Evidence map›Paper›PMID 39197121›Full record

ArticleArchives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists2025

Effects of Breast Cancer Treatment on Neural Noise: a Longitudinal Design.

Robert D Melara, James C Root, Jay A Edelman, Maria Camilla Estelle, Isabella Mohr, Tim A Ahles

Abstract read
In one paragraph

Article in Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Robert D MelaraDepartment of Psychology, The City College, City University of New York, 160 Convent Avenue, NAC 7-120, New York, NY 10031, USA.ORCID 0000-0002-9859-3312
James C RootMemorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Science Services, 641 Lexington Avenue, 7th Floor, New York, New York 10022, USA.ORCID 0000-0001-7332-6165
Jay A EdelmanDepartment of Biology, The City College, City University of New York, 160 Convent Avenue, MR 526, New York, NY 10031, USA.
Maria Camilla EstelleMemorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Science Services, 641 Lexington Avenue, 7th Floor, New York, New York 10022, USA.
Isabella MohrMemorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Science Services, 641 Lexington Avenue, 7th Floor, New York, New York 10022, USA.
Tim A AhlesMemorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Science Services, 641 Lexington Avenue, 7th Floor, New York, New York 10022, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Assessment of sensory gating, attention, and executive control in breast cancerR01CA218496 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI AHLES, TIM ALAN, ROOT, JAMES C · 2018 to 2022
$3.5M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA218496
6 · The paper itself

Abstract

objectiveCognitive dysfunction has been observed consistently in a subset of breast cancer survivors. Yet the precise neurophysiological origins of cancer-related cognitive decline remain unknown. The current study assessed neural noise (1/f activity in electroencephalogram [EEG]) in breast cancer survivors as a potential contributor to observed cognitive dysfunction from pre- to post-treatment.

methodsWe measured EEG in a longitudinal design during performance of the paired-click task and the revised Attention Network Test (ANT-R) to investigate pre- versus post-treatment effects of neural noise in breast cancer patients (n = 20 in paired click; n = 19 in ANT-R) compared with healthy controls (n = 32 in paired click; n = 29 in ANT-R).

resultsIn both paradigms, one sensory (paired click) and one cognitive (ANT-R), we found that neural noise was significantly elevated after treatment in patients, remaining constant from pretest to posttest in controls. In the ANT-R, patients responded more slowly than controls on invalid cuing trials. Increased neural noise was associated with poorer alerting and poorer inhibitory control of attention (as measured by behavioral network scores), particularly for patients after treatment.

conclusionsThe current study is the first to show a deleterious effect of breast cancer and/or cancer treatment on neural noise, pointing to alterations in the relative balance of excitatory and inhibitory synaptic inputs, while also suggesting promising approaches for cognitive rehabilitation.

Indexed as

Breast NeoplasmsAdultAgedAttentionElectroencephalographyFemaleHumansLongitudinal StudiesMiddle AgedNeuropsychological TestsBreast cancerEEGInhibitory controlLongitudinalNeural noise

Identifiers

PMID39197121
PMCPMC12032606

What OpenQuestion holds

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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.