Evidence map›Paper›PMID 34056603›Full record

ArticleNeuro-oncology advances

Hypermetabolism and impaired cerebrovascular reactivity beyond the standard MRI-identified tumor border indicate diffuse glioma extended tissue infiltration.

Martina Sebök, Christiaan Hendrik Bas van Niftrik, Giovanni Muscas, Athina Pangalu, Katharina Seystahl, Michael Weller, Luca Regli, Jorn Fierstra

Abstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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  10. Hemodynamic imaging parameters in brain metastases patients - Agreement between multi-delay ASL and hypercapnic BOLD.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
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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

8 authors.

Martina SebökDepartment of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-7246-3421
Christiaan Hendrik Bas van NiftrikDepartment of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-0930-8717
Giovanni MuscasDepartment of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Athina PangaluClinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Katharina SeystahlClinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Michael WellerClinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-1748-174X
Luca RegliDepartment of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-4639-4474
Jorn FierstraDepartment of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0001-6220-0727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffuse gliomas exhibit diffuse infiltrative growth, often beyond the magnetic resonance imaging (MRI)-detectable tumor lesion. Within this lesion, hypermetabolism and impaired cerebrovascular reactivity (CVR) are found, but its exact distribution pattern into the peritumoral environment is unknown. Our aim was to better characterize the extent of diffuse glioma tissue infiltration, beyond the visible lesion (ie, beyond the T1-contrast-enhancing lesion and/or T2/FLAIR-defined tumor border), with metabolic positron emission tomography (PET), and functional MRI CVR (blood oxygenation-level-dependent CVR [BOLD-CVR]) mapping.

methodsFrom a prospective glioma database, 18 subjects (19 datasets) with diffuse glioma (

resultsPatients with diffuse glioma exhibit impaired BOLD-CVR 12 mm beyond the tumor lesion (

conclusionWe demonstrate hypermetabolism and impaired CVR beyond the standard MRI-defined tumor border, suggesting active tumor infiltration in the peritumoral environment.

Indexed as

BOLD fMRIcerebrovascular reactivitygliomametabolismPET

Identifiers

PMID34056603
PMCPMC8156976

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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.