Evidence map›Paper›PMID 40528226›Full record

ArticleTrials2025

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V J Ruijters, T J Snijders, J A J van der Pol, E M van de Giessen, J M Niers, M P G Broen, M M Anten, S E M Veldhuijzen van Zanten, M Geurts, A I J Arens and 17 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06480721 (FET-PET-Guided Management of Pseudoprogression in Glioblastoma), which is not on this map. Cited by 3 papers.

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

NCT06480721 nanot yet recruitingnot on this map

FET-PET-Guided Management of Pseudoprogression in Glioblastoma

TypeinterventionalSponsorVeerle RuijtersRan2024 to 2027Enrolled144ConditionsGlioblastoma, Radionecrosis of BrainArmsClinical management based on the index MRI and an additional [¹⁸F] FET PET scan
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Utility of dynamicNeuro-oncology advances
    Article
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

27 authors.

V J RuijtersDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands. v.j.ruijters-6@umcutrecht.nl.
T J SnijdersDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.
J A J van der PolDepartment of Neurology (MPGB, MMA) and Nuclear Medicine (JAJvdP), Maastricht UMC, Maastricht, Netherlands.
E M van de GiessenDepartment of Radiology and Nuclear Medicine (EMvdG), Neurology (JMN) and Radiation Oncology (JJCV), Cancer Center Amsterdam, Amsterdam UMC, Amsterdam, Netherlands.
J M NiersDepartment of Radiology and Nuclear Medicine (EMvdG), Neurology (JMN) and Radiation Oncology (JJCV), Cancer Center Amsterdam, Amsterdam UMC, Amsterdam, Netherlands.
M P G BroenDepartment of Neurology (MPGB, MMA) and Nuclear Medicine (JAJvdP), Maastricht UMC, Maastricht, Netherlands.
M M AntenDepartment of Neurology (MPGB, MMA) and Nuclear Medicine (JAJvdP), Maastricht UMC, Maastricht, Netherlands.
S E M Veldhuijzen van ZantenDepartment of Radiology and Nuclear Medicine (SEMVvZ) and Neurology (MG), Erasmus MC, Rotterdam, Netherlands.
M GeurtsDepartment of Radiology and Nuclear Medicine (SEMVvZ) and Neurology (MG), Erasmus MC, Rotterdam, Netherlands.
A I J ArensDepartment of Radiology and Nuclear Medicine (AIJA, DJHAH) and Neurology (JMG), Radboud UMC, Nijmegen, Netherlands.
D J H A HenssenDepartment of Radiology and Nuclear Medicine (AIJA, DJHAH) and Neurology (JMG), Radboud UMC, Nijmegen, Netherlands.
J M GijtenbeekDepartment of Radiology and Nuclear Medicine (AIJA, DJHAH) and Neurology (JMG), Radboud UMC, Nijmegen, Netherlands.
M van der MeulenDepartment of Neurology (MvdM, AEJS) and Radiology and Nuclear Medicine (EG), Medisch Spectrum Twente, Enschede, Netherlands.
A E J SijbenDepartment of Neurology (MvdM, AEJS) and Radiology and Nuclear Medicine (EG), Medisch Spectrum Twente, Enschede, Netherlands.
E GhariqDepartment of Neurology (MvdM, AEJS) and Radiology and Nuclear Medicine (EG), Medisch Spectrum Twente, Enschede, Netherlands.
M J VosDepartment of Neurology (MJV) and Radiology and Nuclear Medicine (JT), Haaglanden MC, The Hague, Netherlands.
J TimDepartment of Neurology (MJV) and Radiology and Nuclear Medicine (JT), Haaglanden MC, The Hague, Netherlands.
I B BosmaDepartment of Neurology (IBB) and Nuclear Medicine (GNS), UMC Groningen, Groningen, Netherlands.
G N StormezandDepartment of Neurology (IBB) and Nuclear Medicine (GNS), UMC Groningen, Groningen, Netherlands.
G W J FrederixDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.
J W DankbaarDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.
P A RobeDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.
J J C VerhoeffDepartment of Radiology and Nuclear Medicine (EMvdG), Neurology (JMN) and Radiation Oncology (JJCV), Cancer Center Amsterdam, Amsterdam UMC, Amsterdam, Netherlands.
F Y F L de VosDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.
M G E H LamDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.
R M T Ten HamDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.
N TolboomDepartment of Neurology (VJR, TJS), Department of Epidemiology and Health Economics, Julius Centre (GWJF, RMTtH), Radiology (JWD), Neurosurgery (PAR), Medical Oncology (FYFLdV) and Nuclear Medicine (MGEHL, NT), UMC Utrecht, Utrecht, Netherlands.

Funding

ZonMw 10390022210022
6 · The paper itself

Abstract

backgroundDuring follow-up of glioblastoma patients after chemoradiation, expert teams often observe abnormalities on MRI with difficulty in distinguishing between tumor growth and pseudoprogression. Although advanced MRI techniques such as perfusion weighted imaging provide additional information, diagnostic uncertainty often remains, leading to incorrect or delayed diagnosis, and inappropriate treatment, such as unnecessary surgery. [

methodsA multicenter diagnostic randomized clinical trial will be performed, from August 2024 until December 2027. Adult patients (n=144) with isocitrate dehydrogenase (IDH)-wildtype glioblastoma will be included, who, at least ≥3 months after the concomitant phase of standard temozolomide-based chemoradiation, have new or increased contrast enhancement on MRI, causing doubt between tumor growth or pseudoprogression. In this trial, pseudoprogression will be used as an encompassing term that includes radionecrosis and other treatment-related changes after (chemo-)radiotherapy. Included patients will be randomized 1:1 in two arms. The investigational arm receives an additional [ DISCUSSION: We hypothesize that the clinical management guided by an additional [

trial registrationThe trial is registered on ClinicalTrials.gov on the 24th of June 2024, with registration number NCT06480721.

Indexed as

Brain NeoplasmsGlioblastomaPositron-Emission TomographyRadiopharmaceuticalsTyrosineAdultChemoradiotherapyDisease ProgressionHumansMagnetic Resonance ImagingMulticenter Studies as TopicNetherlandsPredictive Value of TestsRandomized Controlled Trials as TopicTemozolomide(18F)fluoroethyltyrosineRadiopharmaceuticalsTemozolomideTyrosine[18F]FET PETGBMGlioblastomaHealth-related quality of lifeNeuro-oncologyNuclear medicinePseudoprogressionRadionecrosisTumor progressionUnnecessary interventions

Identifiers

PMID40528226
PMCPMC12175455

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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.