Evidence map›Paper›PMID 38946879›Full record

ArticleNeuro-oncology advances

Advanced diffusion imaging reveals microstructural characteristics of primary CNS lymphoma, allowing differentiation from glioblastoma.

Urs Würtemberger, Martin Diebold, Alexander Rau, Veysel Akgün, Lucas Becker, Jürgen Beck, Peter C Reinacher, Christian A Taschner, Marco Reisert, Luca Fehrenbacher and 5 more

Abstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Microstructure mapping with time-dependent diffusion MRI differentiates primary central nervous system lymphoma from glioblastoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 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

15 authors.

Urs WürtembergerDepartment of Neuroradiology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0002-2507-9160
Martin DieboldInstitute of Neuropathology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Alexander RauDepartment of Neuroradiology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0001-5881-6043
Veysel AkgünDepartment of Neuroradiology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Lucas BeckerDepartment of Neuroradiology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Jürgen BeckDepartment of Neurosurgery, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Peter C ReinacherFraunhofer Institute for Laser Technology, Aachen, Germany.
Christian A TaschnerDepartment of Neuroradiology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Marco ReisertDepartment of Stereotactic and Functional Neurosurgery, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Luca FehrenbacherInstitute of Neuropathology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Daniel ErnyInstitute of Neuropathology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Florian SchererDepartment of Medicine I, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0001-9635-5487
Marc HohenhausDepartment of Neurosurgery, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Horst UrbachDepartment of Neuroradiology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Theo DemerathDepartment of Neuroradiology, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0002-5869-1110

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Primary CNS lymphoma (PCNSL) and glioblastoma (GBM) both represent frequent intracranial malignancies with differing clinical management. However, distinguishing PCNSL from GBM with conventional MRI can be challenging when atypical imaging features are present. We employed advanced dMRI for noninvasive characterization of the microstructure of PCNSL and differentiation from GBM as the most frequent primary brain malignancy. Methods: Multiple dMRI metrics including Diffusion Tensor Imaging, Neurite Orientation Dispersion and Density Imaging, and Diffusion Microstructure Imaging were extracted from the contrast-enhancing tumor component in 10 PCNSL and 10 age-matched GBM on 3T MRI. Imaging findings were correlated with cell density and axonal markers obtained from histopathology. Results: We found significantly increased intra-axonal volume fractions (V-intra and intracellular volume fraction) and microFA in PCNSL compared to GBM (all Conclusions: Advanced diffusion imaging enables the characterization of the microstructure of PCNSL and reliably distinguishes PCNSL from GBM. Both imaging and histopathology revealed a relatively increased cell density and a preserved axonal microstructure in PCNSL.

Indexed as

diffusion microstructure imagingDMIDTINODDIPCNSL

Identifiers

PMID38946879
PMCPMC11214103

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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.