Evidence map›Paper›PMID 33654576›Full record

ArticleJournal of clinical imaging science2021

Computerized tomography-Guided Microwave Ablation of Patients with Stage I Non-small Cell Lung Cancers: A Single-Institution Retrospective Study.

Michael Nance, Zain Khazi, Jussuf Kaifi, Diego Avella, Mohammed Alnijoumi, Ryan Davis, Ambarish Bhat

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical imaging science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. CT-guided microwave ablation of the nonsurgical aspergilloma.Respiratory medicine case reports · 2023
    Article
  5. Article
  6. 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.

Michael NanceDepartment of Vascular and Interventional Radiology, School of Medicine, Columbia, Missouri, United States.
Zain KhaziDepartment of Radiology, Division of Cardiothoracic Surgery, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0003-1574-3483
Jussuf KaifiDepartment of Surgery, Division of Cardiothoracic Surgery, Columbia, Missouri, United States.ORCID https://orcid.org//0000-0003-3425-2356
Diego AvellaDepartment of Surgery, Division of Cardiothoracic Surgery, Columbia, Missouri, United States.
Mohammed AlnijoumiDepartment of Pulmonary, Critical Care, and Environmental Medicine, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0001-6359-2566
Ryan DavisDepartment of Vascular and Interventional Radiology, University of Missouri Columbia, One Hospital Drive, Columbia, Missouri, United States.
Ambarish BhatDepartment of Vascular and Interventional Radiology, University of Missouri Columbia, One Hospital Drive, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0002-8628-7465
University of Missouri · USPulmonary and Critical Care Associates · USSociety of Interventional Radiology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of the study was to retrospectively investigate the safety and efficacy of computerized tomography-guided microwave ablation (MWA) in the treatment of Stage I non-small cell lung cancers (NSCLCs). MATERIAL AND

methodsThis retrospective, single-center study evaluated 21 patients (10 males and 11 females; mean age 73.8 ± 8.2 years) with Stage I peripheral NSCLCs treated with MWA between 2010 and 2020. All patients were surveyed for metastatic disease. Clinical success was defined as absence of FDG avidity on follow-up imaging. Tumor growth within 5 mm of the original ablated territory was defined as local recurrence. Welch

resultsAblated tumors had longest dimension 17.4 ± 5.4 mm and depth 19.7 ± 15.1 mm from the pleural surface. Median follow-up was 20 months (range, 0.6-56 months). Mean overall survival (OS) following lung cancer diagnosis or MWA was 26.2 ± 15.4 months (range, 5-56 months) and 23.7 ± 15.1 months (range, 3-55 months). OS at 1, 2, and 5 years was 67.6%, 61.8%, and 45.7%, respectively. Progression-free survival (PFS) was 19.1 ± 16.2 months (range, 1-55 months). PFS at 1, 2, and 5 years was 44.5%, 32.9%, and 32.9%, respectively. Technical success was 100%, while clinical success was observed in 95.2% (20/21) of patients. One patient had local residual disease following MWA and was treated with chemotherapy. Local control was 90% with recurrence in two patients following ablation. Six patients (28.6%) experienced post-ablation complications, with pneumothorax being the most common event (23.8% of patients). Female gender was associated with 90% reduction in risk of death (HR 0.1,

conclusionMWA provides a safe and effective alternative to stereotactic brachytherapy resulting in promising OS and PFS in patients with Stage I peripheral NSCLC. Larger sample sizes are needed to further define the effects of underlying comorbidities and tumor biology.

Indexed as

Computerized tomography-guidedEarly-stage lung cancerMicrowave ablationNon-small cell lung cancer

Identifiers

PMID33654576
PMCPMC7911126
OpenAlexW3126946297

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.