Evidence map›Paper›PMID 38926092›Full record

ReviewAJNR. American journal of neuroradiology2024

A Neuroradiologist's Guide to Operationalizing the Response Assessment in Neuro-Oncology (RANO) Criteria Version 2.0 for Gliomas in Adults.

Benjamin M Ellingson, Francesco Sanvito, Timothy F Cloughesy, Raymond Y Huang, Javier E Villanueva-Meyer, Whitney B Pope, Daniel P Barboriak, Lalitha K Shankar, Marion Smits, Timothy J Kaufmann and 16 more

Abstract readReview
In one paragraph

Review in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Review
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  8. Clinical Utility of [AJNR. American journal of neuroradiology · 2026
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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

26 authors.

Benjamin M EllingsonFrom the UCLA Brain Tumor Imaging Laboratory, Department of Radiological Sciences (B.M.E., F.S.), David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.ORCID 0000-0002-2764-6640
Francesco SanvitoFrom the UCLA Brain Tumor Imaging Laboratory, Department of Radiological Sciences (B.M.E., F.S.), David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.ORCID 0000-0003-3379-9958
Timothy F CloughesyUCLA Brain Tumor Program, Department of Neurology (T.F.C.), David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.ORCID 0000-0002-8656-7483
Raymond Y HuangDepartment of Radiology, Brigham and Women's Hospital (R.Y.H.), Harvard Medical School, Boston, MA.ORCID 0000-0001-7661-797X
Javier E Villanueva-MeyerDepartments of Radiology and Neurosurgery (J.E.V.-M.), University of California San Francisco, CA.ORCID 0000-0002-5910-0757
Whitney B PopeDepartment of Radiological Sciences (W.B.P.), David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.ORCID 0000-0003-4803-1992
Daniel P BarboriakDepartment of Radiology (D.P.B.), Duke University Medical Center, Durham, NC.ORCID 0000-0002-2536-6266
Lalitha K ShankarClinical Trials Branch, Cancer Imaging Program (L.K.S.), National Cancer Institute, National Institutes of Health, Bethesda, MD.
Marion SmitsDepartment of Radiology & Nuclear Medicine (M.S.), Erasmus MC - University Medical Centre Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0001-5563-2871
Timothy J KaufmannDepartment of Radiology (T.J.K.), Mayo Clinic, Rochester, MN.ORCID 0000-0001-7483-1569
Jerrold L BoxermanDepartment of Diagnostic Imaging (J.L.B.), Rhode Island Hospital and Alpert Medical School of Brown University, Providence, RI.ORCID 0000-0002-0594-1542
Michael WellerDepartment of Neurology (M.W.), University Hospital and University of Zurich, Zurich, Switzerland.
Evanthia GalanisDepartment of Oncology (E.G.), Mayo Clinic, Rochester, MN.
John de GrootDivision of Neuro-Oncology, Department of Neurosurgery (J.d.G., S.M.C.), University of California, San Francisco, CA.
Mark R GilbertNeuro-Oncology Branch, Center for Cancer Research (M.R.G.), National Cancer Institute, National Institutes of Health, Bethesda, MD.
Andrew B LassmanDivision of Neuro-Oncology, Department of Neurology (A.B.L.), Herbert Irving Comprehensive Cancer Center and Irving Institute for Clinical and Translational Research, Columbia University Vagelos College of Physicians and Surgeons and New York-Presbyterian Hospital, New York, NY.
Mark S ShiroishiDepartment of Radiology (M.S.S.), Keck School of Medicine of the University of Southern California (USC), Los Angeles, CA.ORCID 0000-0002-1422-0288
Ali NabavizadehDepartment of Radiology (A.N.), Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-0380-4552
Minesh MehtaMiami Cancer Institute (M.M.), Miami, FL.
Roger StuppMalnati Brain Tumor Institute, Lurie Comprehensive Cancer Center and Departments of Neurological Surgery, Neurology and Division of Hematology/Oncology (R.S.), Northwestern University, Chicago, IL.ORCID 0000-0002-5483-3118
Wolfgang WickDepartment of Neurology Heidelberg University Hospital & Clinical Cooperation Unit Neurooncology (W.W.), German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
David A ReardonCenter For Neuro-Oncology, Dana-Farber Cancer Institute and Harvard Medical School(D.A.R., P.Y.W.), Boston, MA.ORCID 0000-0001-6674-0157
Michael A VogelbaumDepartment of Neuro-Oncology (M.A.V.), Moffitt Cancer Center, Tampa, FL.
Martin van den BentDepartment Neuro-Oncology (M.v.d.B.), Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Susan M ChangDivision of Neuro-Oncology, Department of Neurosurgery (J.d.G., S.M.C.), University of California, San Francisco, CA.
Patrick Y WenCenter For Neuro-Oncology, Dana-Farber Cancer Institute and Harvard Medical School(D.A.R., P.Y.W.), Boston, MA.

Funding

UCLA SPORE in Brain CancerP50CA211015 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Yvonne Yu-Hsuan Chen · 2017 to 2026
$25.2M
Role of decorin and diffusion MRI in anti-VEGF efficacy for recurrent glioblastomaR01CA270027 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY CLOUGHESY, Benjamin M. Ellingson · 2022 to 2026
$3.0M
Quantitative molecular MR-PET imaging of glycolysis in glioblastomaR01CA279984 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Benjamin M. Ellingson, David A. Nathanson · 2023 to 2026
$2.4M
NCI NIH HHS P50 CA211015NCI NIH HHS R01 CA270027NCI NIH HHS R01 CA279984
6 · The paper itself

Abstract

Radiographic assessment plays a crucial role in the management of patients with central nervous system (CNS) tumors, aiding in treatment planning and evaluation of therapeutic efficacy by quantifying response. Recently, an updated version of the Response Assessment in Neuro-Oncology (RANO) criteria (RANO 2.0) was developed to improve upon prior criteria and provide an updated, standardized framework for assessing treatment response in clinical trials for gliomas in adults. This article provides an overview of significant updates to the criteria including (1) the use of a unified set of criteria for high and low grade gliomas in adults; (2) the use of the post-radiotherapy MRI scan as the baseline for evaluation in newly diagnosed high-grade gliomas; (3) the option for the trial to mandate a confirmation scan to more reliably distinguish pseudoprogression from tumor progression; (4) the option of using volumetric tumor measurements; and (5) the removal of subjective non-enhancing tumor evaluations in predominantly enhancing gliomas (except for specific therapeutic modalities). Step-by-step pragmatic guidance is hereby provided for the neuroradiologist and imaging core lab involved in operationalization and technical execution of RANO 2.0 in clinical trials, including the display of representative cases and in-depth discussion of challenging scenarios.

Indexed as

Brain NeoplasmsGliomaAdultHumansMagnetic Resonance Imaging

Identifiers

PMID38926092
PMCPMC11630866

What OpenQuestion holds

Textmetadata
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.