Evidence map›Paper›PMID 32415474›Full record

ArticleLa Radiologia medica2020

Current role of computed tomography imaging in the evaluation of cartilage invasion by laryngeal carcinoma.

Michele Pietragalla, Cosimo Nardi, Luigi Bonasera, Francesco Mungai, Giovanni Battista Verrone, Linda Calistri, Cecilia Taverna, Luca Novelli, Luca Giovanni Locatello, Giuditta Mannelli and 2 more

Abstract read
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In one paragraph

Article in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 15% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinical-pathological T-stage discrepancy in OPHL: impact on oncologic outcomes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  5. Article
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  9. Discrepancy between clinical and pathological staging of laryngeal carcinoma: a dilemma to be solved.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    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

12 authors at 2 institutions in 1 country.

Michele PietragallaRadiodiagnostic Unit n. 2, Department of Experimental and Clinical Biomedical Sciences, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy. michelepietragalla@hotmail.it.ORCID http://orcid.org/0000-0003-4589-7109
Cosimo NardiRadiodiagnostic Unit n. 2, Department of Experimental and Clinical Biomedical Sciences, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID http://orcid.org/0000-0002-5489-7824
Luigi BonaseraDepartment of Radiology, Careggi University Hospital, Viale Morgagni 85, 50134, Florence, Italy.
Francesco MungaiDepartment of Radiology, Careggi University Hospital, Viale Morgagni 85, 50134, Florence, Italy.
Giovanni Battista VerroneDepartment of Radiology, Careggi University Hospital, Viale Morgagni 85, 50134, Florence, Italy.
Linda CalistriRadiodiagnostic Unit n. 2, Department of Experimental and Clinical Biomedical Sciences, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.
Cecilia TavernaDepartment of Surgery and Translational Medicine, Institute of Pathology, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.
Luca NovelliDepartment of Surgery and Translational Medicine, Institute of Pathology, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.
Luca Giovanni LocatelloDepartment of Otorhinolaryngology, Careggi University Hospital, Viale Morgagni 85, 50134, Florence, Italy.
Giuditta MannelliHead and Neck Oncology and Robotic Surgery, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0001-7079-3964
Oreste GalloDepartment of Otorhinolaryngology, Careggi University Hospital, Viale Morgagni 85, 50134, Florence, Italy.
Vittorio MieleDepartment of Radiology, Careggi University Hospital, Viale Morgagni 85, 50134, Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate thyroid, arytenoid, and cricoid cartilage invasion on computed tomography (CT) imaging in patients undergoing total laryngectomy for both primary and recurrent laryngeal carcinoma. Secondary endpoint was to compare laryngeal cartilage invasion between primary and recurrent tumours.

methodsPre-treatment CT of 40 patients who had undergone total laryngectomy was retrospectively evaluated and compared with histology. Focal erosions of thyroid cartilage were accounted for neoplastic invasion of the inner cortex. Full-thickness thyroid cartilage invasion was defined as a tumour-like tissue replacing thyroid cartilage or extended in extra-laryngeal soft tissues. Sclerosis and erosion of arytenoid and cricoid cartilages were assessed as signs of neoplastic invasion.

resultsCT erosion showed perfect agreement for thyroid inner cortex and cricoid cartilage invasion and almost perfect agreement (87%) for arytenoid cartilage invasion. For tumours in contact with thyroid cartilages, the absence of CT erosion underestimated inner cortex infiltration. CT showed perfect agreement in predicting full-thickness thyroid cartilage invasion only in the case of extra-laryngeal neoplastic extension. Arytenoid sclerosis showed poor correlation with neoplastic invasion. For primary tumours, CT demonstrated good (inner cortex 75%; full-thickness 85%), substantial (67.5%), and perfect (100%) accuracy in thyroid, arytenoid, and cricoid cartilage invasion, respectively. No CT differences were observed between primary and recurrent laryngeal tumours.

conclusionTumour-like tissue extension in the extra-laryngeal soft tissues was accurate in predicting thyroid cartilage full-thickness invasion. Erosions of arytenoid, cricoid, and thyroid cartilages' inner cortex on CT were highly indicative of neoplastic infiltration. No CT difference in cartilage infiltration between primary and recurrent tumours was observed.

Indexed as

AgedAged, 80 and overArytenoid CartilageContrast MediaCricoid CartilageFemaleHumansIohexolLaryngeal CartilagesLaryngeal NeoplasmsMaleMiddle AgedMultidetector Computed TomographyNeoplasm InvasivenessNeoplasm Recurrence, LocalRetrospective StudiesContrast MediaIohexoliopromideComputed tomographyHead and neck imagingLaryngeal cancerTumour staging

Identifiers

PMID32415474
OpenAlexW3025962206

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Registered trials

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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.