Evidence map›Paper›PMID 33586845›Full record

ArticleJournal of magnetic resonance imaging : JMRI2021

Functional Tumor Volume by Fast Dynamic Contrast-Enhanced MRI for Predicting Neoadjuvant Systemic Therapy Response in Triple-Negative Breast Cancer.

Benjamin C Musall, Abeer H Abdelhafez, Beatriz E Adrada, Rosalind P Candelaria, Rania M M Mohamed, Medine Boge, Huong Le-Petross, Elsa Arribas, Deanna L Lane, David A Spak and 18 more

Open access · greenAbstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-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

24 citing papers in PubMed, 28 citations in OpenAlex.

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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

28 authors at 2 institutions in 1 country.

Benjamin C MusallDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-1896-1446
Abeer H AbdelhafezDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Beatriz E AdradaDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Rosalind P CandelariaDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Rania M M MohamedDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Medine BogeDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Huong Le-PetrossDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Elsa ArribasDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Deanna L LaneDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
David A SpakDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jessica W T LeungDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Ken-Pin HwangDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jong Bum SonDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0003-2548-5895
Nabil A ElshafeeyDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Hagar S MahmoudDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Peng WeiDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jia SunDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Shu ZhangDepartment of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jason B WhiteDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Elizabeth E RavenbergDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jennifer K LittonDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Senthil DamodaranDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Alastair M ThompsonDepartment of Surgery, Baylor College of Medicine, Houston, Texas, USA.
Stacy L MoulderDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Wei T YangDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Mark D PagelDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Gaiane M RauchDepartment of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jingfei MaDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
The University of Texas MD Anderson Cancer Center · USBaylor College of Medicine · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Development and Dissemination of Clinical CEST MRI Acquisition and Analysis Methods for Cancer Imaging ApplicationsR01CA231513 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MA, JINGFEI, PAGEL, MARK DAVID · 2019 to 2023
$3.1M
NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA231513
6 · The paper itself

Abstract

backgroundDynamic contrast-enhanced (DCE) MRI is useful for diagnosis and assessment of treatment response in breast cancer. Fast DCE MRI offers a higher sampling rate of contrast enhancement curves in comparison to conventional DCE MRI, potentially characterizing tumor perfusion kinetics more accurately for measurement of functional tumor volume (FTV) as a predictor of treatment response. PURPOSE: To investigate FTV by fast DCE MRI as a predictor of neoadjuvant systemic therapy (NAST) response in triple-negative breast cancer (TNBC). STUDY TYPE: Prospective. POPULATION/SUBJECTS: Sixty patients with biopsy-confirmed TNBC between December 2016 and September 2020. FIELD STRENGTH/SEQUENCE: A 3.0 T/3D fast spoiled gradient echo-based DCE MRI ASSESSMENT: Patients underwent MRI at baseline and after four cycles (C4) of NAST, followed by definitive surgery. DCE subtraction images were analyzed in consensus by two breast radiologists with 5 (A.H.A.) and 2 (H.S.M.) years of experience. Tumor volumes (TV) were measured on early and late subtractions. Tumors were segmented on 1 and 2.5-minute early phases subtractions and FTV was determined using optimized signal enhancement thresholds. Interpolated enhancement curves from segmented voxels were used to determine optimal early phase timing. STATISTICAL TESTS: Tumor volumes were compared between patients who had a pathologic complete response (pCR) and those who did not using the area under the receiver operating curve (AUC) and Mann-Whitney U test.

resultsAbout 26 of 60 patients (43%) had pCR. FTV at 1 minute after injection at C4 provided the best discrimination between pCR and non-pCR, with AUC (95% confidence interval [CI]) = 0.85 (0.74,0.95) (P < 0.05). The 1-minute timing was optimal for FTV measurements at C4 and for the change between C4 and baseline. TV from the early phase at C4 also yielded a good AUC (95%CI) of 0.82 (0.71,0.93) (P < 0.05). DATA

conclusionFTV and TV measured at 1 minute after injection can predict response to NAST in TNBC. LEVEL OF EVIDENCE: 1 TECHNICAL EFFICACY: 4.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsContrast MediaFemaleHumansMagnetic Resonance ImagingNeoadjuvant TherapyProspective StudiesTumor BurdenContrast Mediabreast MRIDCE MRIfunctional tumor volumetreatment responseTriple-negative breast cancer

Identifiers

PMID33586845
PMCPMC11830147
OpenAlexW3131583229

What OpenQuestion holds

Textmetadata
LicenceTDM
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.