Evidence map›Paper›PMID 35200551›Full record

Trial reportCurrent oncology (Toronto, Ont.)2022

Gadoxetic Acid-Based MRI for Decision-Making in Hepatocellular Carcinoma Employing Perfusion Criteria Only-A Post Hoc Analysis from the SORAMIC Trial Diagnostic Cohort.

Max Seidensticker, Ingo G Steffen, Irene Bargellini, Thomas Berg, Alberto Benito, Bernhard Gebauer, Roberto Iezzi, Christian Loewe, Musturay Karçaaltincaba, Maciej Pech and 5 more

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Current oncology (Toronto, Ont.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 58% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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 12 institutions in 9 countries.

Max SeidenstickerDepartment of Radiology, Ludwig-Maximilians-University Munich, 81377 München, Germany.
Ingo G SteffenDepartment of Radiology, Ludwig-Maximilians-University Munich, 81377 München, Germany.
Irene BargelliniDepartment of Interventional Radiology, Pisa University Hospital, 56100 Pisa, Italy.
Thomas BergDivision of Hepatology, Department of Medicine II, Leipzig University Medical Center, 04103 Leipzig, Germany.ORCID 0000-0003-0003-6241
Alberto BenitoDepartment of Radiology, Clínica Universidad de Navarra, 31008 Pamplona, Spain.
Bernhard GebauerDepartment of Radiology, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.ORCID 0000-0002-9948-7220
Roberto IezziDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Radiologia, 00168 Rome, Italy.
Christian LoeweSection of Cardiovascular and Interventional Radiology, Department of Bioimaging and Image-Guided Therapy, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0003-2502-0676
Musturay KarçaaltincabaDepartment of Radiology, Hacettepe University School of Medicine, Ankara 06230, Turkey.
Maciej PechDepartment of Radiology and Nuclear Medicine, University of Magdeburg, 39120 Magdeburg, Germany.ORCID 0000-0002-7140-6775
Christian SengelRadiologie Interventionnelle Vasculaire et Percutanée, CHU de Grenoble, 38700 Grenoble, France.
Otto van DeldenDepartment of Radiology and Nuclear Medicine, Academic Medical Center, University of Amsterdam, 1012 WX Amsterdam, The Netherlands.
Vincent VandecaveyeDepartment of Radiology, University Hospitals Leuven, 3000 Leuven, Belgium.
Christoph J ZechRadiology and Nuclear Medicine, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.ORCID 0000-0002-4707-4563
Jens RickeDepartment of Radiology, Ludwig-Maximilians-University Munich, 81377 München, Germany.
Ludwig-Maximilians-Universität München · DEAgostino Gemelli University Polyclinic · ITAmsterdam UMC Location University of Amsterdam · NLCentre Hospitalier Universitaire de Grenoble · FRCharité - Universitätsmedizin Berlin · DEClinica Universidad de Navarra · ESHacettepe University · TRKU Leuven · BELeipzig University · DEMedical University of Vienna · ATUniversity Hospital Magdeburg · DEUniversity of Basel · CH

Funding

Bayer HealthcareSirtex Medical
6 · The paper itself

Abstract

The value of gadoxetic acid in the diagnosis of hepatocellular carcinoma (HCC), based on perfusion criteria, is under dispute. This post-hoc analysis of the prospective, phase II, randomized, controlled SORAMIC study compared the accuracy of gadoxetic acid-enhanced dynamic magnetic resonance imaging (MRI) (arterial, portovenous, and venous phase only) versus contrast-enhanced computed tomography (CT) for stratifying patients with HCC to curative ablation or palliative treatment. Two reader groups (radiologists, R1 and R2) performed blind reads of CT and gadoxetic acid-enhanced MRI (contrast dynamics only). A truth panel, with access to clinical and imaging follow-up data, served as reference. Primary endpoint was non-inferiority (margin: 5% points) of MRI vs. CT (lower 95% confidence interval [CI] > 0.75) in a first step and superiority (complete 95% CI > 1) in a second step. The intent-to-treat population comprised 538 patients. Accuracy of treatment decisions was 73.4% and 70.8% for CT (R1 and R2, respectively) and 75.1% and 70.3% for gadoxetic acid-enhanced dynamic MRI. Non-inferiority but not superiority of gadoxetic acid-enhanced dynamic MRI versus CT was demonstrated (odds ratio 1.01; CI 0.97-1.05). Despite a theoretical disadvantage in wash-out depiction, gadoxetic acid-enhanced dynamic MRI is non-inferior to CT in accuracy of treatment decisions for curative ablation versus palliative strategies. This outcome was not subject to the use of additional MR standard sequences.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsContrast MediaGadolinium DTPAHumansMagnetic Resonance ImagingPerfusionProspective StudiesContrast MediaGadolinium DTPAgadolinium ethoxybenzyl DTPAcomputed tomographycontrast dynamicsgadoxetic acidhepatocellular carcinomamagnetic resonance imagingtransitional phasevenous phasewash-out

Identifiers

PMID35200551
PMCPMC8870455
OpenAlexW4210288559

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.