Evidence map›Paper›PMID 38902484›Full record

SynthesisNeuroradiology2024

Meningioma grading via diagnostic imaging: A systematic review and meta-analysis.

Tushar Upreti, Sheen Dube, Vibhay Pareek, Namita Sinha, Jai Shankar

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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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

5 authors.

Tushar UpretiMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Sheen DubeDepartment of Biochemistry, University of Winnipeg, Winnipeg, Canada.
Vibhay PareekDepartment of Radiology, University of Manitoba, Winnipeg, Canada.
Namita SinhaMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Jai ShankarMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada. shivajai1@gmail.com.ORCID http://orcid.org/0000-0002-3707-9723

Funding

Max Rady College of Medicine, University of Manitoba Max Rady College of Medicine, University of Manitoba
6 · The paper itself

Abstract

purposeMeningioma is the most common intracranial tumor, graded on pathology using WHO criteria to predict tumor course and treatment. However, pathological grading via biopsy may not be possible in cases with poor surgical access due to tumor location. Therefore, our systematic review aims to evaluate whether diagnostic imaging features can differentiate high grade (HG) from low grade (LG) meningiomas as an alternative to pathological grading.

methodsThree databases were searched for primary studies that either use routine magnetic resonance imaging (MRI) or computed tomography (CT) to assess pathologically WHO-graded meningiomas. Two investigators independently screened and extracted data from included studies.

results24 studies met our inclusion criteria with 12 significant (p < 0.05) CT and MRI features identified for differentiating HG from LG meningiomas. Cystic changes in the tumor had the highest specificity (93.4%) and irregular tumor-brain interface had the highest positive predictive value (65.0%). Mass effect had the highest sensitivity (81.0%) and negative predictive value (90.7%) of all imaging features. Imaging feature with the highest accuracy for identifying HG disease was irregular tumor-brain interface (79.7%). Irregular tumor-brain interface and heterogenous tumor enhancement had the highest AUC values of 0.788 and 0.703, respectively.

conclusionOur systematic review highlight imaging features that can help differentiate HG from LG meningiomas.

Indexed as

Meningeal NeoplasmsMeningiomaNeoplasm GradingTomography, X-Ray ComputedHumansMagnetic Resonance ImagingSensitivity and SpecificityComputed tomographyDiagnostic imagingGradingMagnetic resonance imagingMeningioma

Identifiers

PMID38902484
PMCPMC11246317

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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.