Evidence map›Paper›PMID 41457158›Full record

ArticleCardiovascular and interventional radiology2026

MARGIN: Randomized Trial of Arterial CT Portography Versus Standard Imaging Guidance for Percutaneous Thermal Ablation of Colorectal Liver Metastases.

Gary Doppelt, Fabien de Oliviera, Chloe Minier, Thierry Chevallier, Jean-Paul Beregi, Boris Guiu, Julien Frandon

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Publisher
In one paragraph

Article in Cardiovascular and interventional radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05665322 (Translate Title), which is not on this map. Not yet cited in PubMed.

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

NCT05665322 naterminatednot on this map

Translate Title: Evaluation of the Efficacy of Two Guidance Techniques (Standard Injected CT vs Porto-scanner With Angio-CT) for Thermoablation Treatment of Colorectal Cancer Liver Metastases: Randomized, Single-blind, Controlled Study

TypeinterventionalSponsorCentre Hospitalier Universitaire de NīmesRan2024 to 2025Enrolled7ConditionsColorectal Cancer MetastaticArmsThermoablation with standard CT guidance, Thermoablation with porto-scanner guidance with Angio-CT
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Gary DoppeltDepartment of Medical Imaging, Nîmes University Hospital, University of Montpellier, Medical Imaging Group, 30029, Nîmes, France. gary.doppelt@gmail.com.ORCID http://orcid.org/0009-0005-7730-7494
Fabien de OlivieraDepartment of Medical Imaging, Nîmes University Hospital, University of Montpellier, Medical Imaging Group, 30029, Nîmes, France.
Chloe MinierDepartment of Radiology, Saint-Eloi University Hospital, 80 Avenue Augustin Fliche, 34295, Montpellier, France.
Thierry ChevallierDepartment of Biostatistics, Clinical Epidemiology, Public Health, and Innovation in Methodology (BESPIM), CHU de Nîmes, 30029, Nîmes, France.
Jean-Paul BeregiDepartment of Medical Imaging, Nîmes University Hospital, University of Montpellier, Medical Imaging Group, 30029, Nîmes, France.
Boris GuiuDepartment of Radiology, Saint-Eloi University Hospital, 80 Avenue Augustin Fliche, 34295, Montpellier, France.
Julien FrandonDepartment of Medical Imaging, Nîmes University Hospital, University of Montpellier, Medical Imaging Group, 30029, Nîmes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess whether arterial computed tomography portography guidance improves early local tumor control after percutaneous thermal ablation of small colorectal cancer liver metastases compared with standard-of-care imaging guidance, hypothesizing a ≥ 20% increase in complete ablation at 3 months confirmed by MRI and PET-CT. MATERIALS AND

methodsThis prospective, single-blind, two-center trial will randomize 88 adults (1:1) with up to three colorectal liver metastases ≤ 3 cm, including at least one not visible with ultrasound, to undergo ablation under either standard imaging guidance (intravenous contrast-enhanced CT, image fusion, or CT hepatic arteriography) or arterial portography after selective mesenteric or splenic catheterization in a hybrid angio-CT suite. Operators may use radiofrequency or microwave devices. The primary endpoint is complete ablation at 3 months on MRI and PET-CT. Secondary endpoints include lesion-level success, 12-month recurrence, safety, and a translational biobank. The sample size provides 80% power to detect a 20% absolute improvement (two-sided α = 0.05).

resultsNot applicable; protocol manuscript. EXPECTED GAIN OF KNOWLEDGE: The MARGIN trial will test whether arterial CT portography can improve complete ablation rates versus standard imaging in colorectal liver metastases. Beyond technical outcomes, it aims to refine image guidance strategies, optimize margin control, and generate high-level evidence for interventional oncology. The translational biobank will further link imaging findings to tumor biology and immune activation.

conclusionThis trial will test if arterial CT portography can improve early completeness of thermal ablation for colorectal liver metastases versus standard imaging.

trial registrationClinicalTrials.gov NCT05665322 (registered December 14, 2022). LEVEL OF EVIDENCE: Level 1b (randomized controlled trial).

Indexed as

Catheter AblationColorectal NeoplasmsLiver NeoplasmsRadiography, InterventionalTomography, X-Ray ComputedContrast MediaFemaleHumansMaleMiddle AgedMulticenter Studies as TopicPositron Emission Tomography Computed TomographyProspective StudiesRandomized Controlled Trials as TopicSingle-Blind MethodContrast MediaComputed tomography portographyLiver metastasisPercutaneous thermal ablationRandomized trial

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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.