Evidence map›Paper›PMID 39477835›Full record

Trial reportEuropean radiology experimental2024

Amide proton transfer-weighted CEST MRI for radiotherapy target delineation of glioblastoma: a prospective pilot study.

Patrick L Y Tang, Alejandra Méndez Romero, Remi A Nout, Caroline van Rij, Cleo Slagter, Annemarie T Swaak-Kragten, Marion Smits, Esther A H Warnert

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in European radiology experimental, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05970757 (Physiological MRI for Precision Radiotherapy IDH-wildtype Glioblastoma), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT05970757 naactive not recruitingnot on this map

Physiological MRI for Precision Radiotherapy IDH-wildtype Glioblastoma

TypeinterventionalSponsorErasmus Medical CenterRan2022 to 2025Enrolled10ConditionsGlioblastomaArmsExtended MRI
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
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

8 authors.

Patrick L Y TangBrain Tumor Center, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Alejandra Méndez RomeroBrain Tumor Center, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Remi A NoutDepartment of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Caroline van RijBrain Tumor Center, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Cleo SlagterBrain Tumor Center, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Annemarie T Swaak-KragtenBrain Tumor Center, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Marion SmitsBrain Tumor Center, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Esther A H WarnertBrain Tumor Center, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands. e.warnert@erasmusmc.nl.ORCID http://orcid.org/0000-0002-3196-1416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensive glioblastoma infiltration justifies a 15-mm margin around the gross tumor volume (GTV) to define the radiotherapy clinical target volume (CTV). Amide proton transfer (APT)-weighted imaging could enable visualization of tumor infiltration, allowing more accurate GTV delineation. We quantified the impact of integrating APT-weighted imaging into GTV delineation of glioblastoma and compared two APT-weighted quantification methods-magnetization transfer ratio asymmetry (MTR

methodsNine glioblastoma patients underwent an extended imaging protocol prior to radiotherapy, yielding APT-weighted MTR

resultsThe GTV

conclusionLarger biological GTVs compared to the conventional GTV highlight the potential of APT-weighted imaging for radiotherapy target delineation of glioblastoma. APT-weighted LD mapping may be advantageous for target delineation as it may be more robust against motion artifacts. RELEVANCE STATEMENT: The introduction of APT-weighted imaging may, ultimately, enhance visualization of tumor infiltration and eliminate the need for the substantial 15-mm safety margin for target delineation of glioblastoma. This could reduce the risk of radiation toxicity while still effectively irradiating the tumor.

trial registrationNCT05970757 (ClinicalTrials.gov). KEY POINTS: Integration of APT-weighted imaging into target delineation for radiotherapy is feasible. The integration of APT-weighted imaging yields larger GTVs in glioblastoma. APT-weighted LD mapping may be more robust against motion artifacts than APT-weighted MTR

Indexed as

AmidesBrain NeoplasmsGlioblastomaMagnetic Resonance ImagingAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesProtonsTumor BurdenAmidesProtonsGlioblastomaMagnetic resonance imagingNeuroimagingRadiotherapyRadiotherapy (image-guided)

Identifiers

PMID39477835
PMCPMC11525355

What OpenQuestion holds

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Registered trials

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.