Evidence map›Paper›PMID 40650698›Full record

ArticleJournal of neuro-oncology2025

Susceptibility- and T2*-weighted MRI features of CNS large B-cell lymphoma in a large single-center cohort: prevalence, patterns, and clinical associations.

Christophe T Arendt, Marie Löhlau, Linda Röder, Michael C Burger, Elke Hattingen, Stefan Weidauer

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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. 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

6 authors.

Christophe T ArendtInstitute of Neuroradiology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany. arendt@med.uni-frankfurt.de.
Marie LöhlauInstitute of Neuroradiology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Linda RöderInstitute of Neuroradiology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Michael C BurgerDr. Senckenberg Institute of Neurooncology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Elke HattingenInstitute of Neuroradiology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Stefan WeidauerInstitute of Neuroradiology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prevalence of susceptibility effects (SE) on T2*-weighted imaging (WI) and susceptibility-WI (SWI) in primary large B-cell lymphoma (IP-LBCL) of the central nervous system (CNS) and diffuse LBCL (DLBCL) with secondary CNS lymphoma (SCNSL) remains debated. This study aimed to clarify SE prevalence and their associations with primary versus secondary manifestations, immune status, corticosteroid treatment, and structural MRI features.

methodsThis retrospective, single-center study included histologically confirmed DLBCL cases (WHO ICD-10 C83.3) with intracerebral involvement (March 2011-November 2023). Subjects without cranial MRI or diagnostic susceptibility-based sequences were excluded. T2*WI and SWI were independently reviewed by two neuroradiologists for presence or absence of SE. Identified SE were classified into five types: punctate, linear, confluent, conglomerate, and/or ring-like. Lesion focality and morphology were assessed on T2WI and contrast-enhanced T1WI. Clinical data included extracranial lymphoma history, immune status, and corticosteroid initiation.

resultsAmong 128 cases (median age: 70 years [58-75]; 65 men), 119 (93%) had IP-LBCL and 9 (7%) had SCNSL. 110 (85.9%) subjects were immunocompetent. T2*WI was available in 90 (70.3%) datasets and SWI in 38 (29.7%). SE detection was higher on SWI (71.1%) than T2*WI (47.8%; P = 0.03). No association was found between SE and lymphoma type (P = 1.00). In IP-LBCL, immunosuppression was significantly associated with SE presence (P = 0.001; OR = 16.1, 95% CI: 2.89-304.79), while age, gender, and corticosteroid use (18.5%) were not. SE showed no significant associations with structural imaging features, including necrosis.

conclusionSE are common in both IP-LBCL and SCNSL, particularly on SWI, and present with variable patterns unrelated to structural MRI features. In IP-LBCL, immunosuppression, but not pre-existing corticosteroid treatment, is significantly associated with the presence of SE.

Indexed as

Central Nervous System NeoplasmsLymphoma, Large B-Cell, DiffuseMagnetic Resonance ImagingAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedPrevalencePrognosisRetrospective StudiesCerebrumDiffuse Large B-cell lymphomaMagnetic resonance imagingNeuroimagingPrimary central nervous system neoplasms

Identifiers

PMID40650698
PMCPMC12367949

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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.