Evidence map›Paper›PMID 36725759›Full record

ReviewInsights into imaging2023

MRI of diffuse-type tenosynovial giant cell tumour in the knee: a guide for diagnosis and treatment response assessment.

Geert Spierenburg, Carlos Suevos Ballesteros, Berend C Stoel, Ana Navas Cañete, Hans Gelderblom, Michiel A J van de Sande, Kirsten van Langevelde

Open access · goldAbstract readReview
In one paragraph

Review in Insights into imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 22 citations in OpenAlex.

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  16. Localized tenosynovial giant cell tumor in children.Journal of children's orthopaedics · 2023
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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

7 authors at 3 institutions in 2 countries.

Geert SpierenburgDepartment of Orthopaedic Surgery, Leiden University Medical Centre, Postzone J11-R-70, PO Box 9600, 2300 RC, Leiden, The Netherlands. G.Spierenburg@lumc.nl.ORCID http://orcid.org/0000-0002-0236-7338
Carlos Suevos BallesterosDepartment of Radiology, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Berend C StoelDivision of Image Processing, Department of Radiology, Leiden University Medical Centre, Leiden, The Netherlands.
Ana Navas CañeteDepartment of Radiology, Leiden University Medical Centre, Leiden, The Netherlands.
Hans GelderblomDepartment of Medical Oncology, Leiden University Medical Centre, Leiden, The Netherlands.
Michiel A J van de SandeDepartment of Orthopaedic Surgery, Leiden University Medical Centre, Postzone J11-R-70, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Kirsten van LangeveldeDepartment of Radiology, Leiden University Medical Centre, Leiden, The Netherlands.
Leiden University · NLLeiden University Medical Center · NLHospital Universitario Ramón y Cajal · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tenosynovial giant cell tumour (TGCT) is a rare soft-tissue tumour originating from synovial lining of joints, bursae and tendon sheaths. The tumour comprises two subtypes: the localised-type (L-TGCT) is characterised by a single, well-defined lesion, whereas the diffuse-type (D-TGCT) consists of multiple lesions without clear margins. D-TGCT was previously known as pigmented villonodular synovitis. Although benign, TGCT can behave locally aggressive, especially the diffuse-type. Magnetic resonance imaging (MRI) is the modality of choice to diagnose TGCT and discriminate between subtypes. MRI can also provide a preoperative map before synovectomy, the mainstay of treatment. Finally, since the arrival of colony-stimulating factor 1-receptor inhibitors, a novel systemic therapy for D-TGCT patients with relapsed or inoperable disease, MRI is key in assessing treatment response. As recurrence after treatment of D-TGCT occurs more often than in L-TGCT, follow-up imaging plays an important role in D-TGCT. Reading follow-up MRIs of these diffuse synovial tumours may be a daunting task. Therefore, this educational review focuses on MRI findings in D-TGCT of the knee, which represents the most involved joint site (approximately 70% of patients). We aim to provide a systematic approach to assess the knee synovial recesses, highlight D-TGCT imaging findings, and combine these into a structured report. In addition, differential diagnoses mimicking D-TGCT, potential pitfalls and evaluation of tumour response following systemic therapies are discussed. Finally, we propose automated volumetric quantification of D-TGCT as the next step in quantitative treatment response assessment as an alternative to current radiological assessment criteria.

Indexed as

3D segmentationColony-stimulating factor 1Diffuse-type TGCTMagnetic resonance imagingTenosynovial giant cell tumour

Identifiers

PMID36725759
PMCPMC9892412
OpenAlexW4318766629

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.