Evidence map›Paper›PMID 34924031›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2021

DCE-MRI is more sensitive than IVIM-DWI for assessing anti-angiogenic treatment-induced changes in colorectal liver metastases.

Mihaela Rata, Khurum Khan, David J Collins, Dow-Mu Koh, Nina Tunariu, Maria Antonietta Bali, James d'Arcy, Jessica M Winfield, Simona Picchia, Nicola Valeri and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03010722 (A Prospective Translational Study Investigating Molecular Predictors of Resistance and Response to Regorafenib Monotherapy in RAS Mutant Metastatic Colorectal Cancer), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 26% 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.

NCT03010722 completednot on this map

A Prospective Translational Study Investigating Molecular Predictors of Resistance and Response to Regorafenib Monotherapy in RAS Mutant Metastatic Colorectal Cancer

TypeobservationalSponsorRoyal Marsden NHS Foundation TrustRan2015 to 2017Enrolled49ConditionsMetastatic Colorectal CancerArmsRegorafenib
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Review
  5. Review
  6. Review
  7. 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

15 authors at 4 institutions in 2 countries.

Mihaela RataDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom. Mihaela.Rata@icr.ac.uk.
Khurum KhanDepartment of Medicine, GI and Lymphoma Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, United Kingdom.
David J CollinsDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Dow-Mu KohDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Nina TunariuDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Maria Antonietta BaliDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
James d'ArcyDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom.
Jessica M WinfieldDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Simona PicchiaDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Nicola ValeriDepartment of Medicine, GI and Lymphoma Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, United Kingdom.
Ian ChauDepartment of Medicine, GI and Lymphoma Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, United Kingdom.
David CunninghamDepartment of Medicine, GI and Lymphoma Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, United Kingdom.
Matteo FassanDepartment of Medicine (DIMED), Surgical Pathology Unit, University of Padua, Padua, Italy.
Martin O LeachDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Matthew R OrtonDepartment of Radiology, MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Royal Marsden NHS Foundation Trust · GBInstitute of Cancer Research · GBCancer Research UK Technology · GBUniversity of Padua · IT

Funding

Cancer Research UK 18052Cancer Research UK C1060/A10334, C1060/A16464
6 · The paper itself

Abstract

backgroundDiffusion weighted imaging (DWI) with intravoxel incoherent motion (IVIM) modelling can inform on tissue perfusion without exogenous contrast administration. Dynamic-contrast-enhanced (DCE) MRI can also characterise tissue perfusion, but requires a bolus injection of a Gadolinium-based contrast agent. This study compares the use of DCE-MRI and IVIM-DWI methods in assessing response to anti-angiogenic treatment in patients with colorectal liver metastases in a cohort with confirmed treatment response.

methodsThis prospective imaging study enrolled 25 participants with colorectal liver metastases to receive Regorafenib treatment. A target metastasis > 2 cm in each patient was imaged before and at 15 days after treatment on a 1.5T MR scanner using slice-matched IVIM-DWI and DCE-MRI protocols. MRI data were motion-corrected and tumour volumes of interest drawn on b=900 s/mm

resultsSignificant treatment-induced reductions of DCE-MRI parameters across the cohort were observed for EF (91.2 to 50.8%, P<0.001), KEF (0.095 to 0.045 min

conclusionIVIM-DWI perfusion-related parameters showed limited sensitivity to the anti-angiogenic effects of Regorafenib treatment in colorectal liver metastases and showed low correlation with DCE-MRI parameters, despite profound and significant post-treatment reductions in DCE-MRI measurements.

trial registrationNCT03010722 clinicaltrials.gov; registration date 6

Indexed as

Colorectal NeoplasmsLiver NeoplasmsHumansMagnetic Resonance ImagingProspective StudiesClinical trial.Colorectal liver metastasisDynamic contrast enhanced MRI (DCE-MRI)Intravoxel incoherent motion diffusion weighted imaging (IVIM-DWI)Perfusion

Identifiers

PMID34924031
PMCPMC8684660
OpenAlexW4200497240

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.