Evidence map›Paper›PMID 39857913›Full record

ArticleChildren (Basel, Switzerland)2025

Leptomeningeal Dissemination in Choroid Plexus Tumors: Magnetic Resonance Imaging Appearance and Risk Factors.

Daniel Nunes do Espirito Santo, Monika Warmuth-Metz, Camelia-Maria Monoranu, Martin Hasselblatt, Christian Thomas, Torsten Pietsch, Jürgen Krauß, Tilmann Schweitzer, Brigitte Bison, Matthias Eyrich and 4 more

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Modeling pediatric brain tumors with human stem cells.Frontiers in cellular neuroscience · 2026
    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

14 authors.

Daniel Nunes do Espirito SantoDepartment of Neuroradiology, University Hospital Würzburg, D-97080 Würzburg, Germany.ORCID 0009-0007-1403-5430
Monika Warmuth-MetzDepartment of Neuroradiology, University Hospital Würzburg, D-97080 Würzburg, Germany.
Camelia-Maria MonoranuInstitute of Pathology, Department of Neuropathology, University of Würzburg, D-97080 Würzburg, Germany.
Martin HasselblattInstitute of Neuropathology, University Hospital Münster, D-48149 Münster, Germany.
Christian ThomasInstitute of Neuropathology, University Hospital Münster, D-48149 Münster, Germany.
Torsten PietschInstitute of Pathology, University Hospital Bonn, D-53127 Bonn, Germany.
Jürgen KraußSection of Pediatric Neurosurgery, Department of Neurosurgery, University Hospital Würzburg, D-97080 Würzburg, Germany.
Tilmann SchweitzerSection of Pediatric Neurosurgery, Department of Neurosurgery, University Hospital Würzburg, D-97080 Würzburg, Germany.
Brigitte BisonDiagnostic and Interventional Neuroradiology, Faculty of Medicine, University of Augsburg, D-86156 Augsburg, Germany.ORCID 0000-0001-5849-8671
Matthias EyrichDepartment of Pediatric Hematology and Oncology, University Hospital Würzburg, D-97080 Würzburg, Germany.ORCID 0000-0002-8099-5903
Uwe KordesPediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany.ORCID 0000-0001-6375-2320
Denise Obrecht-SturmPediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany.ORCID 0000-0002-3216-8452
Mirko PhamDepartment of Neuroradiology, University Hospital Würzburg, D-97080 Würzburg, Germany.
Annika QuenzerDepartment of Neuroradiology, University Hospital Würzburg, D-97080 Würzburg, Germany.ORCID 0000-0003-0148-4652

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracranial choroid plexus tumors (CPT) are rare and primarily affect young children. Leptomeningeal dissemination (LMD) has been reported not only in high-grade choroid plexus carcinoma (CPC) but also in lower histological grades; however, a systematic evaluation of CPT-specific imaging characteristics remains lacking.

methodsWe analyzed the imaging characteristics of LMD in a single-center pediatric cohort of 22 CPT patients (thirteen choroid plexus papilloma (CPP), six atypical choroid plexus papilloma (aCPP), three CPC), comparing LMD features with those of the primary tumor. Additionally, we examined the correlation between resection status and LMD development during follow-up.

resultsAt diagnosis, we observed true LMD in three (two CPCs, one CPP) and pseudo-LMD in one case (CPP). During follow-up, two CPP patients developed cystic LMD, and one aCPP patient developed a solid metastasis. LMD had characteristics of the primary tumor in 3/4 cases. Incomplete resection was associated with a higher risk of LMD (

conclusionsLMD can occur in both high- and lower-grade CPT, presenting at diagnosis as well as in relapsed lower-grade cases. Notable MR-imaging features include pseudo-LMD at diagnosis and cystic LMD in relapsed CPP cases. Incomplete tumor resection may increase the risk of LMD, although further validation is needed.

Indexed as

choroid plexus tumorcystsimagingmetastasismorphologyMRI

Identifiers

PMID39857913
PMCPMC11763948

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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.