Evidence map›Paper›PMID 37076495›Full record

ArticleNPJ breast cancer2023

Utilizing cell-free DNA to predict risk of developing brain metastases in patients with metastatic breast cancer.

Neelima Vidula, Andrzej Niemierko, Katherine Hesler, Lianne Ryan, Beverly Moy, Steven Isakoff, Leif Ellisen, Dejan Juric, Aditya Bardia

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
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.

Neelima VidulaMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA. nvidula@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-5963-7052
Andrzej NiemierkoMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.
Katherine HeslerMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.
Lianne RyanMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.
Beverly MoyMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0003-3472-1140
Steven IsakoffMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0002-6677-1014
Leif EllisenMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0003-0444-7910
Dejan JuricMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0003-2983-7704
Aditya BardiaMassachusetts General Hospital Cancer Center, Boston, MA, 02114, USA.
Massachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared cell-free DNA (cfDNA) results at MBC diagnosis in patients who developed brain metastases (BM) vs those without (non-BM) to understand genomic predictors of BM. Patients with cfDNA testing at MBC diagnosis (Guardant360®, 73 gene next generation sequencing) were identified. Clinical and genomic features of BM and non-BM were compared (Pearson's/Wilcoxon rank sum tests). Eighteen of 86 patients (21%) with cfDNA at MBC diagnosis developed BM. Comparing BM vs non-BM, a higher prevalence of BRCA2 (22% vs 4.4%, p = 0.01), APC (11% vs 0%, p = 0.005), CDKN2A (11% vs 1.5%, p = 0.05), and SMAD4 (11% vs 1.5%, p = 0.05) was observed. Seven of 18 BM had ≥1 of the following 4 mutations in baseline cfDNA: APC, BRCA2, CDKN2A or SMAD4 vs 5/68 non-BM (p = 0.001). Absence of this genomic pattern had a high negative predictive value (85%) and specificity (93%) in excluding BM development. Baseline genomic profile varies in MBC that develops BM.

Identifiers

PMID37076495
PMCPMC10115848
OpenAlexW4366404466

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.