Evidence map›Paper›PMID 37218946›Full record

Trial reportTomography (Ann Arbor, Mich.)2023

Applying a Radiation Therapy Volume Analysis Pipeline to Determine the Utility of Spectroscopic MRI-Guided Adaptive Radiation Therapy for Glioblastoma.

Anuradha G Trivedi, Su Hyun Kim, Karthik K Ramesh, Alexander S Giuffrida, Brent D Weinberg, Eric A Mellon, Lawrence R Kleinberg, Peter B Barker, Hui Han, Hui-Kuo G Shu and 2 more

Registry-linked trialOpen 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. It is linked to trial NCT03137888 (Pilot Study of Spectroscopic MRI-Guided, Dose-Escalated Radiation Therapy for Newly-Diagnosed Glioblastoma), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 36% 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.

NCT03137888 phase2completednot on this map

Pilot Study of Spectroscopic MRI-Guided, Dose-Escalated Radiation Therapy for Newly-Diagnosed Glioblastoma

TypeinterventionalSponsorEmory UniversityRan2017 to 2024Enrolled30ConditionsGlioblastoma, GliosarcomaArmsDose-Escalated Radiation Therapy, Spectroscopic Magnetic Resonance Imaging, Temozolomide
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 5 institutions in 1 country.

Anuradha G TrivediDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0002-3348-4529
Su Hyun KimDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Karthik K RameshDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Alexander S GiuffridaDepartment 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
Eric A MellonDepartment of Radiation Oncology, Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL 45056, USA.
Lawrence R KleinbergDepartment of Radiation Oncology, Johns Hopkins University, Baltimore, MD 21218, USA.ORCID 0000-0003-2473-2305
Peter B BarkerDepartment of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD 21218, USA.ORCID 0000-0002-6410-7793
Hui HanBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
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.
Eduard SchreibmannDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Emory University · USGeorgia Institute of Technology · USJohns Hopkins University · USCedars-Sinai Medical Center · USUniversity of Miami · 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
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 U01 CA264039NIGMS NIH HHS T32 GM142617NIH HHS F31 CA247564NIH HHS R01 NS121544NIH HHS U01 CA264039NINDS NIH HHS R01 NS121544
6 · The paper itself

Abstract

Accurate radiation therapy (RT) targeting is crucial for glioblastoma treatment but may be challenging using clinical imaging alone due to the infiltrative nature of glioblastomas. Precise targeting by whole-brain spectroscopic MRI, which maps tumor metabolites including choline (Cho) and N-acetylaspartate (NAA), can quantify early treatment-induced molecular changes that other traditional modalities cannot measure. We developed a pipeline to determine how spectroscopic MRI changes during early RT are associated with patient outcomes to provide insight into the utility of adaptive RT planning. Data were obtained from a study (NCT03137888) where glioblastoma patients received high-dose RT guided by the pre-RT Cho/NAA twice normal (Cho/NAA ≥ 2x) volume, and received spectroscopic MRI scans pre- and mid-RT. Overlap statistics between pre- and mid-RT scans were used to quantify metabolic activity changes after two weeks of RT. Log-rank tests were used to quantify the relationship between imaging metrics and patient overall and progression-free survival (OS/PFS). Patients with lower Jaccard/Dice coefficients had longer PFS (

Indexed as

Brain NeoplasmsGlioblastomaHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyRadiotherapy Planning, Computer-Assistedadaptive radiation therapy planningglioblastomaspectroscopic MRIsurvival biomarkers

Identifiers

PMID37218946
PMCPMC10204497
OpenAlexW4377238865

What OpenQuestion holds

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Registered trials

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.