Evidence map›Paper›PMID 38024243›Full record

ArticleNeuro-oncology advances

Functional connectivity MRI provides an imaging correlate for chimeric antigen receptor T-cell-associated neurotoxicity.

Sophia Stoecklein, Stephan Wunderlich, Boris Papazov, Michael Winkelmann, Wolfgang G Kunz, Katharina Mueller, Katharina Ernst, Veit M Stoecklein, Viktoria Blumenberg, Philipp Karschnia and 11 more

Open access · goldAbstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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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

21 authors at 3 institutions in 2 countries.

Sophia StoeckleinDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-0325-4674
Stephan WunderlichDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Boris PapazovDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Michael WinkelmannDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Wolfgang G KunzDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Katharina MuellerDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Katharina ErnstDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Veit M StoeckleinDepartment of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Viktoria BlumenbergGerman Cancer Consortium (DKTK), partner site Munich, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Philipp KarschniaDepartment of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-1254-5310
Veit L BückleinDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Kai RejeskiGerman Cancer Consortium (DKTK), partner site Munich, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Christian SchmidtDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Michael von Bergwelt-BaildonGerman Cancer Consortium (DKTK), partner site Munich, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Joerg-Christian TonnDepartment of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Jens RickeDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Hesheng LiuDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, USA.
Jan RemiDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Marion SubkleweGerman Cancer Consortium (DKTK), partner site Munich, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Louisa von BaumgartenDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-6634-0927
Florian SchoeberlDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
LMU Klinikum · DEGerman Cancer Research Center · DEMedical University of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Treatment of hematological malignancies with chimeric antigen receptor modified T cells (CART) is highly efficient, but often limited by an immune effector cell-associated neurotoxicity syndrome (ICANS). As conventional MRI is often unremarkable during ICANS, we aimed to examine whether resting-state functional MRI (rsfMRI) is suitable to depict and quantify brain network alterations underlying ICANS in the individual patient. Methods: The dysconnectivity index (DCI) based on rsfMRI was longitudinally assessed in systemic lymphoma patients and 1 melanoma patient during ICANS and before or after clinical resolution of ICANS. Results: Seven lymphoma patients and 1 melanoma patient (19-77 years; 2 female) were included. DCI was significantly increased during ICANS with normalization after recovery ( Conclusions: RsfMRI-based DCI might be suitable to directly quantify the severity of ICANS in individual patients undergoing CAR T-transfusion. Besides ICANS, DCI seems a promising diagnostic tool to quantify functional brain network alterations during encephalopathies of different etiologies, in general.

Indexed as

CAR T-cell therapyEEG-coherenceimmune effector cell-associated neurotoxicity syndromeresting-state fMRIwhole-brain connectivity and dysconnectivity

Identifiers

PMID38024243
PMCPMC10673700
OpenAlexW4387898821

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.