Evidence map›Paper›PMID 38443722›Full record

Observational studyEuropean radiology experimental2024

Oxygen-enhanced MRI assessment of tumour hypoxia in head and neck cancer is feasible and well tolerated in the clinical setting.

Alastair McCabe, Stewart Martin, Selene Rowe, Jagrit Shah, Paul S Morgan, Damian Borys, Rafal Panek

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in European radiology experimental, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04724096 (Evaluation of Oxygen Enhanced Magnetic Resonance Imaging for Identification of Hypoxia Induced Resistant Tumours in Patients With Head and Neck Cancer), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT04724096 completednot on this map

Evaluation of Oxygen Enhanced Magnetic Resonance Imaging for Identification of Hypoxia Induced Resistant Tumours in Patients With Head and Neck Cancer

TypeobservationalSponsorNottingham University Hospitals NHS TrustRan2021 to 2023Enrolled25ConditionsHead and Neck Squamous Cell CarcinomaArmsOxygen Enhanced MRI scan
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Targeting tumor transition windows.Exploration of targeted anti-tumor therapy · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Oxygen-Enhanced MRI Detects Incidence, Onset, and Heterogeneity of Radiation-Induced Hypoxia Modification in HPV-Associated Oropharyngeal Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  14. Review
  15. Coenzyme QInternational journal of biological sciences · 2024
    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

7 authors at 3 institutions in 2 countries.

Alastair McCabeAcademic Unit of Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK. alastair.mccabe@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-8691-7690
Stewart MartinAcademic Unit of Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Selene RoweDepartment of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Jagrit ShahDepartment of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Paul S MorganMental Health & Clinical Neurosciences Unit, School of Medicine, University of Nottingham, Nottingham, UK.
Damian BorysDepartment of Systems Biology and Engineering, Silesian University of Technology, Gliwice, Poland.
Rafal PanekMental Health & Clinical Neurosciences Unit, School of Medicine, University of Nottingham, Nottingham, UK.
Nottingham University Hospitals NHS Trust · GBSilesian University of Technology · PLUniversity of Nottingham · GB

Funding

Nottingham University Hospitals Charity APP2361/N0379
6 · The paper itself

Abstract

backgroundTumour hypoxia is a recognised cause of radiotherapy treatment resistance in head and neck squamous cell carcinoma (HNSCC). Current positron emission tomography-based hypoxia imaging techniques are not routinely available in many centres. We investigated if an alternative technique called oxygen-enhanced magnetic resonance imaging (OE-MRI) could be performed in HNSCC.

methodsA volumetric OE-MRI protocol for dynamic T1 relaxation time mapping was implemented on 1.5-T clinical scanners. Participants were scanned breathing room air and during high-flow oxygen administration. Oxygen-induced changes in T1 times (ΔT1) and R

resultsFifteen patients with HNSCC (median age 59 years, range 38 to 76) and 10 non-HNSCC subjects (median age 46.5 years, range 32 to 62) were scanned; the OE-MRI acquisition took less than 10 min and was well tolerated. Fifteen histologically confirmed primary tumours and 41 malignant nodal masses were identified. Median (range) of ΔT1 times and hypoxic fraction estimates for primary tumours were -3.5% (-7.0 to -0.3%) and 30.7% (6.5 to 78.6%) respectively. Radiotherapy-responsive and radiotherapy-resistant primary tumours had mean estimated hypoxic fractions of 36.8% (95% confidence interval [CI] 17.4 to 56.2%) and 59.0% (95% CI 44.6 to 73.3%), respectively (p = 0.111).

conclusionsWe present a well-tolerated implementation of dynamic, volumetric OE-MRI of the head and neck region allowing discernment of differing oxygen responses within biopsy-confirmed HNSCC.

trial registrationClinicalTrials.gov, NCT04724096 . Registered on 26 January 2021. RELEVANCE STATEMENT: MRI of tumour hypoxia in head and neck cancer using routine clinical equipment is feasible and well tolerated and allows estimates of tumour hypoxic fractions in less than ten minutes. KEY POINTS: • Oxygen-enhanced MRI (OE-MRI) can estimate tumour hypoxic fractions in ten-minute scanning. • OE-MRI may be incorporable into routine clinical tumour imaging. • OE-MRI has the potential to predict outcomes after radiotherapy treatment.

Indexed as

Head and Neck NeoplasmsOxygenAdultAgedHumansMagnetic Resonance ImagingMiddle AgedSquamous Cell Carcinoma of Head and NeckTumor HypoxiaOxygenHead and neck neoplasmsMagnetic resonance imagingOxygenRadiotherapyTumour hypoxia

Identifiers

PMID38443722
PMCPMC10914657
OpenAlexW4392756937

What OpenQuestion holds

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LicenceCC BY
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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.