Evidence map›Paper›PMID 33927226›Full record

ArticleScientific reports2021

Role of 3D quantitative tumor analysis for predicting overall survival after conventional chemoembolization of intrahepatic cholangiocarcinoma.

Irvin Rexha, Fabian Laage-Gaupp, Julius Chapiro, Milena Anna Miszczuk, Johanna Maria Mijntje van Breugel, MingDe Lin, Menelaos Konstantinidis, Rafael Duran, Bernhard Gebauer, Christos Georgiades and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

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

  1. Pooled it
  2. Article
  3. Efficacy assessment in phase I clinical trials: endpoints and challenges.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Review
  4. Article
  5. 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

12 authors at 4 institutions in 3 countries.

Irvin RexhaDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.
Fabian Laage-GauppDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.
Julius ChapiroDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.
Milena Anna MiszczukDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.
Johanna Maria Mijntje van BreugelDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.
MingDe LinDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.
Menelaos KonstantinidisDivision of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Rafael DuranDivision of Vascular and Interventional Radiology, Russel H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Bernhard GebauerDepartment of Diagnostic and Interventional Radiology, Charité Universitätsmedizin, Campus Virchow Klinikum, Berlin, Germany.
Christos GeorgiadesDivision of Vascular and Interventional Radiology, Russel H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kelvin HongDivision of Vascular and Interventional Radiology, Russel H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Nariman NezamiDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA. dr.nezami@gmail.com.
Yale University · USJohns Hopkins Medicine · USCharité - Universitätsmedizin Berlin · DEPublic Health Ontario · CA

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

This study was designed to assess 3D vs. 1D and 2D quantitative tumor analysis for prediction of overall survival (OS) in patients with Intrahepatic Cholangiocarcinoma (ICC) who underwent conventional transarterial chemoembolization (cTACE). 73 ICC patients who underwent cTACE were included in this retrospective analysis between Oct 2001 and Feb 2015. The overall and enhancing tumor diameters and the maximum cross-sectional and enhancing tumor areas were measured on baseline images. 3D quantitative tumor analysis was used to assess total tumor volume (TTV), enhancing tumor volume (ETV), and enhancing tumor burden (ETB) (ratio between ETV and liver volume). Patients were divided into low (LTB) and high tumor burden (HTB) groups. There was a significant separation between survival curves of the LTB and HTB groups using enhancing tumor diameter (p = 0.003), enhancing tumor area (p = 0.03), TTV (p = 0.03), and ETV (p = 0.01). Multivariate analysis showed a hazard ratio of 0.46 (95%CI: 0.27-0.78, p = 0.004) for enhancing tumor diameter, 0.56 (95% CI 0.33-0.96, p = 0.04) for enhancing tumor area, 0.58 (95%CI: 0.34-0.98, p = 0.04) for TTV, and 0.52 (95%CI: 0.30-0.91, p = 0.02) for ETV. TTV and ETV, as well as the largest enhancing tumor diameter and maximum enhancing tumor area, reliably predict the OS of patients with ICC after cTACE and could identify ICC patients who are most likely to benefit from cTACE.

Indexed as

AdultAgedAged, 80 and overBile Duct NeoplasmsChemoembolization, TherapeuticCholangiocarcinomaConnecticutFemaleHumansImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedRetrospective Studies

Identifiers

PMID33927226
PMCPMC8085245
OpenAlexW3158457184

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.