Evidence map›Paper›PMID 40506609›Full record

ArticleInsights into imaging2025

Added value of multifrequency magnetic resonance elastography in predicting pathological grading of pancreatic neuroendocrine neoplasms.

Jiaxin Yuan, Jiawei Liu, Tingting Wen, Liqin Wang, Zhenpeng Peng, Ning Zhang, Shi-Ting Feng, Jinhui Yu, Siya Shi, Yanji Luo

Abstract read
In one paragraph

Article in Insights into imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Jiaxin Yuan *Department of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jiawei Liu *Department of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Tingting Wen *Department of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Liqin WangDepartment of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Zhenpeng PengDepartment of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Ning ZhangDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Shi-Ting FengDepartment of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jinhui YuDepartment of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. yujh35@mail.sysu.edu.cn.
Siya ShiDepartment of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. shisy@mail.sysu.edu.cn.
Yanji LuoDepartment of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. luoyj26@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-8514-020X

Funding

National Natural Science Foundation of China 81801761National Natural Science Foundation of China 82472096Natural Science Foundation of Guangdong Province 2023A1515011304Natural Science Foundation of Guangdong Province 2024A1515011968
6 · The paper itself

Abstract

objectivesTo prospectively investigate the pancreatic stiffness (c) and fluidity (φ) of pancreatic neuroendocrine neoplasms (pNENs), measured using multifrequency magnetic resonance elastography (MRE), and evaluate their performance in predicting pNENs pathological grade. MATERIALS AND

methodsThis study included 96 untreated patients with pathologically confirmed pNENs who underwent multifrequency MRE within 2 weeks before surgery between September 2021 and November 2023. Independent predictors of pathological grade were identified using multivariate regression analysis, and predictive performance was assessed using receiver operating characteristic curves.

resultsThe study included 76 patients with low-grade pNENs (45 men; mean age: 48.7 ± 14.0 years; Grade 1: 34 patients, Grade 2: 42 patients) and 20 patients with high-grade pNENs (10 men; mean age: 54.4 ± 13.8 years; Grade 3: 15 patients, neuroendocrine carcinoma: 5 patients). The two radiologists showed substantial or near-perfect interobserver agreement in evaluating the quantitative parameters. The multivariate regression analysis identified c and relative enhancement in the portal venous phase (V) as independent predictors of pathological grade. The combined model (V + c) had the best predictive performance (area under the curve (AUC) = 0.930; sensitivity: 95.0%; specificity: 82.9%) and outperformed V (AUC = 0.806, p = 0.010), c (AUC = 0.847, p = 0.021), and φ (AUC = 0.709, p = 0.003) alone, as well as other clinical and conventional MRI parameters (all p < 0.05) in Delong's test.

conclusionsTumour stiffness quantified via multifrequency MRE improved the predictive performance for the pathological grade of pNENs when combined with conventional MRI parameters. CRITICAL RELEVANCE STATEMENT: Tumour stiffness quantified using multifrequency magnetic resonance elastography provides a non-invasive, preoperative method for predicting the pathological grade of pancreatic neuroendocrine neoplasms. Predictive performance improves when combined with conventional MRI parameters, facilitating clinical decision-making and prognostic prediction. KEY POINTS: Multifrequency magnetic resonance elastography (MRE) can indicate stiffness and fluidity of pancreatic neuroendocrine neoplasms (pNENs). Tumour stiffness combined with conventional MRI parameters can independently predict pNENs pathological grade. Multifrequency MRE can serve as a biomarker for the prediction of pNENs pathological grade.

Indexed as

CarcinomaMagnetic resonance elastographyNeuroendocrinePancreatic neoplasmsPathological grade

Identifiers

PMID40506609
PMCPMC12162458

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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.