dependent: A Retrospective Study on Open-source Datasets.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
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  12. Recurrence analysis of glioblastoma cases based on distance and dose information.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2023
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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

11 authors at 3 institutions in 1 country.

Marie-Christin MetzDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Miguel Molina-RomeroImage-Based Biomedical Modeling, Chair for Computer Aided Medical Procedures & Augmented Reality, Technical University of Munich, 85748 Garching, Germany.
Jana LipkovaImage-Based Biomedical Modeling, Chair for Computer Aided Medical Procedures & Augmented Reality, Technical University of Munich, 85748 Garching, Germany.
Jens GemptDepartment of Neurosurgery, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Friederike Liesche-StarneckerDepartment of Neuropathology, Institute of Pathology, Technical University of Munich, 81675 Munich, Germany.
Paul EichingerDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Lioba GrundlDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Bjoern MenzeImage-Based Biomedical Modeling, Chair for Computer Aided Medical Procedures & Augmented Reality, Technical University of Munich, 85748 Garching, Germany.
Stephanie E CombsDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Claus ZimmerDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Benedikt WiestlerDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
TUM Klinikum · DETechnical University of Munich · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffusion tensor imaging (DTI), and fractional-anisotropy (FA) maps in particular, have shown promise in predicting areas of tumor recurrence in glioblastoma. However, analysis of peritumoral edema, where most recurrences occur, is impeded by free-water contamination. In this study, we evaluated the benefits of a novel, deep-learning-based approach for the free-water correction (FWC) of DTI data for prediction of later recurrence. We investigated 35 glioblastoma cases from our prospective glioma cohort. A preoperative MR image and the first MR scan showing tumor recurrence were semiautomatically segmented into areas of contrast-enhancing tumor, edema, or recurrence of the tumor. The 10th, 50th and 90th percentiles and mean of FA and mean-diffusivity (MD) values (both for the original and FWC-DTI data) were collected for areas with and without recurrence in the peritumoral edema. We found significant differences in the FWC-FA maps between areas of recurrence-free edema and areas with later tumor recurrence, where differences in noncorrected FA maps were less pronounced. Consequently, a generalized mixed-effect model had a significantly higher area under the curve when using FWC-FA maps (AUC = 0.9) compared to noncorrected maps (AUC = 0.77,

Indexed as

deep learningDTIFAglioblastomarecurrence prediction.

Identifiers

PMID32204544
PMCPMC7140058
OpenAlexW3012319615

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.