Evidence map›Paper›PMID 32853252›Full record

ArticlePloS one2020

Evaluation of whole-body MRI with diffusion-weighted sequences in the staging of pediatric cancer patients.

Alex Dias de Oliveira, Guilherme Heidi Yto de Souza, Camila Pinto Brito de Figueiredo Guimarães, Marcos Duarte Guimarães, Cecília Maria Lima da Costa, Fábio Henrique de Gobbi Porto, Rubens Chojniak

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

7 authors at 2 institutions in 1 country.

Alex Dias de OliveiraImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0000-0001-9169-3153
Guilherme Heidi Yto de SouzaImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Camila Pinto Brito de Figueiredo GuimarãesImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Marcos Duarte GuimarãesImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Cecília Maria Lima da CostaPediatric Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Fábio Henrique de Gobbi PortoNeurology Department, University of São Paulo, São Paulo, SP, Brazil.
Rubens ChojniakImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
AC Camargo Hospital · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to determine whether whole-body MRI (WBMRI) with diffusion-weighted sequences, which is free of ionizing radiation, can perform as well as traditional methods when used alone for staging or follow-up of pediatric cancer patients.

methodsAfter obtaining approval from our institutional research ethics committee and appropriate informed consent, we performed 34 examinations in 32 pediatric patients. The examinations were anonymized and analyzed by two radiologists with at least 10 years' experience.

resultsThe sensitivity and specificity findings, respectively, were as follows: 100% and 100% for primary tumor; 100% and 86% for bone metastasis; 33% and 100% for lung metastasis; 85% and 100% for lymph node metastasis; and 100% and 62% for global investigation of primary or secondary neoplasias. We observed excellent interobserver agreement for WBMRI and excellent agreement with standard staging examination results.

conclusionsOur results suggest that pediatric patients can be safely imaged with WBMRI, although not as the only tool but in association with low-dose chest CT (for subcentimeter pulmonary nodules). However, additional exams with ionizing radiation may be necessary for patients who tested positive to correctly quantify and locate the lesions.

Indexed as

AdolescentChildChild, PreschoolCross-Sectional StudiesDiffusion Magnetic Resonance ImagingFemaleHumansMaleNeoplasmsNeoplasm StagingProspective StudiesSensitivity and SpecificityWhole Body Imaging

Identifiers

PMID32853252
PMCPMC7451574
OpenAlexW3080741615

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.