Evidence map›Paper›PMID 36529741›Full record

ArticleWorld journal of surgical oncology2022

Diagnostic value of an enhanced MRI combined with serum CEA, CA19-9, CA125 and CA72-4 in the liver metastasis of colorectal cancer.

Hua-Qiang Zhu, Dong-Ye Wang, Lin-Shen Xu, Jian-le Chen, Er-Wei Chu, Cai-Jin Zhou

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hua-Qiang ZhuDepartment of Medical Imaging, University of Chinese Academy of Sciences Shenzhen Hospital (Guangming), No. 4253 of Pine White Rd, Guangming District, Shenzhen, 518106, Guangdong Province, China. huaqia66z@21cn.com.
Dong-Ye WangDepartment of Radiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, Guangdong Province, China.
Lin-Shen XuDepartment of Medical Imaging, University of Chinese Academy of Sciences Shenzhen Hospital (Guangming), No. 4253 of Pine White Rd, Guangming District, Shenzhen, 518106, Guangdong Province, China.
Jian-le ChenDepartment of Medical Imaging, University of Chinese Academy of Sciences Shenzhen Hospital (Guangming), No. 4253 of Pine White Rd, Guangming District, Shenzhen, 518106, Guangdong Province, China.
Er-Wei ChuDepartment of Medical Imaging, University of Chinese Academy of Sciences Shenzhen Hospital (Guangming), No. 4253 of Pine White Rd, Guangming District, Shenzhen, 518106, Guangdong Province, China.
Cai-Jin ZhouDepartment of Medical Imaging, University of Chinese Academy of Sciences Shenzhen Hospital (Guangming), No. 4253 of Pine White Rd, Guangming District, Shenzhen, 518106, Guangdong Province, China.
University of Chinese Academy of Sciences · CNSun Yat-sen Memorial Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis paper aims to explore the diagnostic value of enhanced magnetic resonance imaging (MRI) combined with a carcinoembryonic antigen (CEA) and carbohydrate antigen in terms of the liver metastasis of colorectal cancer.

methodsA total of 167 colorectal cancer patients with liver metastasis and 167 colorectal cancer patients without liver metastasis were selected as the subjects. An automatic electrochemiluminescence analyser was then used to detect the tumour markers CEA, CA19-9, CA125 and CA72-4. The consistency between the MRI examination and clinical pathological examination was also analysed, and the sensitivity, specificity and positive and negative predictive values of various combined detection methods were compared.

resultsThe abnormal rates of CEA, CA19-9, CA125 and CA72-4 in the two groups were statistically significant (P < 0.05), while the results of the enhanced MRI and clinicopathological examination for liver metastasis in patients with colon cancer were largely consistent (Kappa coefficient = 0.788, P < 0.000). However, the two methods were inconsistent. The false positive rate of the enhanced MRI examination was 15.3%, while the false negative rate was 6.0%. The specificity (94.61%), positive predictive value (92.68%) and positive likelihood ratio (12.67%) were the highest for the MRI combined with serial CEA, while the sensitivity (98.80%) and negative predictive value (97.22%) were the highest with the MRI combined with parallel CEA, and this combination returned the lowest negative likelihood ratio (0.03).

conclusionThe combination of MRI and CEA excludes non-metastatic patients and identifies colorectal liver metastasis cancer patients. Overall, it has a higher diagnostic value.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorCA-125 AntigenCA-19-9 AntigenCarcinoembryonic AntigenHumansMagnetic Resonance ImagingAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorCA-125 AntigenCA-19-9 AntigenCarcinoembryonic AntigenCarbohydrate antigenCarcinoembryonic antigenColorectal liver metastasesConsistencyEnhanced magnetic resonance imaging

Identifiers

PMID36529741
PMCPMC9762109
OpenAlexW4312066800

What OpenQuestion holds

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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.