Evidence map›Paper›PMID 38898360›Full record

Observational studyBreast cancer research and treatment2024

Reliability of Magseed® marking before neoadjuvant systemic therapy with subsequent contrast-enhanced mammography in patients with non-palpable breast cancer lesions after treatment: the MAGMA study.

Eva Iglesias Bravo, Antonio Mariscal Martínez, Helena Peris Alvà, Diego Riol Sancho, José Carlos Antela López, Joel Aranda Sánchez, Pilar Escobar Casa, Cristina Gómez de Las Heras, María Antonia Fernández Venegas, Eduarda García Vidal and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Breast cancer research and treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Eva Iglesias BravoObstetrics and Gynaecology Department, Virgen de Valme University Hospital, Seville, Spain. iglesiasbravo@yahoo.es.
Antonio Mariscal MartínezBreast Diagnostic Imaging Unit (BDIU) Department of Radiology, Hospital Universitari Germans Trias i Pujol (HUGTiP), Badalona, Barcelona, Spain.
Helena Peris AlvàBreast Diagnostic Imaging Unit (BDIU) Department of Radiology, Hospital Universitari Germans Trias i Pujol (HUGTiP), Badalona, Barcelona, Spain.
Diego Riol SanchoCanary Islands University Hospital Complex - Materno Infantil de Canarias (CHUIMI), Canaria University Hospital, Las Palmas, Spain.
José Carlos Antela LópezCanary Islands University Hospital Complex - Materno Infantil de Canarias (CHUIMI), Canaria University Hospital, Las Palmas, Spain.
Joel Aranda SánchezCanary Islands University Hospital Complex - Materno Infantil de Canarias (CHUIMI), Canaria University Hospital, Las Palmas, Spain.
Pilar Escobar CasaRadiology Department, Virgen de Valme University Hospital, Seville, Spain.
Cristina Gómez de Las HerasRadiology Department, Virgen de Valme University Hospital, Seville, Spain.
María Antonia Fernández VenegasObstetrics and Gynaecology Department, Virgen de Valme University Hospital, Seville, Spain.
Eduarda García VidalObstetrics and Gynaecology Department, Virgen de Valme University Hospital, Seville, Spain.
Elisabeth Delgado BeginesObstetrics and Gynaecology Department, Virgen de Valme University Hospital, Seville, Spain.
Carmen García MurRadiology Department, Miguel Servet University Hospital, Saragossa, Spain.
Isabel VicenteGynaecology Department, Miguel Servet University Hospital, Saragossa, Spain.
Carmen CasamayorSurgery Department, Miguel Servet University Hospital, Saragossa, Spain.
Silvia CruzGynaecology Department, Miguel Servet University Hospital, Saragossa, Spain.
Anabel García BarradoGynaecology Department, Miguel Servet University Hospital, Saragossa, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the reliability of excising residual breast cancer lesions after neoadjuvant systemic therapy (NAST) using a previously localized paramagnetic seed (Magseed®) and the subsequent use of contrast-enhanced spectral mammography (CESM) to evaluate response.

methodsObservational, prospective, multicenter study including adult women (> 18 years) with invasive breast carcinoma undergoing NAST between January 2022 and February 2023 with non-palpable tumor lesions at surgery. Radiologists marked tumors with Magseed® during biopsy before NAST, and surgeons excised tumors guided by the Sentimag® magnetometer. CESMs were performed before and after NAST to evaluate tumor response (Response Evaluation Criteria for Solid Tumors [RECIST]). We considered intraoperative, surgical, and CESM-related variables and histological response.

resultsWe analyzed 109 patients (median [IQR] age of 55.0 [46.0, 65.0] years). Magseed® was retrieved from breast tumors in all surgeries (100%; 95% CI 95.47-100.0%) with no displacement and was identified by radiology in 106 patients (97.24%), a median (IQR) of 176.5 (150.0, 216.3) days after marking. Most surgeries (94.49%) were conservative; they lasted a median (IQR) of 22.5 (14.75, 40.0) min (95% CI 23.59-30.11 min). Most dissected tumor margins (93.57%) were negative, and few patients (5.51%) needed reintervention. Magseed® was identified using CESM in all patients (100%); RECIST responses correlated with histopathological evaluations of dissected tumors using the Miller-Payne response grade (p < 0.0001) and residual lesion diameter (p < 0.0001). Also 69 patients (63.3%) answered a patient's satisfaction survey and 98.8% of them felt very satisfied with the entire procedure.

conclusionLong-term marking of breast cancer lesions with Magseed® is a reliable and feasible method in patients undergoing NAST and may be used with subsequent CESM.

Indexed as

Breast NeoplasmsMammographyNeoadjuvant TherapyAdultAgedContrast MediaFemaleHumansMiddle AgedNeoplasm, ResidualProspective StudiesReproducibility of ResultsContrast MediaBreast cancerMagnetic seedNeoadjuvant systemic therapyNon-palpable lesionsSurgery

Identifiers

PMID38898360
PMCPMC11452456

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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.