Evidence map›Paper›PMID 38215818›Full record

ArticleJournal of vascular and interventional radiology : JVIR2024

Three-Dimensional Margin as a Predictor of Local Tumor Progression after Microwave Ablation: Intraprocedural versus 4-8-Week Postablation Assessment.

Mahdi Zirakchian Zadeh, Vlasios S Sotirchos, Assen Kirov, Daniel Lafontaine, Mithat Gönen, Randy Yeh, Henry Kunin, Elena N Petre, Yuliya Kitsel, Mohammad Elsayed and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of vascular and interventional radiology : JVIR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Estimation of tumor coverage after RF ablation of hepatocellular carcinoma using single 2D image slices.International journal of computer assisted radiology and surgery · 2025
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  16. Microwave Ablation of Refractory Oligometastatic Non-Small Cell Lung Cancer in the Liver.Journal of vascular and interventional radiology : JVIR · 2025
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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

14 authors at 1 institution in 1 country.

Mahdi Zirakchian ZadehDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Vlasios S SotirchosDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Assen KirovDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York.
Daniel LafontaineDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York.
Mithat GönenDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Randy YehDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Henry KuninDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Elena N PetreDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Yuliya KitselDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Mohammad ElsayedDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Stephen B SolomonDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Joseph P ErinjeriDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Lawrence H SchwartzDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Constantinos T SofocleousDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address: sofoclec@mskcc.org.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Optimizing Thermal Ablation for Colon Cancer Liver Metastases: Rapid Tissue Analysis Allowing for Immediate Retreatment; Metabolic Imaging Biomarker Validation; and Predictive Genetic SignaturesR01CA240569 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SOFOCLEOUS, CONSTANTINOS THASOS · 2019 to 2022
$840k
Histopathologic and Immunohistochemical Features of Tissue Adherent to the ElectrR21CA131763 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SOFOCLEOUS, CONSTANTINOS THASOS · 2009 to 2011
$453k
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA240569NCI NIH HHS R21 CA131763
6 · The paper itself

Abstract

purposeTo evaluate the prognostic accuracy of intraprocedural and 4-8-week (current standard) post-microwave ablation zone (AZ) and margin assessments for prediction of local tumor progression (LTP) using 3-dimensional (3D) software. MATERIALS AND

methodsData regarding 100 colorectal liver metastases (CLMs) in 75 patients were collected from 2 prospective fluorodeoxyglucose positron emission tomography (PET)/computed tomography (CT)-guided microwave ablation (MWA) trials. The target CLMs and theoretical 5- and 10-mm margins were segmented and registered intraprocedurally and at 4-8 weeks after MWA contrast-enhanced CT (or magnetic resonance [MR] imaging) using the same methodology and 3D software. Tumor and 5- and 10-mm minimal margin (MM) volumes not covered by the AZ were defined as volumes of insufficient coverage (VICs). The intraprocedural and 4-8-week post-MWA VICs were compared as predictors of LTP using receiver operating characteristic curve analysis.

resultsThe median follow-up time was 19.6 months (interquartile range, 7.97-36.5 months). VICs for 5- and 10-mm MMs were predictive of LTP at both time assessments. The highest accuracy for the prediction of LTP was documented with the intra-ablation 5-mm VIC (area under the curve [AUC], 0.78; 95% confidence interval, 0.66-0.89). LTP for a VIC of 6-10-mm margin category was 11.4% compared with 4.3% for >10-mm margin category (P < .001).

conclusionsA 3D 5-mm MM is a critical endpoint of thermal ablation, whereas optimal local tumor control is noted with a 10-mm MM. Higher AUCs for prediction of LTP were achieved for intraprocedural evaluation than for the 4-8-week postablation 3D evaluation of the AZ.

Indexed as

Catheter AblationLiver NeoplasmsHumansMicrowavesProspective StudiesRetrospective StudiesTreatment Outcome

Identifiers

PMID38215818
PMCPMC12543272
OpenAlexW4390694388

What OpenQuestion holds

Textmetadata
LicenceTDM
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.