Evidence map›Paper›PMID 33314708›Full record

ArticleCancer medicine2021

Association of image-defined risk factors with clinical features, histopathology, and outcomes in neuroblastoma.

William C Temple, Kieuhoa T Vo, Katherine K Matthay, Brunilda Balliu, Christina Coleman, Jennifer Michlitsch, Andrew Phelps, Spencer Behr, Matthew A Zapala

Abstract read
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Diagnosis and management of neuroblastoma in children.World journal of pediatric surgery · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. [Role and mechanism of cysteine and glycine-rich protein 2 in the malignant progression of neuroblastoma].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Quantitative imaging in medicine and surgery · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Advancing therapy for neuroblastoma.Nature reviews. Clinical oncology · 2022
    Review
  19. Article
  20. Article
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.

William C TempleDepartment of Pediatrics, UCSF School of Medicine and UCSF Benioff Children's Hospital, San Francisco, CA, USA.ORCID 0000-0003-3375-2703
Kieuhoa T VoDepartment of Pediatrics, UCSF School of Medicine and UCSF Benioff Children's Hospital, San Francisco, CA, USA.
Katherine K MatthayDepartment of Pediatrics, UCSF School of Medicine and UCSF Benioff Children's Hospital, San Francisco, CA, USA.
Brunilda BalliuDepartment of Biomathematics, UCLA, Los Angeles, CA, USA.
Christina ColemanDepartment of Hematology and Oncology, UCSF Benioff Children's Hospital, Oakland, Oakland, CA, USA.
Jennifer MichlitschDepartment of Hematology and Oncology, UCSF Benioff Children's Hospital, Oakland, Oakland, CA, USA.
Andrew PhelpsDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA.
Spencer BehrDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA.
Matthew A ZapalaDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA.

Funding

Research Training in Childhood CancerT32CA128583 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Eric Alejandro Sweet-Cordero · 2007 to 2026
$6.0M
NCI NIH HHS T32 CA128583
6 · The paper itself

Abstract

backgroundClinical, molecular, and histopathologic features guide treatment for neuroblastoma, but obtaining tumor tissue may cause complications and is subject to sampling error due to tumor heterogeneity. We hypothesized that image-defined risk factors (IDRFs) would reflect molecular features, histopathology, and clinical outcomes in neuroblastoma.

methodsWe performed a retrospective cohort study of 76 patients with neuroblastoma or ganglioneuroblastoma. Diagnostic CT scans were reviewed for 20 IDRFs, which were consolidated into five IDRF groups (involvement of multiple body compartments, vascular encasement, tumor infiltration of adjacent organs/structures, airway compression, or intraspinal extension). IDRF groups were analyzed for association with clinical, molecular, and histopathologic features of neuroblastoma.

resultsPatients with more IDRF groups had a higher risk of surgical complications (OR = 3.1, p = 0.001). Tumor vascular encasement was associated with increased risk of surgical complications (OR = 5.40, p = 0.009) and increased risk of undifferentiated/poorly differentiated histologic grade (OR = 11.11, p = 0.013). Tumor infiltration of adjacent organs and structures was associated with decreased survival (HR = 8.90, p = 0.007), MYCN amplification (OR = 9.91, p = 0.001), high MKI (OR = 6.20, p = 0.003), and increased risk of International Neuroblastoma Staging System stage 4 disease (OR = 8.96, p < 0.001).

conclusionsThe presence of IDRFs at diagnosis was associated with high-risk clinical, molecular, and histopathologic features of neuroblastoma. The IDRF group tumor infiltration into adjacent organs and structures was associated with decreased survival. Collectively, these findings may assist surgical planning and medical management for neuroblastoma patients.

Indexed as

NeuroblastomaPostoperative ComplicationsChild, PreschoolFemaleGanglioneuroblastomaGenes, mycHumansInfantKaplan-Meier EstimateMaleNeoplasm GradingNeoplasm InvasivenessOdds RatioProportional Hazards ModelsRetrospective StudiesRisk Factorspathologypediatric cancersurgical oncologysurvival

Identifiers

PMID33314708
PMCPMC7982630

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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.