Evidence map›Paper›PMID 34363123›Full record

ArticleJournal of cancer research and clinical oncology2022

3D T1-weighted turbo spin echo contrast-enhanced MRI at 1.5 T for frameless brain metastases radiotherapy.

Jing Yuan, Stephen C K Law, Ka Kin Wong, Gladys G Lo, Michael K M Kam, Wing Hong Kwan, Cindy Xue, Oi Lei Wong, Siu Ki Yu, Kin Yin Cheung

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Jing YuanMedical Physics and Research Department, Hong Kong Sanatorium and Hospital, 8/F, Li Shu Fan Block, 2 Village Road, Happy Valley, Hong Kong SAR, China. jyuanbwh@gmail.com.ORCID http://orcid.org/0000-0001-8112-3608
Stephen C K LawComprehensive Oncology Centre, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong SAR, China.
Ka Kin WongDepartment of Diagnostic and Interventional Radiology, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong SAR, China.
Gladys G LoDepartment of Diagnostic and Interventional Radiology, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong SAR, China.
Michael K M KamComprehensive Oncology Centre, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong SAR, China.
Wing Hong KwanComprehensive Oncology Centre, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong SAR, China.
Cindy XueMedical Physics and Research Department, Hong Kong Sanatorium and Hospital, 8/F, Li Shu Fan Block, 2 Village Road, Happy Valley, Hong Kong SAR, China.
Oi Lei WongMedical Physics and Research Department, Hong Kong Sanatorium and Hospital, 8/F, Li Shu Fan Block, 2 Village Road, Happy Valley, Hong Kong SAR, China.
Siu Ki YuMedical Physics and Research Department, Hong Kong Sanatorium and Hospital, 8/F, Li Shu Fan Block, 2 Village Road, Happy Valley, Hong Kong SAR, China.
Kin Yin CheungMedical Physics and Research Department, Hong Kong Sanatorium and Hospital, 8/F, Li Shu Fan Block, 2 Village Road, Happy Valley, Hong Kong SAR, China.

Funding

Hong Kong Sanatorium and Hospital REC-2018-06
6 · The paper itself

Abstract

purposePerformance of 3D-T1W-TSE has been proven superior to 3D-MP-GRE at 3 T on brain metastases (BM) contrast-enhanced (CE) MRI. However, its performance at 1.5 T is largely unknown and sparsely reported. This study aims to assess image quality, lesion detectability and conspicuity of 1.5 T 3D-T1W-TSE on planning MRI of frameless BM radiotherapy.

methods94 BM patients to be treated by frameless brain radiotherapy were scanned using 3D-T1W-TSE with immobilization on multi-vendor 1.5 T MRI-simulators. BMs were jointly diagnosed by 4 reviewers. Enhanced lesion conspicuity was quantitatively assessed by calculating contrast ratio (CR) and contrast-to-noise ratio (CNR). Signal-to-noise ratio (SNR) reduction of white matter due to the use of flexible coil was assessed. Lesion detectability and conspicuity were compared between 1.5 T planning MRI and 3 T diagnostic MRI by an oncologist and a radiologist in 10 patients.

results497 BMs were jointly diagnosed. The CR and CNR were 75.2 ± 39.9% and 14.2 ± 8.1, respectively. SNR reduced considerably from 31.7 ± 8.3 to 21.9 ± 5.4 with the longer distance to coils. 3 T diagnostic MRI and 1.5 T planning MRI yielded exactly the same detection of 84 BMs. Qualitatively, lesion conspicuity at 1.5 T was not inferior to that at 3 T. Quantitatively, lower brain SNR and lesion CNR were found at 1.5 T, while lesion CR at 1.5 T was highly comparable to that at 3 T.

conclusion1.5 T 3D-T1W-TSE planning MRI of frameless BM radiotherapy was comprehensively assessed. Highly comparable BM detectability and conspicuity were achieved by 1.5 T planning MRI compared to 3 T diagnostic MRI. 1.5 T 3D-T1W-TSE should be valuable for frameless brain radiotherapy planning.

Indexed as

Brain NeoplasmsRadiation OncologyBrainContrast MediaHumansMagnetic Resonance ImagingContrast Media3D T1-weighted turbo spin echoBrain metastasesContrast enhanced MRIMR-guided-radiotherapyStereotactic radiotherapy

Identifiers

PMID34363123
PMCPMC11800802

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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.