Evidence map›Paper›PMID 33880619›Full record

ArticleEuropean radiology2021

Low conductivity on electrical properties tomography demonstrates unique tumor habitats indicating progression in glioblastoma.

Ji Eun Park, Ho Sung Kim, NakYoung Kim, Young-Hoon Kim, Jeong Hoon Kim, Eunju Kim, Jinwoo Hwang, Ulrich Katscher

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In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.8field-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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Clinical Applications of Electrical Conductivity Imaging Using MRI.Journal of magnetic resonance imaging : JMRI · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Ji Eun ParkDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 43 Olympic-ro 88, Songpa-Gu, Seoul, 05505, South Korea.
Ho Sung KimDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 43 Olympic-ro 88, Songpa-Gu, Seoul, 05505, South Korea. radhskim@gmail.com.ORCID http://orcid.org/0000-0002-9477-7421
NakYoung KimJAPEX LLC, Seoul, South Korea.
Young-Hoon KimDeparment of Neurosurgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, 05505, South Korea.
Jeong Hoon KimDeparment of Neurosurgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, 05505, South Korea.
Eunju KimPhilips Healthcare, Seoul, South Korea.
Jinwoo HwangPhilips Healthcare, Seoul, South Korea.
Ulrich KatscherDepartment of Tomographic Imaging, Philips Research Laboratories, Hamburg, Germany.
Ulsan College · KRPhilips (Germany) · DE

Funding

National Research Foundation NRF-2020R1A2B5B01001707National Research Foundation NRF-2020R1A2C4001748
6 · The paper itself

Abstract

objectivesTissue conductivity measurements made with electrical properties tomography (EPT) can be used to define temporal changes in tissue habitats on longitudinal multiparametric MRI. We aimed to demonstrate the added insights for identifying tumor habitats obtained by including EPT with diffusion- and perfusion-weighted MRI, and to evaluate the use of these tumor habitats for determining tumor treatment response in post-treatment glioblastoma.

methodsTumor habitats were developed from EPT, diffusion-weighted, and perfusion-weighted MRI in 60 patients with glioblastoma who underwent concurrent chemoradiotherapy. Voxels from EPT, apparent diffusion coefficient (ADC), and cerebral blood volume (CBV) maps were clustered into habitats, and each habitat was serially examined to assess its temporal change. The usefulness of temporal changes in tumor habitats for diagnosing tumor progression and treatment-related change was investigated using logistic regression. The performance of significant predictors was measured using the area under the curve (AUC) from receiver-operating-characteristics analysis with 1000-fold bootstrapping.

resultsFive tumor habitats were identified, and of these, the hypervascular cellular habitat (odds ratio [OR] 5.45; 95% CI, 1.75-31.42; p = .02), hypovascular low conductivity habitat (OR 2.00; 95% CI, 1.45-3.05; p < .001), and hypovascular intermediate habitat (OR 1.57; 95% CI, 1.18-2.30; p = .006) were predictive of tumor progression. Low EPT and low CBV reflected a unique hypovascular low conductivity habitat that showed the highest diagnostic performance (AUC 0.86; 95% CI, 0.76-0.96). The combined habitats showed high performance (AUC 0.90; 95% CI, 0.82-0.98) in the differentiation of tumor progression from treatment-related change.

conclusionEPT reveals low conductivity habitats that can improve the diagnosis of tumor progression in post-treatment glioblastoma. KEY POINTS: • Electrical properties tomography (EPT) demonstrated lower conductivity in tumor progression than in treatment-related change. • EPT allowed identification of a unique hypovascular low conductivity habitat when combined with cerebral blood volume mapping. • Tumor habitats with a hypovascular low conductivity habitat, hypervascular cellular habitat, and hypovascular intermediate habitat yielded high diagnostic performance for diagnosing tumor progression.

Indexed as

Brain NeoplasmsGlioblastomaMultiparametric Magnetic Resonance ImagingDiffusion Magnetic Resonance ImagingHumansMagnetic Resonance AngiographyMagnetic Resonance ImagingElectrical conductivityGlioblastomaMagnetic resonance imagingTreatment outcome

Identifiers

PMID33880619
OpenAlexW3154764251

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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.