Evidence map›Paper›PMID 36828381›Full record

Trial reportTomography (Ann Arbor, Mich.)2023

A Novel Approach to Determining Tumor Progression Using a Three-Site Pilot Clinical Trial of Spectroscopic MRI-Guided Radiation Dose Escalation in Glioblastoma.

Karthik K Ramesh, Vicki Huang, Jeffrey Rosenthal, Eric A Mellon, Mohammed Goryawala, Peter B Barker, Saumya S Gurbani, Anuradha G Trivedi, Alexander S Giuffrida, Eduard Schreibmann and 8 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Tomography (Ann Arbor, Mich.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. 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

18 authors at 6 institutions in 1 country.

Karthik K RameshDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Vicki HuangDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0003-3029-4700
Jeffrey RosenthalDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0002-0924-666X
Eric A MellonDepartment of Radiation Oncology, University of Miami, Miami, FL 45056, USA.
Mohammed GoryawalaDepartment of Radiology, University of Miami, Miami, FL 45056, USA.
Peter B BarkerDepartment of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD 21218, USA.ORCID 0000-0002-6410-7793
Saumya S GurbaniDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Anuradha G TrivediDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0002-3348-4529
Alexander S GiuffridaDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Eduard SchreibmannDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Hui HanBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Macarena de le FuenteDepartment of Neurology, University of Miami, Miami, FL 45056, USA.
Erin M DunbarDepartment of Neuro-Oncology and Neurosurgery, Piedmont Atlanta Hospital, Atlanta, GA 30309, USA.
Matthias HoldhoffDepartment of Oncology, Johns Hopkins University, Baltimore, MD 21218, USA.
Lawrence R KleinbergDepartment of Radiation Oncology, Johns Hopkins University, Baltimore, MD 21218, USA.ORCID 0000-0003-2473-2305
Hui-Kuo G ShuDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Hyunsuk ShimDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Brent D WeinbergDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0002-7992-1747
Emory University · USGeorgia Institute of Technology · USJohns Hopkins University · USUniversity of Miami · USCedars-Sinai Medical Center · USPiedmont Atlanta Hospital · US

Funding

Medical Scientist Training ProgramT32GM142617 · NIGMS · EMORY UNIVERSITY · PI Jason Yustein · 2022 to 2026
$7.0M
Improved whole-brain spectroscopic MRI for radiation therapy planningU01CA264039 · NCI · EMORY UNIVERSITY · PI Lee Cooper, Eric Albert Mellon · 2022 to 2026
$3.1M
Unified Shim-RF Coil Technology for Improved Whole-Brain Spectroscopic MRI for Neurological DisordersR01NS121544 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI DOUGLAS J BALLON, Jonathan Paul Dyke · 2021 to 2026
$2.3M
Spectroscopic MRI to guide radiation dose escalation for glioblastoma patientsR01CA214557 · NCI · EMORY UNIVERSITY · PI SHIM, HYUNSUK, SHU, HUI-KUO · 2017 to 2019
$739k
Automated imaging analysis tools to guide clinical decision making in brain tumor patientsF31CA247564 · NCI · EMORY UNIVERSITY · PI RAMESH, KARTHIK · 2020 to 2024
$235k
NCI NIH HHS F31 CA247564NCI NIH HHS R01 CA214557NCI NIH HHS U01 CA264039NIBIB NIH HHS U01 CA264039NIGMS NIH HHS T32 GM142617NIH HHS R01 NS121544NINDS NIH HHS R01 NS121544
6 · The paper itself

Abstract

Glioblastoma (GBM) is a fatal disease, with poor prognosis exacerbated by difficulty in assessing tumor extent with imaging. Spectroscopic MRI (sMRI) is a non-contrast imaging technique measuring endogenous metabolite levels of the brain that can serve as biomarkers for tumor extension. We completed a three-site study to assess survival benefits of GBM patients when treated with escalated radiation dose guided by metabolic abnormalities in sMRI. Escalated radiation led to complex post-treatment imaging, requiring unique approaches to discern tumor progression from radiation-related treatment effect through our quantitative imaging platform. The purpose of this study is to determine true tumor recurrence timepoints for patients in our dose-escalation multisite study using novel methodology and to report on median progression-free survival (PFS). Follow-up imaging for all 30 trial patients were collected, lesion volumes segmented and graphed, and imaging uploaded to our platform for visual interpretation. Eighteen months post-enrollment, the median PFS was 16.6 months with a median time to follow-up of 20.3 months. With this new treatment paradigm, incidence rate of tumor recurrence one year from treatment is 30% compared to 60-70% failure under standard care. Based on the delayed tumor progression and improved survival, a randomized phase II trial is under development (EAF211).

Indexed as

Brain NeoplasmsGlioblastomaHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyNeoplasm Recurrence, LocalRadiation DosageGBMglioblastomaMRSIradiation dose-escalationspectroscopic MRIspectroscopy

Identifiers

PMID36828381
PMCPMC9964256
OpenAlexW4319297042

What OpenQuestion holds

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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.