Evidence map›Paper›PMID 38152038›Full record

ArticleCancer medicine2024

Brain white matter microstructural changes in chemotherapy-treated older long-term breast cancer survivors.

Ebenezer Daniel, Frank Deng, Sunita K Patel, Mina S Sedrak, Heeyoung Kim, Marianne Razavi, Can-Lan Sun, James C Root, Tim A Ahles, William Dale and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Diffusion Tensor Tractography Shows White Matter Tract Changes in Breast Cancer Survivors with Balance Impairment.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Article
  6. Article
  7. Article
  8. Article
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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

11 authors at 2 institutions in 1 country.

Ebenezer DanielDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, USA.ORCID 0000-0002-8017-2333
Frank DengDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, USA.
Sunita K PatelDepartment of Population Science, City of Hope National Medical Center, Duarte, CA, USA.
Mina S SedrakDepartment of Medical Oncology, City of Hope National Medical Center, Duarte, CA, USA.
Heeyoung KimCenter for Cancer and Aging, City of Hope National Medical Center, Duarte, CA, USA.
Marianne RazaviDepartment of Supportive Care Medicine, City of Hope National Medical Center, Duarte, CA, USA.
Can-Lan SunCenter for Cancer and Aging, City of Hope National Medical Center, Duarte, CA, USA.
James C RootNeurocognitive Research Lab, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Tim A AhlesNeurocognitive Research Lab, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
William DaleCenter for Cancer and Aging, City of Hope National Medical Center, Duarte, CA, USA.
Bihong T ChenDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, USA.
City Of Hope National Medical Center · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Training and Career Development and Education CoreU54CA137788 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Daniel Alan Heller · 2008 to 2026
$28.1M
Cognition In Older Breast Cancer Survivors: Treatment Exposure, APOE, & SmokingR01CA172119 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI AHLES, TIM ALAN, HURRIA, ARTI · 2013 to 2017
$3.5M
Mentoring the Next Generation of Geriatric Oncology Researchers in Patient-Oriented Research to Improve the Care of Older Adults with CancerK24AG055693 · NIA · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI WILLIAM DALE · 2018 to 2026
$1.4M
City of Hope Center for Cancer and Aging (BTC)National Institutes of Health/National Institute on Aging (WD) K24 AG055693-01NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA172119NCI NIH HHS U54 CA137788NIA NIH HHS K24 AG055693
6 · The paper itself

Abstract

purposeTo assess white matter microstructural changes in older long-term breast cancer survivors 5-15 years post-chemotherapy treatment.

methodsBreast cancer survivors aged 65 years or older who underwent chemotherapy (C+) and who did not undergo chemotherapy (C-) and age- and sex-matched healthy controls (HC) were enrolled at time point 1 (TP1) and followed for 2 years for time point 2 (TP2). All participants underwent brain MRI with diffusion tensor images and neuropsychological (NP) testing with the NIH Toolbox Cognition Battery. Tract-based spatial statistics (TBSS) analysis was performed on the diffusion tensor images to assess white matter microstructural changes with the fractional anisotropy (FA) parameter.

resultsThere were significant longitudinal alterations in FA within the C+ group over time. The C+ group showed diminished FA in the body and genu of corpus callosum, anterior corona radiate, and external capsule on both the whole brain and region of interest (ROI) based analyses after p < 0.05 family-wise error (FWE) correction. However, there were no significant group differences between the groups at TP1. Additionally, at TP1, a positive correlation (R = 0.58, p = 0.04) was observed between the FA value of the anterior corona radiata and the crystallized composite score in the C+ group.

conclusionsBrain white matter microstructural alterations may be the underlying neural correlates of cognitive changes in older breast cancer survivors who had chemotherapy treatment years ago.

Indexed as

Breast NeoplasmsCancer SurvivorsDiffusion Tensor ImagingWhite MatterAgedAged, 80 and overAntineoplastic AgentsBrainCase-Control StudiesFemaleHumansNeuropsychological TestsAntineoplastic Agentsbreast cancercancer‐related cognitive impairmentchemotherapydiffusion tensor imagingtract‐based spatial statistics

Identifiers

PMID38152038
PMCPMC10807556
OpenAlexW4390343530

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.