Evidence map›Paper›PMID 38809279›Full record

ArticleLangenbeck's archives of surgery2024

The radiomorphological appearance of the invasive margin in pancreatic cancer is associated with tumor budding.

Philipp Mayer, Anne Hausen, Verena Steinle, Frank Bergmann, Hans-Ulrich Kauczor, Martin Loos, Wilfried Roth, Miriam Klauss, Matthias M Gaida

Abstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Philipp MayerClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, 69120, Germany. Philipp.Mayer@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0003-1957-1594
Anne HausenInstitute of Pathology, University Medical Center Mainz, JGU-Mainz, Mainz, 55131, Germany. Anne.Hausen@unimedizin-mainz.de.
Verena SteinleClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, 69120, Germany.
Frank BergmannInstitute of Pathology, University Hospital Heidelberg, Heidelberg, 69120, Germany.
Hans-Ulrich KauczorClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, 69120, Germany.
Martin LoosDepartment of General, Visceral, and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, 69120, Germany.
Wilfried RothInstitute of Pathology, University Medical Center Mainz, JGU-Mainz, Mainz, 55131, Germany.
Miriam KlaussClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, 69120, Germany.
Matthias M GaidaInstitute of Pathology, University Medical Center Mainz, JGU-Mainz, Mainz, 55131, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePancreatic cancer (PDAC) is characterized by infiltrative, spiculated tumor growth into the surrounding non-neoplastic tissue. Clinically, its diagnosis is often established by magnetic resonance imaging (MRI). At the invasive margin, tumor buds can be detected by histology, an established marker associated with poor prognosis in different types of tumors.

methodsWe analyzed PDAC by determining the degree of tumor spiculation on T2-weighted MRI using a 3-tier grading system. The grade of spiculation was correlated with the density of tumor buds quantified in histological sections of the respective surgical specimen according to the guidelines of the International Tumor Budding Consensus Conference (n = 28 patients).

results64% of tumors revealed intermediate to high spiculation on MRI. In over 90% of cases, tumor buds were detected. We observed a significant positive rank correlation between the grade of radiological tumor spiculation and the histopathological number of tumor buds (r

conclusionOur study identifies a readily available radiological marker for non-invasive estimation of tumor budding, as a correlate for infiltrative tumor growth. This finding could help to identify PDAC patients who might benefit from more extensive peripancreatic soft tissue resection during surgery or stratify patients for personalized therapy concepts.

Indexed as

Magnetic Resonance ImagingMargins of ExcisionNeoplasm InvasivenessPancreatic NeoplasmsAgedAged, 80 and overCarcinoma, Pancreatic DuctalFemaleHumansMaleMiddle AgedNeoplasm GradingNeoplasm StagingPancreatectomyRetrospective StudiesInvasive marginMagnetic resonance imagingPancreatic cancerTumor buddingTumor cell invasion

Identifiers

PMID38809279
PMCPMC11136832

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.