Evidence map›Paper›PMID 32398144›Full record

ArticleBMC cancer2020

Perioperative imaging in patients treated with resection of brain metastases: a survey by the European Association of Neuro-Oncology (EANO) Youngsters committee.

Barbara Kiesel, Carina M Thomé, Tobias Weiss, Asgeir S Jakola, Amélie Darlix, Alessia Pellerino, Julia Furtner, Johannes Kerschbaumer, Christian F Freyschlag, Wolfgang Wick and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Article
  9. Brain metastases: the role of clinical imaging.The British journal of radiology · 2022
    Review
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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

13 authors at 8 institutions in 6 countries.

Barbara KieselDepartment of Neurosurgery, Medical University Vienna, Vienna, Austria.
Carina M ThoméClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Tobias WeissDepartment of Neurology and Brain Tumor Center, University Hospital and University of Zurich, Zurich, Switzerland.
Asgeir S JakolaDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Amélie DarlixDepartment of Medical Oncology, Institut Régional Du Cancer Montpellier, University of Montpellier, Montpellier, France.
Alessia PellerinoDepartment of Neuro-Oncology, University and City of Health and Science Hospital of Turin, Turin, Italy.
Julia FurtnerComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Johannes KerschbaumerDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Christian F FreyschlagDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Wolfgang WickClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Matthias PreusserComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Georg WidhalmDepartment of Neurosurgery, Medical University Vienna, Vienna, Austria.
Anna S BerghoffComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria. anna.berghoff@meduniwien.ac.at.
Medical University of Vienna · ATHeidelberg University · DEInnsbruck Medical University · ATComprehensive Cancer Center Vienna · ATPiedmont Reference Center for Epidemiology and Cancer Prevention · ITSahlgrenska University Hospital · SEUniversité de Montpellier · FRUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurosurgical resection represents an important treatment option in the modern, multimodal therapy approach of brain metastases (BM). Guidelines for perioperative imaging exist for primary brain tumors to guide postsurgical treatment. Optimal perioperative imaging of BM patients is so far a matter of debate as no structured guidelines exist.

methodsA comprehensive questionnaire about perioperative imaging was designed by the European Association of Neuro-Oncology (EANO) Youngsters Committee. The survey was distributed to physicians via the EANO network to perform a descriptive overview on the current habits and their variability on perioperative imaging. Chi square test was used for dichotomous variables.

resultsOne hundred twenty physicians worldwide responded to the survey. MRI was the preferred preoperative imaging method (93.3%). Overall 106/120 (88.3%) physicians performed postsurgical imaging routinely including MRI alone (62/120 [51.7%]), postoperative CT (29/120 [24.2%]) and MRI + CT (15/120 [12.5%]). No correlation of postsurgical MRI utilization in academic vs. non-academic hospitals (58/89 [65.2%] vs. 19/31 [61.3%], p = 0.698) was found. Early postoperative MRI within ≤72 h after resection is obtained by 60.8% of the participants. The most frequent reason for postsurgical imaging was to evaluate the extent of tumor resection (73/120 [60.8%]). In case of residual tumor, 32/120 (26.7%) participants indicated to adjust radiotherapy, 34/120 (28.3%) to consider re-surgery to achieve complete resection and 8/120 (6.7%) to evaluate both.

conclusionsMRI was the preferred imaging method in the preoperative setting. In the postoperative course, imaging modalities and timing showed high variability. International guidelines for perioperative imaging with special focus on postoperative MRI to assess residual tumor are warranted to optimize standardized management and adjuvant treatment decisions for BM patients.

Indexed as

Perioperative CareBrain NeoplasmsEuropeHumansNeoplasm, ResidualNeuroimagingNeurosurgical ProceduresPrognosisSurveys and QuestionnairesBrain metastasesInternational guidelinesPerioperative imagingPostoperative MRI

Identifiers

PMID32398144
PMCPMC7216695
OpenAlexW3024265167

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.