Evidence map›Paper›PMID 35805021›Full record

ArticleCancers2022

Integrated MRI-Immune-Genomic Features Enclose a Risk Stratification Model in Patients Affected by Glioblastoma.

Giulia Mazzaschi, Alessandro Olivari, Antonio Pavarani, Costanza Anna Maria Lagrasta, Caterina Frati, Denise Madeddu, Bruno Lorusso, Silvia Dallasta, Chiara Tommasi, Antonino Musolino and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

14 authors at 2 institutions in 1 country.

Giulia MazzaschiMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0003-4019-579X
Alessandro OlivariMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.
Antonio PavaraniNeuroradiology Unit, University Hospital of Parma, 43126 Parma, Italy.
Costanza Anna Maria LagrastaPathology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0003-0552-9205
Caterina FratiPathology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0002-3343-6471
Denise MadedduPathology Unit, University Hospital of Parma, 43126 Parma, Italy.
Bruno LorussoPathology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0003-1688-7841
Silvia DallastaGeriatric Department, University of Genoa, 16132 Genova, Italy.
Chiara TommasiMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0002-9230-9288
Antonino MusolinoMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0002-7979-6261
Marcello TiseoMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0002-9553-8465
Maria MichiaraMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.
Federico QuainiDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0003-2377-4810
Pellegrino CrafaDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0001-8603-863X
University of Parma · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the present study was to dissect the clinical outcome of GB patients through the integration of molecular, immunophenotypic and MR imaging features.

methodsWe enrolled 57 histologically proven and molecularly tested GB patients (5.3% IDH-1 mutant). Two-Dimensional Free ROI on the Biggest Enhancing Tumoral Diameter (TDFRBETD) acquired by MRI sequences were used to perform a manual evaluation of multiple quantitative variables, among which we selected: SD Fluid Attenuated Inversion Recovery (FLAIR), SD and mean Apparent Diffusion Coefficient (ADC). Characterization of the Tumor Immune Microenvironment (TIME) involved the immunohistochemical analysis of PD-L1, and number and distribution of CD3+, CD4+, CD8+ Tumor Infiltrating Lymphocytes (TILs) and CD163+ Tumor Associated Macrophages (TAMs), focusing on immune-vascular localization. Genetic, MR imaging and TIME descriptors were correlated with overall survival (OS).

resultsMGMT methylation was associated with a significantly prolonged OS (median OS = 20 months), while no impact of p53 and EGFR status was apparent. GB cases with high mean ADC at MRI, indicative of low cellularity and soft consistency, exhibited increased OS (median OS = 24 months). PD-L1 and the overall number of TILs and CD163+TAMs had a marginal impact on patient outcome. Conversely, the density of vascular-associated (V) CD4+ lymphocytes emerged as the most significant prognostic factor (median OS = 23 months in V-CD4

conclusionInterlacing MRI-immune-genetic features may provide highly significant risk-stratification models in GB patients.

Indexed as

glioblastomamagnetic resonance imaging (MRI)tumor immune microenvironment (TIME)

Identifiers

PMID35805021
PMCPMC9265092
OpenAlexW4283767413

What OpenQuestion holds

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LicenceCC BY
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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.