Evidence map›Paper›PMID 34258272›Full record

ArticleBioMed research international2021

Early Detection of Radiation-Induced Injury and Prediction of Cognitive Deficit by MRS Metabolites in Radiotherapy of Low-Grade Glioma.

Zahra Alirezaei, Alireza Amouheidari, Masoud Hassanpour, Fariba Davanian, Sajjad Iraji, Parvaneh Shokrani, Mohammad-Reza Nazem-Zadeh

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

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

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Article
  6. 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

7 authors at 3 institutions in 1 country.

Zahra AlirezaeiMedical Physics Department, Isfahan University of Medical Science, Isfahan, Iran.ORCID https://orcid.org/0000-0002-4094-7042
Alireza AmouheidariIsfahan Milad Hospital, Deputy Manager in Research & Education, Head, Department of Radiation Oncology, Isfahan, Iran.ORCID https://orcid.org/0000-0001-5329-9438
Masoud HassanpourResearch Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-3240-4638
Fariba DavanianRadiology Department, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran.ORCID https://orcid.org/0000-0001-8623-6791
Sajjad IrajiMedical Physics and Biomedical Engineering Department, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-7882-7660
Parvaneh ShokraniMedical Physics Department, Isfahan University of Medical Science, Isfahan, Iran.ORCID https://orcid.org/0000-0002-9023-1923
Mohammad-Reza Nazem-ZadehMedical Physics and Biomedical Engineering Department, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-6005-5973
Tehran University of Medical Sciences · IRUniversity of Isfahan · IRMilad Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the sensitivity of MRS metabolites and MoCA and ACE-R cognitive tests in the detection of radiation-induced injury in low grade glioma (LGG) patients in early and early delayed postradiation stages.

methodsMRS metabolite ratios of NAA/Cr and Cho/Cr, ACE-R and MoCA cognitive tests, and dosimetric parameters in corpus callosum were analyzed during RT and up to 6-month post-RT for ten LGG patients.

resultsCompared to pre RT baseline, a significant decline in both NAA/Cr and Cho/Cr in the corpus callosum was seen at the 4th week of RT, 1, 3, and 6-month post-RT. These declines were detected at least 3 months before the detection of declines in cognitive functions by ACE-R and MoCA tools. Moreover, NAA/Cr alterations at 4th week of RT and 1-month post-RT were significantly negatively correlated with the mean dose received by the corpus callosum, as well as the corpus callosum 40 Gy dose volume, i.e., the volume of the corpus callosum receiving a dose greater than 40 Gy.

conclusionMRS-based biomarkers may be more sensitive than the state-of-the-art cognitive tests in the prediction of postradiation cognitive impairments. They would be utilized in treatment planning and dose sparing protocols, with a specific focus on the corpus callosum in the radiation therapy of LGG patients.

Indexed as

Early DiagnosisMagnetic Resonance SpectroscopyMetabolomeAdolescentAdultAspartic AcidBrain NeoplasmsCognitive DysfunctionCreatineFemaleGliomaHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsAspartic AcidCreatine

Identifiers

PMID34258272
PMCPMC8260313
OpenAlexW3135706893

What OpenQuestion holds

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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.