Evidence map›Paper›PMID 37174068›Full record

ArticleCancers2023

Interstitial Photodynamic Therapy of Glioblastomas: A Long-Term Follow-up Analysis of Survival and Volumetric MRI Data.

Marco Foglar, Maximilian Aumiller, Katja Bochmann, Alexander Buchner, Mohamed El Fahim, Stefanie Quach, Ronald Sroka, Herbert Stepp, Niklas Thon, Robert Forbrig and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Investigation of the impact of D, L-methadone on ALA-PDT in multiple glioblastoma cell lines.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Glioblastoma Therapy: Past, Present and Future.International journal of molecular sciences · 2024
    Review
  13. 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

11 authors at 3 institutions in 1 country.

Marco FoglarLaser-Forschungslabor, LIFE Center, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0002-8597-9435
Maximilian AumillerLaser-Forschungslabor, LIFE Center, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0002-1343-6669
Katja BochmannMax Planck Institute for Psychiatry, Max Planck Society, 80804 Munich, Germany.
Alexander BuchnerDepartment of Urology, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0001-7895-7070
Mohamed El FahimLaser-Forschungslabor, LIFE Center, University Hospital, LMU Munich, 81377 Munich, Germany.
Stefanie QuachDepartment of Neurosurgery, University Hospital, LMU Munich, 81377 Munich, Germany.
Ronald SrokaLaser-Forschungslabor, LIFE Center, University Hospital, LMU Munich, 81377 Munich, Germany.
Herbert SteppLaser-Forschungslabor, LIFE Center, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0002-1501-1912
Niklas ThonDepartment of Neurosurgery, University Hospital, LMU Munich, 81377 Munich, Germany.
Robert ForbrigInstitute of Neuroradiology, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0002-1054-1463
Adrian RühmLaser-Forschungslabor, LIFE Center, University Hospital, LMU Munich, 81377 Munich, Germany.
LMU Klinikum · DELudwig-Maximilians-Universität München · DEMax Planck Society · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment of glioblastomas, the most common primary malignant brain tumors, with a devastating survival perspective, remains a major challenge in medicine. Among the recently explored therapeutic approaches, 5-aminolevulinic acid (5-ALA)-mediated interstitial photodynamic therapy (iPDT) has shown promising results.

methodsA total of 16 patients suffering from de novo glioblastomas and undergoing iPDT as their primary treatment were retrospectively analyzed regarding survival and the characteristic tissue regions discernible in the MRI data before treatment and during follow-up. These regions were segmented at different stages and were analyzed, especially regarding their relation to survival.

resultsIn comparison to the reference cohorts treated with other therapies, the iPDT cohort showed a significantly prolonged progression-free survival (PFS) and overall survival (OS). A total of 10 of 16 patients experienced prolonged OS (≥ 24 months). The dominant prognosis-affecting factor was the MGMT promoter methylation status (methylated: median PFS of 35.7 months and median OS of 43.9 months) (unmethylated: median PFS of 8.3 months and median OS of 15.0 months) (combined: median PFS of 16.4 months and median OS of 28.0 months). Several parameters with a known prognostic relevance to survival after standard treatment were not found to be relevant to this iPDT cohort, such as the necrosis-tumor ratio, tumor volume, and posttreatment contrast enhancement. After iPDT, a characteristic structure (iPDT remnant) appeared in the MRI data in the former tumor area.

conclusionsIn this study, iPDT showed its potential as a treatment option for glioblastomas, with a large fraction of patients having prolonged OS. Parameters of prognostic relevance could be derived from the patient characteristics and MRI data, but they may partially need to be interpreted differently compared to the standard of care.

Indexed as

5-ALAglioblastomaimaginglong termmalignant gliomaMGMTMRIphotodynamic therapyrecurrencestereotactic surgery

Identifiers

PMID37174068
PMCPMC10177153
OpenAlexW4376630273

What OpenQuestion holds

Textmetadata
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.