Evidence map›Paper›PMID 36648992›Full record

ArticleTomography (Ann Arbor, Mich.)2022

Stereotactic Microwave Ablation of Hepatocellular Carcinoma: The Impact of Tumor Size and Minimal Ablative Margin on Therapeutic Success.

Antonia-Maria Pausch, Tamam Ghali, Tobias Wertheimer, Florian Zeman, Karolina Mueller, Michael Christian Doppler, Ingo Einspieler, Lukas Philipp Beyer, Stephan Schleder, Christian Stroszczynski and 1 more

Open access · goldAbstract read
In one paragraph

Article in Tomography (Ann Arbor, Mich.), 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
1.0field-weighted citation impact, top 25% 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, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

11 authors at 3 institutions in 2 countries.

Antonia-Maria PauschDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.
Tamam GhaliDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.
Tobias WertheimerDepartment of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, 93053 Regenburg, Germany.ORCID 0000-0002-8480-7391
Florian ZemanCenter for Clinical Studies, University Hospital Regensburg, 93053 Regensburg, Germany.
Karolina MuellerCenter for Clinical Studies, University Hospital Regensburg, 93053 Regensburg, Germany.
Michael Christian DopplerDepartment of Diagnostic and Interventional Radiology, Medical Center-University of Freiburg, 79106 Freiburg, Germany.
Ingo EinspielerDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.
Lukas Philipp BeyerDepartment of Diagnostic and Interventional Radiology, Klinikum Ernst von Bergmann, 14467 Potsdam, Germany.
Stephan SchlederDepartment of Diagnostic and Interventional Radiology, Merciful Brothers Hospital St. Elisabeth, 94315 Straubing, Germany.ORCID 0000-0002-7785-3015
Christian StroszczynskiDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.
Lukas LuerkenDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0000-0002-9716-011X
University Hospital Regensburg · DEKlinikum Ernst von Bergmann · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicrowave ablation (MWA) has gained relevance in the treatment of hepatic malignancies and especially in hepatocellular carcinoma (HCC), and it is an important alternative to surgery. The purpose of the study was to evaluate whether the minimal ablative margin (MAM) or the initial tumor size has a greater effect on the success of stereotactic MWA of HCC regarding the time to local tumor progression (LTP) and overall survival (OS).

methods88 patients, who received stereotactic MWA of 127 tumor lesions with a curative intention were included in this single-center, retrospective study. The MAM was evaluated in a side-by-side comparison of pre- and post-ablative, contrast-enhanced slice imaging. A Cox proportional hazard model with a frailty term was computed to assess the influence of the MAM and the maximum tumor diameter on the time to LTP and the OS.

resultsThe maximum tumor diameter was identified as a significant positive predictor for LTP (hazard ratio 1.04, 95% CI 1.00-1.08,

conclusionFor the successful stereotactic MWA of HCC, the MAM and maximum tumor diameter might not have an influence on the OS, but the maximum tumor diameter seems to be an independent predictor of the time to LTP.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsHumansMicrowavesRetrospective StudiesTreatment Outcomehepatocellular carcinomainterventional oncologymicrowave ablationstereotactic navigation

Identifiers

PMID36648992
PMCPMC9844395
OpenAlexW4313259704

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.