Evidence map›Paper›PMID 32594427›Full record

ArticleLa Radiologia medica2021

Factors affecting the response to Y-90 microsphere therapy in the cholangiocarcinoma patients.

Mehmet Bozkurt, Gonca Eldem, Utku Burak Bozbulut, Murat Fani Bozkurt, Saadettin Kılıçkap, Bora Peynircioğlu, Barbaros Çil, Eser Lay Ergün, Bilge Volkan-Salanci

Abstract read
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Immunotherapy Assessment: A New Paradigm for Radiologists.Diagnostics (Basel, Switzerland) · 2023
    Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review
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 3 institutions in 1 country.

Mehmet BozkurtDepartment of Nuclear Medicine, Bakirkoy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Gonca EldemDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Utku Burak BozbulutDepartment of Medical Oncology, Osmaniye Public Hospital, Osmaniye, Turkey.
Murat Fani BozkurtDepartment of Nuclear Medicine, Faculty of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey.
Saadettin KılıçkapDepartment of Medical Oncology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Bora PeynircioğluDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Barbaros ÇilDepartment of Radiology, Koç University, Istanbul, Turkey.
Eser Lay ErgünDepartment of Nuclear Medicine, Faculty of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey.
Bilge Volkan-SalanciDepartment of Nuclear Medicine, Faculty of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey. bilgev@hacettepe.edu.tr.ORCID http://orcid.org/0000-0002-1488-6012
Hacettepe University · TRBakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi · TRKoç University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the early therapy response in patients with unresectable CCA who received Y-90 microsphere therapy for CCA and define the factors related to therapy response. MATERIALS AND

methodsData of 19 patients [extrahepatic (n: 6) and intrahepatic (n: 13)] who received 24 sessions of Y-90 microsphere therapy [glass (n: 13) and resin (n: 11)] were retrospectively evaluated. Tumor load, tumor size, therapy response evaluation by RECIST1.1 criteria (n: 13), tumor lesion glycolysis (TLG), metabolic tumor volume (MTV), and metabolic therapy responses were evaluated (n: 8) using PERCIST1.0 criteria.

resultsNo significant relation was found between therapy response and tumor localization, treated liver lobe, type of Y90 microspheres, the presence of previous therapies, perfusion pattern on hepatic artery perfusion scintigraphy, or patient demographics. The mean overall survival (OS) was 11.9 ± 2.3 months and was similar after both resin and glass Y90 microspheres; however, it was longer RECIST responders (p: 0.005). MTV and TLG values significantly decreased after therapy, and ΔMTV (- 45.4% ± 12.1) was found to be positively correlated with OS. No statistical difference was found between iCCA and eCCA, in terms of OS and response to therapy. Although not quantitatively displayed, better-perfused areas on HAPS images had a better metabolic response and less perfused areas were prone to local recurrences.

conclusionsBoth resin and glass microsphere therapy can be applied safely to iCCA and eCCA patients. Early therapy response can be evaluated with both RECIST and PERCIST criteria. Both anatomical and metabolic therapy response evaluations give complementary information.

Indexed as

AdultAgedBile Duct NeoplasmsCholangiocarcinomaFemaleHumansMagnetic Resonance ImagingMaleMicrospheresMiddle AgedPositron Emission Tomography Computed TomographyPrognosisResponse Evaluation Criteria in Solid TumorsRetrospective StudiesTomography, Emission-Computed, Single-PhotonTumor BurdenYttrium-90Yttrium RadioisotopesCholangiocarcinomaCholangiocellular carcinomaHepatic artery perfusion scintigraphyPERCISTPET-CTRECISTY-90 microsphere

Identifiers

PMID32594427
OpenAlexW3037888935

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.