Evidence map›Paper›PMID 33718486›Full record

ArticleVisceral medicine2021

Computed Tomography-Based Tumor Heterogeneity Analysis Reveals Differences in a Cohort with Advanced Pancreatic Carcinoma under Palliative Chemotherapy.

Jochen Paul Steinacker, Nora Steinacker-Stanescu, Thomas Ettrich, Marko Kornmann, Katharina Kneer, Ambros Beer, Meinrad Beer, Stefan Andreas Schmidt

Open access · bronzeAbstract read
In one paragraph

Article in Visceral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

8 authors at 1 institution in 1 country.

Jochen Paul SteinackerDepartment of Diagnostic and Interventional Radiology, University Hospital Ulm, Ulm, Germany.
Nora Steinacker-StanescuDepartment of Diagnostic and Interventional Radiology, University Hospital Ulm, Ulm, Germany.
Thomas EttrichDepartment for Internal Medicine I, University Hospital Ulm, Ulm, Germany.
Marko KornmannDepartment for General and Visceral Surgery, University Hospital Ulm, Ulm, Germany.
Katharina KneerDepartment of Nuclear Medicine, University Hospital Ulm, Ulm, Germany.
Ambros BeerDepartment of Nuclear Medicine, University Hospital Ulm, Ulm, Germany.
Meinrad BeerDepartment of Diagnostic and Interventional Radiology, University Hospital Ulm, Ulm, Germany.
Stefan Andreas SchmidtDepartment of Diagnostic and Interventional Radiology, University Hospital Ulm, Ulm, Germany.
University Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImaging in pancreatic cancer is a challenge, especially regarding therapy response evaluation. Tumor size, attenuation, and perfusion are widely used as parameters for computed tomography (CT) examinations, but are often limited due to blurry tumor borders and missing qualitative parameters. To improve monitoring of therapy response, we tested a new CT-based approach of tumor heterogeneity feature analysis.

methodsA total of 13 patients with pancreatic adenocarcinoma undergoing abdominal CT according to standard as baseline imaging with clinical follow-up and imaging (median time span 64 days) under systematic therapy (FOLFIRINOX/gemcitabine) were retrospectively analyzed. Progression was defined as new lesions and local tumor spread. Tumor heterogeneity analysis was performed using mintLesion®. Seven different image features referring to image heterogeneity were analyzed. Statistical analysis was performed with Spearman's rank correlation and Mann-Whitney U test.

resultsDuring follow-up, tumor volume did not significantly change between our groups with overall progression (local and systemic) and progression-free patients (

conclusionsResults suggest that analysis of tumor heterogeneity might provide valuable information from routine-acquired images regarding therapy response evaluation. This might help adjusting therapy regimes and could be easily integrated in clinical workflows. Furthermore, this procedure might possibly predict therapy response and, hence could lead the way to find a potential marker for progression-free survival.

Indexed as

Computed tomographyImage analysisImage biomarkerPancreatic cancerTumor heterogeneity

Identifiers

PMID33718486
PMCPMC7923898
OpenAlexW3015266247

What OpenQuestion holds

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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.