Evidence map›Paper›PMID 32354710›Full record

ArticleAJNR. American journal of neuroradiology2020

Balanced Steady-State Free Precession Techniques Improve Detection of Residual Germ Cell Tumor for Treatment Planning.

W A Mehan, K Buch, M F Brasz, F F J Simonis, S MacDonald, S Rincon, J E Kirsch, P Caruso

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

8 authors at 4 institutions in 3 countries.

W A MehanFrom the Departments of Radiology (W.A.M, Jr., K.B., S.R., J.E.K., P.C.) mehan.william@mgh.harvard.edu.ORCID 0000-0003-4655-7165
K BuchFrom the Departments of Radiology (W.A.M, Jr., K.B., S.R., J.E.K., P.C.).ORCID 0000-0001-9579-8921
M F Braszand Magnetic Detection and Imaging (M.F.B., F.F.J.S.), TechMed Centre, University of Twente, Enschede, the Netherlands.ORCID 0000-0002-4404-0886
F F J Simonisand Magnetic Detection and Imaging (M.F.B., F.F.J.S.), TechMed Centre, University of Twente, Enschede, the Netherlands.ORCID 0000-0002-0734-1778
S MacDonaldand Radiation Oncology (S.M.), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-9092-1337
S RinconFrom the Departments of Radiology (W.A.M, Jr., K.B., S.R., J.E.K., P.C.).ORCID 0000-0001-7210-0711
J E KirschFrom the Departments of Radiology (W.A.M, Jr., K.B., S.R., J.E.K., P.C.).ORCID 0000-0002-0389-9475
P CarusoFrom the Departments of Radiology (W.A.M, Jr., K.B., S.R., J.E.K., P.C.).ORCID 0000-0003-3050-0957
Jisc · GBUniversity of Twente · NLHarvard University · USWilliams & Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIdentification of a partial/complete chemotherapy response in pediatric patients with intracranial germ cell tumors is clinically important for radiation treatment and management. Partial/complete response is conventionally determined on postcontrast MR imaging sequences. The purpose of this study was to assess the diagnostic utility of a balanced steady-state free precession sequence as an adjunct to standard MR imaging sequences for the detection of residual tumor in pediatric patients on postchemoreduction pre-radiation planning MR imaging. MATERIALS AND

methodsThis was a retrospective study of pediatric patients with intracranial germ cell tumors undergoing postchemotherapy, preradiotherapy MR imaging. Patients underwent 1.5T or 3T MR imaging with pre- and postcontrast T1WIs, T2WIs, and a balanced steady-state free precession sequence. Two neuroradiologists independently reviewed standard MR imaging sequences without the balanced steady-state free precession sequence, then with the balanced steady-state free precession sequence 1 week later. Assessment for partial/complete response was determined using Response Assessment in Neuro-Oncology criteria. A 5-point Likert scale scored the diagnostic confidence of the neuroradiologist rating each study without/with the balanced steady-state free precession sequence. Rates of residual disease concordance and diagnostic confidence levels without/with the balanced steady-state free precession sequence were calculated.

resultsThirty-nine patients were included with 31 males and 8 females (mean age, 14.15 ± 4.26 years). Thirty-one patients had single-site disease; 8 patients had multisynchronous disease (47 sites in total). Compared to review of the standard MR sequences alone, the addition of the balanced steady state free precession sequence resulted in higher rates of tumor partial response categorization and greater diagnostic confidence levels (

conclusionsThe balanced steady-state free precession sequence improves detection of residual chemotherapy-reduced intracranial germ cell tumors and increases diagnostic confidence of the neuroradiologist. The balanced steady-state free precession sequence may be an important adjunct to the standard MR imaging protocol for radiation planning.

Indexed as

AdolescentAlgorithmsBrain NeoplasmsChildFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleNeoplasm, ResidualNeoplasms, Germ Cell and EmbryonalNeuroimagingReproducibility of ResultsRetrospective Studies

Identifiers

PMID32354710
PMCPMC7228177
OpenAlexW3022802793

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.