Evidence map›Paper›PMID 35058296›Full record

ArticleAJNR. American journal of neuroradiology2022

Pretreatment Normal WM Magnetization Transfer Ratio Predicts Risk of Radiation Necrosis in Patients with Medulloblastoma.

J H Harreld, P Zou, N D Sabin, A Edwards, Y Han, Y Li, O Bieri, R B Khan, A Gajjar, G Robinson and 1 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Magnetization Transfer Ratio in the Typically Developing Pediatric Spinal Cord: Normative Data and Age Correlation.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

11 authors at 3 institutions in 2 countries.

J H HarreldFrom the Department of Radiology (J.H.H.), Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire Julie.H.Harreld@Hitchcock.org.ORCID 0000-0002-8814-9373
P ZouDepartments of Diagnostic Imaging (P.Z., N.D.S., A.E.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0002-3472-0001
N D SabinDepartments of Diagnostic Imaging (P.Z., N.D.S., A.E.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0002-7584-2574
A EdwardsDepartments of Diagnostic Imaging (P.Z., N.D.S., A.E.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0003-2979-5508
Y HanBiostatistics (Y.H., Y.L.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0001-7071-6854
Y LiBiostatistics (Y.H., Y.L.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0002-7046-4316
O BieriDepartment of Radiology (O.B.), Division of Radiological Physics, University Hospital Basel, Basel, Switzerland.ORCID 0000-0002-6755-5495
R B KhanDivision of Neurology (R.B.K.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0003-3702-7250
A GajjarDepartment of Pediatrics, and Departments of Neuro-Oncology (A.G., G.R.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0001-5019-0699
G RobinsonDepartment of Pediatrics, and Departments of Neuro-Oncology (A.G., G.R.), St. Jude Children's Research Hospital, Memphis, TennesseeORCID 0000-0001-7441-9486
T E MerchantRadiation Oncology (T.E.M.), St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-0412-6255
St. Jude Children's Research Hospital · USDartmouth College · USUniversity of Basel · CH

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE J. BAKER · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

background and purposeRadiation necrosis, for which abnormal WM enhancement is a hallmark, is an uncommon complication of craniospinal irradiation in children with medulloblastoma. The magnetization transfer ratio measures macromolecular content, dominated by myelin in the WM. We investigated whether the pretreatment supratentorial (nonsurgical) WM magnetization transfer ratio could predict patients at risk for radiation necrosis after radiation therapy for medulloblastoma. MATERIALS AND

methodsNinety-five eligible patients with medulloblastoma (41% female; mean age, 11.0 [SD, 5.4]  years) had baseline balanced steady-state free precession MR imaging before proton or photon radiation therapy. Associations among baseline supratentorial magnetization transfer ratio, radiation necrosis (spontaneously resolving/improving parenchymal enhancement within the radiation field)

resultsTwenty-three of 95 (24.2%) children (44% female; mean age, 10.7 [SD, 6.7] years) developed radiation necrosis after radiation therapy (19 infratentorial, 1 supratentorial, 3 both). The mean pretreatment supratentorial WM magnetization transfer ratio was significantly lower in these children (43.18 versus 43.50,

conclusionsA lower baseline supratentorial WM magnetization transfer ratio may indicate underlying structural WM susceptibility to radiation necrosis and may identify children at risk for developing radiation necrosis after craniospinal irradiation for medulloblastoma.

Indexed as

Brain NeoplasmsCerebellar NeoplasmsMedulloblastomaChildFemaleHumansMagnetic Resonance ImagingMaleNecrosis

Identifiers

PMID35058296
PMCPMC8985672
OpenAlexW4206216370

What OpenQuestion holds

Textmetadata
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.