Evidence map›Paper›PMID 37240898›Full record

ArticleJournal of personalized medicine2023

Endometrial Cancer Staging: Is There Value in ADC?

Ana Sofia Linhares Moreira, Vera Ribeiro, Giacomo Aringhieri, Salvatore Claudio Fanni, Lorenzo Tumminello, Lorenzo Faggioni, Dania Cioni, Emanuele Neri

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Article
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  6. 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

8 authors.

Ana Sofia Linhares MoreiraRadiology Department, Centro Hospitalar Universitário do Algarve, 8000-386 Faro, Portugal.ORCID 0000-0002-6113-0541
Vera RibeiroGynaecology Department, Centro Hospitalar Universitário do Algarve, 8000-386 Faro, Portugal.
Giacomo AringhieriAcademic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0003-0842-5372
Salvatore Claudio FanniAcademic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy.
Lorenzo TumminelloAcademic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy.
Lorenzo FaggioniAcademic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0001-5262-4489
Dania CioniAcademic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-5120-886X
Emanuele NeriAcademic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0001-7950-4559

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the ability of apparent diffusion coefficient (ADC) measurements in predicting the histological grade of endometrial cancer. A secondary goal was to assess the agreement between MRI and surgical staging as an accurate measurement.

methodsPatients with endometrial cancers diagnosed between 2018-2020 and having received both MRI and surgical staging were retrospectively enrolled. Patients were characterized according to histology, tumor size, FIGO stage (MRI and surgical stage), and functional MRI parameters (DCE and DWI/ADC). Statistical analysis was performed to determine if an association could be identified between ADC variables and histology grade. Secondarily, we assessed the degree of agreement between the MRI and surgical stages according to the FIGO classification.

resultsThe cohort included 45 women with endometrial cancer. Quantitative analysis of ADC variables did not find a statistically significant association with histological tumor grades. DCE showed higher sensitivity than DWI/ADC in the assessment of myometrial invasion (85.00% versus 65.00%) with the same specificity (80.00%). A good agreement between MRI and histopathology for the FIGO stage was found (kappa of 0.72,

conclusionsADC values were not useful for predicting endometrial cancer grade, despite the good agreement between MRI interpretation and histopathology of endometrial cancer staging at our center.

Indexed as

apparent diffusion coefficientdiffusion-weighted imagingdynamic contrast-enhanced magnetic resonance imagingendometrial cancergradingmagnetic resonance imagingstaging

Identifiers

PMID37240898
PMCPMC10221521

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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.