Evidence map›Paper›PMID 33635906›Full record

ArticlePloS one2021

Retrospective study of late radiation-induced damages after focal radiotherapy for childhood brain tumors.

Claudia Cavatorta, Silvia Meroni, Eros Montin, Maria C Oprandi, Emilia Pecori, Mara Lecchi, Barbara Diletto, Ombretta Alessandro, Denis Peruzzo, Veronica Biassoni and 10 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-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, 8 citations in OpenAlex.

  1. Article
  2. Review
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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

20 authors at 3 institutions in 1 country.

Claudia CavatortaMedical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Silvia MeroniMedical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.ORCID 0000-0002-8613-0089
Eros MontinDepartment of Electronics Information and Bioengineering (DEIB), Politecnico di Milano, Milan, Italy.
Maria C OprandiNeuro-oncological and Neuropsychological Rehabilitation Unit, Scientific Institute IRCCS E. Medea, Bosisio Parini, Lecco, Italy.ORCID 0000-0002-0555-6150
Emilia PecoriPediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Mara LecchiBioinformatics and Biostatistics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Barbara DilettoPediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Ombretta AlessandroPediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Denis PeruzzoNeuroimaging Lab, Scientific Institute IRCCS E. Medea, Bosisio Parini, Lecco, Italy.ORCID 0000-0002-9480-379X
Veronica BiassoniPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Elisabetta SchiavelloPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Marco BolognaDepartment of Electronics Information and Bioengineering (DEIB), Politecnico di Milano, Milan, Italy.
Maura MassiminoPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Geraldina PoggiNeuro-oncological and Neuropsychological Rehabilitation Unit, Scientific Institute IRCCS E. Medea, Bosisio Parini, Lecco, Italy.
Luca MainardiDepartment of Electronics Information and Bioengineering (DEIB), Politecnico di Milano, Milan, Italy.
Filippo ArrigoniNeuroimaging Lab, Scientific Institute IRCCS E. Medea, Bosisio Parini, Lecco, Italy.
Filippo SpreaficoPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Paolo VerderioBioinformatics and Biostatistics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Emanuele PignoliMedical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Lorenza GandolaPediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Fondazione IRCCS Istituto Nazionale dei Tumori · ITIRCCS Eugenio Medea · ITPolitecnico di Milano · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study a robust and reproducible procedure to investigate a relation between focal brain radiotherapy (RT) low doses, neurocognitive impairment and late White Matter and Gray Matter alterations, as shown by Diffusion Tensor Imaging (DTI), in children. METHODS AND MATERIALS: Forty-five patients (23 males and 22 females, median age at RT 6.2 years, median age at evaluations 11.1 years) who had received focal RT for brain tumors were recruited for DTI exams and neurocognitive tests. Patients' brains were parceled in 116 regions of interest (ROIs) using an available segmented atlas. After the development of an ad hoc, home-made, multimodal and highly deformable registration framework, we collected mean RT doses and DTI metrics values for each ROI. The pattern of association between cognitive scores or domains and dose or DTI values was assessed in each ROI through both considering and excluding ROIs with mean doses higher than 75% of the prescription. Subsequently, a preliminary threshold value of dose discriminating patients with and without neurocognitive impairment was selected for the most relevant associations.

resultsThe workflow allowed us to identify 10 ROIs where RT dose and DTI metrics were significantly associated with cognitive tests results (p<0.05). In 5/10 ROIs, RT dose and cognitive tests were associated with p<0.01 and preliminary RT threshold dose values, implying a possible cognitive or neuropsychological damage, were calculated. The analysis of domains showed that the most involved one was the "school-related activities".

conclusionThis analysis, despite being conducted on a retrospective cohort of children, shows that the identification of critical brain structures and respective radiation dose thresholds is achievable by combining, with appropriate methodological tools, the large amount of data arising from different sources. This supported the design of a prospective study to gain stronger evidence.

Indexed as

Abnormalities, Radiation-InducedBrain NeoplasmsChildDiffusion Tensor ImagingFemaleFollow-Up StudiesGray MatterHumansMaleMental Status and Dementia TestsNeurocognitive DisordersRetrospective StudiesWhite Matter

Identifiers

PMID33635906
PMCPMC7909688
OpenAlexW3130338821

What OpenQuestion holds

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LicenceCC BY
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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.