Evidence map›Paper›PMID 33185752›Full record

ArticleEuropean radiology2021

Feasibility and reproducibility of T2 mapping and DWI for identifying malignant lymph nodes in rectal cancer.

Yu-Xi Ge, Shu-Dong Hu, Zi Wang, Rong-Ping Guan, Xin-Yi Zhou, Qi-Zhong Gao, Gen Yan

Abstract read
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In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. PET/MRI is superior to PET/CT in detecting oesophago and gastric carcinomas: a meta-analysis.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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  18. T1 and T2 mapping for identifying malignant lymph nodes in head and neck squamous cell carcinoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
    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

7 authors at 3 institutions in 1 country.

Yu-Xi GeDepartment of Radiology, Affiliated Hospital of Jiangnan University, 200 Huihe Road, Wuxi, Jiangsu, China.
Shu-Dong HuDepartment of Radiology, Affiliated Hospital of Jiangnan University, 200 Huihe Road, Wuxi, Jiangsu, China.
Zi WangDepartment of Radiology, Affiliated Hospital of Jiangnan University, 200 Huihe Road, Wuxi, Jiangsu, China.
Rong-Ping GuanDepartment of Radiology, Affiliated Hospital of Jiangnan University, 200 Huihe Road, Wuxi, Jiangsu, China.
Xin-Yi ZhouDepartment of Pathology, Affiliated Hospital of Jiangnan University, 200 Huihe Road, Wuxi, Jiangsu, China.
Qi-Zhong GaoDepartment of Gastrointestinal Surgery, Affiliated Hospital of Jiangnan University, 200 Huihe Road, Wuxi, 214000, Jiangsu, China. gaoqizhong@sina.com.
Gen YanDepartment of Radiology, The Second Affiliated Hospital of Xiamen Medical College, 556 Shengguang Road, Xiamen, 361021, Fujian, China. gyan@stu.edu.cn.
Jiangnan University · CNWuxi Fourth People's Hospital · CNThe Second Affiliated Hospital of Xiamen Medical College

Funding

Institute of Respiratory Diseases, Xiamen Medical College HXJB-06, 15The Joint Funds for the Health and Education of Fujian Province 2019-WJ-31The Science and Technology Program of Fujian Province of China 2017D017
6 · The paper itself

Abstract

objectivesTo evaluate the diagnostic value and reproducibility of T2 mapping versus apparent diffusion coefficients (ADC) for identifying malignant lymph nodes in patients with non-mucinous rectal adenocarcinoma.

methodsHigh-resolution magnetic resonance imaging, diffusion-weighted imaging, and T2 mapping were performed on patients with suspected metastatic lymph nodes in the mesorectum or around the superior rectal artery with a short-axis diameter of 4-10 mm. The T2 and ADC values of pathology-confirmed metastatic versus non-metastatic lymph nodes were compared using the independent-samples t test and receiver operating characteristic curves. Intra- and inter-observer reproducibility were tested. The cutoff value for T2 relaxation time was determined.

resultsIn total, 67 lymph nodes underwent histological analysis, with 24 in the non-metastatic and 43 in the metastatic groups. Intra- and inter-observer agreements for T2 values were 0.999 and 0.998, respectively, which were higher than the ADC values of 0.924 and 0.844, respectively. The mean T2 and ADC values for metastatic lymph nodes (65 ± 7.8 ms and 1.17 ± 0.16 × 10

conclusionsT2 mapping had higher diagnostic efficacy and reproducibility than ADC and may be useful in differentiating metastatic from non-metastatic lymph nodes in rectal cancer. KEY POINTS: • Mean T2 values were significantly shorter for malignant versus benign LNs in patients with non-mucinous rectal adenocarcinoma. • The diagnostic efficacy and reproducibility of T2 values were excellent and superior to ADC values.

Indexed as

Lymph NodesRectal NeoplasmsDiffusion Magnetic Resonance ImagingFeasibility StudiesHumansLymphatic MetastasisReproducibility of ResultsROC CurveSensitivity and SpecificityLymph nodesMagnetic resonance imagingMetastaticRectal cancer

Identifiers

PMID33185752
OpenAlexW3105648835

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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.