Evidence map›Paper›PMID 34623519›Full record

ArticleJournal of cancer research and clinical oncology2022

Comparison of three different methods to detect bone marrow involvement in patients with neuroblastoma.

Felix Schriegel, Sabine Taschner-Mandl, Marie Bernkopf, Uwe Grunwald, Nikolai Siebert, Peter F Ambros, Inge Ambros, Holger N Lode, Guenter Henze, Karoline Ehlert

Open access · hybridAbstract 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 24% 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, 11 citations in OpenAlex.

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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

10 authors at 3 institutions in 2 countries.

Felix SchriegelDepartment of Pediatric Oncology and Hematology, University Medicine Greifswald, Ferdinand-Sauerbruch-Strasse, D-17475, Greifswald, Germany.
Sabine Taschner-MandlCCRI, St. Anna Children's Cancer Research Institute, Vienna, Austria.
Marie BernkopfCCRI, St. Anna Children's Cancer Research Institute, Vienna, Austria.
Uwe GrunwaldDepartment of Medicine C, Hematology and Oncology, University Medicine Greifswald, Greifswald, Germany.
Nikolai SiebertDepartment of Pediatric Oncology and Hematology, University Medicine Greifswald, Ferdinand-Sauerbruch-Strasse, D-17475, Greifswald, Germany.
Peter F AmbrosCCRI, St. Anna Children's Cancer Research Institute, Vienna, Austria.
Inge AmbrosCCRI, St. Anna Children's Cancer Research Institute, Vienna, Austria.
Holger N LodeDepartment of Pediatric Oncology and Hematology, University Medicine Greifswald, Ferdinand-Sauerbruch-Strasse, D-17475, Greifswald, Germany.
Guenter HenzeDepartment of Pediatric Oncology and Hematology, Charité University Medicine Berlin, Campus Virchow Klinikum, Berlin, Germany.
Karoline EhlertDepartment of Pediatric Oncology and Hematology, University Medicine Greifswald, Ferdinand-Sauerbruch-Strasse, D-17475, Greifswald, Germany. karoline.ehlert@med.uni-greifswald.de.ORCID http://orcid.org/0000-0003-2992-5376
Universitätsmedizin Greifswald · DESt Anna Children's Hospital · ATCharité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNeuroblastoma (NB) is the most frequent extracranial tumor in children. The detection of bone marrow (BM) involvement is crucial for correct staging and risk-adapted treatment. We compared three methods regarding the detection of NB involvement in BM.

methodsEighty-one patients with NB were included in this retrospective study. BM samples were obtained at designated time points at study entry and during treatment or follow-up. The diagnostic tools for BM analysis included cytomorphology (CM), flow cytometry (FCM) and automatic immunofluorescence plus fluorescence in situ hybridization (AIPF).

resultsWe analyzed 369 aspirates in 81 patients in whom AIPF, CM, and FCM were simultaneously available. During the observation period, NB cells were detected in 86/369 (23.3%) cases, by CM in 32/369 (8.7%), by FCM in 52 (14.1%), and by AIPF in 72 (19.5%) samples. AIPF and/or FCM confirmed all positive results obtained in CM and detected 11 additional positive BM aspirates in 294 CM negative samples (p < 0,001). Survival of patients with BM involvement at study entry identified solely by FCM/AIPF was 17.4% versus 0% for patients in whom BM involvement was already identified by CM.

conclusionThe combination of AIPF/FCM yielded the highest detection rate of NB cells in BM. AIPF was the single, most sensitive method in detecting these cells. Although CM did not provide any additional positive results, it is still a useful, readily available and cost-effective tool. The prognostic significance of FCM and AIPF should be confirmed in a prospective study with a larger number of patients.

Indexed as

Bone MarrowNeuroblastomaChildHumansIn Situ Hybridization, FluorescenceProspective StudiesRetrospective StudiesBone marrowMinimal residual diseaseNeuroblastomaSurvival

Identifiers

PMID34623519
PMCPMC9470647
OpenAlexW3168025763

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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.