Evidence map›Paper›PMID 40676412›Full record

ArticleJournal of gastrointestinal cancer2025

Imaging Characteristics and Clinical Outcomes in Gastric Cancer with Brain Metastasis: A Propensity Score-Matched Study.

Weihao Yang, Mengting Lu, Wangjiao He, Wenjun He, Xin Tan, Hengyi Zhang, Fengping Li, Liying Zhao, Ye Dong, Hao Liu

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Article in Journal of gastrointestinal cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Weihao Yang *Department of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Mengting Lu *Department of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Wangjiao He *NanFang PET Center, NanFang Hospital, Southern Medical University, GuangzhouGuangdong Province, 510515, China.
Wenjun HeDepartment of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Xin TanDepartment of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Hengyi ZhangDepartment of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Fengping LiDepartment of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Liying ZhaoDepartment of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Ye DongNanFang PET Center, NanFang Hospital, Southern Medical University, GuangzhouGuangdong Province, 510515, China. dongye2010@126.com.
Hao LiuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China. liuhaofbi@163.com.

Funding

Clinical Research Program of NanFang Hospital, Southern Medical University 2021CR003Key Areas Research and Development Programs of Guangdong Province 2023B1111050009Key Clinical Technique of Guangzhou 2023P-ZD01Natural Science Foundation of Guangdong Province 2023A1515010785
6 · The paper itself

Abstract

purposeThis study aimed to investigate the impact of brain metastasis (BM) on the clinical outcomes of gastric cancer (GC) and explored related imaging characteristics.

methodsGC patients of tumor stage IV treated at Nanfang Hospital from October 2004 to September 2022 were included. The comparisons of non-BM and BM group were used by propensity score matching (PSM). The Kaplan-Meier method was used to compare the overall survival (OS) and cancer-specific survival (CSS). Cox regression was used for multivariate analyses.

resultsA total of 1,051 patients were included. After PSM, non-BM group (n = 28) and BM group (n = 28) were more balanced in baseline variables. The OS (p < 0.05) and CSS (p < 0.05) of the BM group were inferior to those of the non-BM group. Multivariate Cox regression analysis suggests that brain metastasis is associated with poor OS (HR = 1.959, 95% CI: 1.031-3.721, p = 0.040) and CSS (HR = 1.988, 95% CI: 1.037-3.812, p = 0.038). Brain metastases predominantly occur in the frontal lobe (68.0%), followed by the parietal lobe (52.0%), and cerebellum (36.0%), these metastases frequently present with associated edema (65.1%) and necrosis (33.7%).

conclusionThe presence of brain metastasis is associated with poor OS and CSS. Brain metastases from GC commonly occur in the frontal lobe, parietal lobe, and cerebellum, with frequent imaging features of edema and necrosis.

Indexed as

Brain NeoplasmsStomach NeoplasmsAdultAgedBrainFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisPropensity ScoreRetrospective StudiesBrain metastasisEdemaGastric cancerNecrosisPrognosis

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