Evidence map›Paper›PMID 35948829›Full record

ArticleJournal of cancer research and clinical oncology2023

Evaluation of different imaging modalities for axillary lymph node staging in breast cancer patients to provide a personalized and optimized therapy algorithm.

Joachim Diessner, Laura Anders, Saskia Herbert, Matthias Kiesel, Thorsten Bley, Tanja Schlaiss, Stephanie Sauer, Achim Wöckel, Catharina Bartmann

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06185946 (Evaluation of Different Imaging Modalities in Regional Nodes Staging in Breast Cancer Patient), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT06185946 unknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluation of Different Imaging Modalities in Regional Nodes Staging in Breast Cancer Patient

TypeobservationalSponsorMennatallah Arous MohamedRan2024 to 2025Enrolled100ConditionsBreast Carcinoma Metastatic in Lymph Node
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 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

9 authors at 1 institution in 1 country.

Joachim DiessnerDepartment of Obstetrics and Gynaecology, University Hospital, Josef-Schneider-Str. 4, 97080, Würzburg, Germany. Diessner_j@ukw.de.ORCID http://orcid.org/0000-0001-5563-4885
Laura AndersDepartment of Obstetrics and Gynaecology, University Hospital, Josef-Schneider-Str. 4, 97080, Würzburg, Germany.
Saskia HerbertDepartment of Obstetrics and Gynaecology, University Hospital, Josef-Schneider-Str. 4, 97080, Würzburg, Germany.
Matthias KieselDepartment of Obstetrics and Gynaecology, University Hospital, Josef-Schneider-Str. 4, 97080, Würzburg, Germany.
Thorsten BleyDepartment of Diagnostic and Interventional Radiology, University Hospital, Josef-Schneider-Straße 2, 97080, Würzburg, Germany.
Tanja SchlaissDepartment of Obstetrics and Gynaecology, University Hospital, Josef-Schneider-Str. 4, 97080, Würzburg, Germany.
Stephanie SauerDepartment of Diagnostic and Interventional Radiology, University Hospital, Josef-Schneider-Straße 2, 97080, Würzburg, Germany.
Achim WöckelDepartment of Obstetrics and Gynaecology, University Hospital, Josef-Schneider-Str. 4, 97080, Würzburg, Germany.
Catharina BartmannDepartment of Obstetrics and Gynaecology, University Hospital, Josef-Schneider-Str. 4, 97080, Würzburg, Germany.
Universitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe reliable detection of tumor-infiltrated axillary lymph nodes for breast cancer [BC] patients plays a decisive role in further therapy. We aimed to find out whether cross-sectional imaging techniques could improve sensitivity for pretherapeutic axillary staging in nodal-positive BC patients compared to conventional imaging such as mammography and sonography.

methodsData for breast cancer patients with tumor-infiltrated axillary lymph nodes having received surgery between 2014 and 2020 were included in this study. All examinations (sonography, mammography, computed tomography [CT] and magnetic resonance imaging [MRI]) were interpreted by board-certified specialists in radiology. The sensitivity of different imaging modalities was calculated, and binary logistic regression analyses were performed to detect variables influencing the detection of positive lymph nodes.

resultsAll included 382 breast cancer patients had received conventional imaging, while 52.61% of the patients had received cross-sectional imaging. The sensitivity of the combination of all imaging modalities was 68.89%. The combination of MRI and CT showed 63.83% and the combination of sonography and mammography showed 36.11% sensitivity.

conclusionWe could demonstrate that cross-sectional imaging can improve the sensitivity of the detection of tumor-infiltrated axillary lymph nodes in breast cancer patients. Only the safe detection of these lymph nodes at the time of diagnosis enables the evaluation of the response to neoadjuvant therapy, thereby allowing access to prognosis and improving new post-neoadjuvant therapies.

Indexed as

Breast NeoplasmsAxillaFemaleHumansLymphatic MetastasisLymph NodesMammographyNeoadjuvant TherapyNeoplasm StagingSensitivity and SpecificityBreast cancer imagingConventional imagingCross-sectional imagingNeoadjuvant therapiesPositive nodal statusPost-neoadjuvant therapies

Identifiers

PMID35948829
PMCPMC10314851
OpenAlexW4291021233

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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.