Evidence map›Paper›PMID 33736679›Full record

ArticleBreast cancer research : BCR2021

Magnetic resonance imaging and ultrasound for prediction of residual tumor size in early breast cancer within the ADAPT subtrials.

Monika Graeser, Simone Schrading, Oleg Gluz, Kevin Strobel, Christopher Herzog, Lale Umutlu, Alex Frydrychowicz, Dorothea Rjosk-Dendorfer, Rachel Würstlein, Ralph Culemann and 15 more

3 registry-linked trialsOpen access · goldAbstract readComparative Study
In one paragraph

Article in Breast cancer research : BCR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 20% 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.

NCT01779206 phase2 / phase3completednot on this map

Adjuvant Dynamic Marker-Adjusted Personalized Therapy Trial Optimizing Risk Assessment and Therapy Response Prediction in Early Breast Cancer

TypeinterventionalSponsorWomen's Cancer Study Group GmbHRan2012 to 2025Enrolled4,936ConditionsBreast CancerArmsEpirubicin, Cyclophosphamide, Docetaxel, Paclitaxel
NCT01815242 phase2completednot on this map

Adjuvant Dynamic Marker-Adjusted Personalized Therapy Trial Optimizing Risk Assessment and Therapy Response Prediction in Early Breast Cancer - Triple Negative Breast Cancer

TypeinterventionalSponsorWomen's Cancer Study Group GmbHRan2013 to 2025Enrolled336ConditionsBreast CancerArmsnab-Paclitaxel, Gemcitabine, Carboplatin
NCT01817452 phase2completednot on this map

A Prospective, Randomized Multicenter, Open-label Comparison of Preoperative Combination of Trastuzumab and Pertuzumab With or Without Concurrent Taxane Chemotherapy Given for Twelve Weeks in Patients With Operable HER2+/HR- Breast Cancer Within the ADAPT Protocol

TypeinterventionalSponsorWomen's Cancer Study Group GmbHRan2014 to 2025Enrolled220ConditionsBreast CancerArmsTrastuzumab, Pertuzumab, Paclitaxel
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  3. 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

25 authors at 14 institutions in 2 countries.

Monika Graeser *West German Study Group, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany. monika.graeser@wsg-online.com.ORCID 0000-0003-1916-717X
Simone Schrading *Department of Diagnostic and Interventional Radiology, Hospital of the University of Aachen, RWTH, Pauwelsstrasse 30, 52074, Aachen, Germany.
Oleg GluzWest German Study Group, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Kevin StrobelDepartment of Diagnostic and Interventional Radiology, Hospital of the University of Aachen, RWTH, Pauwelsstrasse 30, 52074, Aachen, Germany.
Christopher HerzogRadiology, Burgstrasse 7, 80331, Munich, Germany.
Lale UmutluDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany.
Alex FrydrychowiczDepartment of Radiology and Nuclear Medicine, Schleswig-Holstein University Hospital, Campus Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Dorothea Rjosk-DendorferDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse. 15, 81377, Munich, Germany.
Rachel WürstleinWest German Study Group, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Ralph CulemannMedizinisches Versorgungszentrum Radiologie Rhein-Sieg, GFO Kliniken Troisdorf, Hospitalstrasse 45, 53840, Troisdorf, Germany.
Christine EulenburgWest German Study Group, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Jascha AdamsAlcedis GmbH, Winchesterstrasse 3, 35394, Giessen, Germany.
Henrik NitzscheEv. Hospital Bethesda, Breast Center Niederrhein, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Anna PrangeDepartment of Radiology, Clinics Essen-Mitte, Breast Centre, Henricistrasse 92, 45136, Essen, Germany.
Sherko KümmelWest German Study Group, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Eva-Maria GrischkeUniversity Clinic Tuebingen, Women's Clinic, Calwerstrasse 7, 72076, Tuebingen, Germany.
Helmut ForstbauerPractice Network Troisdorf, Schlossstrasse 18, 53840, Troisdorf, Germany.
Michael BraunRed Cross Women's Hospital, Nymphenburger Strasse 163, 80634, Munich, Germany.
Jochem PotenbergEv. Waldkrankenhaus Berlin, Stadtrandstrasse 555, 13589, Berlin, Germany.
Raquel von SchumannEv. Hospital Bethesda, Breast Center Niederrhein, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Bahriye AktasDepartment of Gynecology and Obstetrics, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
Cornelia Kolberg-LiedtkeUniversity Hospital Charité, Women's Clinic, Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Nadia HarbeckWest German Study Group, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Christiane K KuhlDepartment of Diagnostic and Interventional Radiology, Hospital of the University of Aachen, RWTH, Pauwelsstrasse 30, 52074, Aachen, Germany.
Ulrike NitzWest German Study Group, Ludwig-Weber-Strasse 15, 41061, Moenchengladbach, Germany.
Deutsches Archäologisches Institut, Zentrale · DERWTH Aachen University · DEEssen University Hospital · DEAtos Medical · DECenter for HIV and Hepatogastroenterology · DEGerman Red Cross · DEKliniken Essen-Mitte · DELMU Klinikum · DEStatistisches Bundesamt · DEUniversität Hamburg · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Duisburg-Essen · DEUniversity of Tübingen · DEWaldkrankenhaus Protestant Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrediction of histological tumor size by post-neoadjuvant therapy (NAT) ultrasound and magnetic resonance imaging (MRI) was evaluated in different breast cancer subtypes.

methodsImaging was performed after 12-week NAT in patients enrolled into three neoadjuvant WSG ADAPT subtrials. Imaging performance was analyzed for prediction of residual tumor measuring ≤10 mm and summarized using positive (PPV) and negative (NPV) predictive values.

resultsA total of 248 and 588 patients had MRI and ultrasound, respectively. Tumor size was over- or underestimated by < 10 mm in 4.4% and 21.8% of patients by MRI and in 10.2% and 15.8% by ultrasound. Overall, NPV (proportion of correctly predicted tumor size ≤10 mm) of MRI and ultrasound was 0.92 and 0.83; PPV (correctly predicted tumor size > 10 mm) was 0.52 and 0.61. MRI demonstrated a higher NPV and lower PPV than ultrasound in hormone receptor (HR)-positive/human epidermal growth factor receptor 2 (HER2)-positive and in HR-/HER2+ tumors. Both methods had a comparable NPV and PPV in HR-/HER2- tumors.

conclusionsIn HR+/HER2+ and HR-/HER2+ breast cancer, MRI is less likely than ultrasound to underestimate while ultrasound is associated with a lower risk to overestimate tumor size. These findings may help to select the most optimal imaging approach for planning surgery after NAT.

trial registrationClinicaltrials.gov , NCT01815242 (registered on March 21, 2013), NCT01817452 (registered on March 25, 2013), and NCT01779206 (registered on January 30, 2013).

Indexed as

Magnetic Resonance ImagingUltrasonography, MammaryAdultAgedBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedNeoadjuvant TherapyNeoplasm, ResidualPredictive Value of TestsReceptors, EstrogenReceptors, ProgesteroneTumor BurdenERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneBreast cancerMagnetic resonance imagingNeoadjuvant therapyResidual tumor sizeUltrasound

Identifiers

PMID33736679
PMCPMC7977310
OpenAlexW3137280488

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.