Evidence map›Paper›PMID 41749945›Full record

ArticleCancers2026

Beyond the T: Volumetric MRI Predicts Lymphatic Spread in Oral Squamous Cell Carcinoma.

Philipp Thoenissen, Davide Giardino, Ibrahim Yel, Thomas J Vogl, Scherwin Mahmoudi, Andreea I Nica, Julian Diers, Max Fleischmann, Christian Issing, Robert Sader and 4 more

Abstract read
In one paragraph

Article in Cancers, 2026. 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. Review
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

14 authors.

Philipp ThoenissenDepartment of Oral, Cranio-Maxillofacial and Plastic Facial Surgery, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Davide GiardinoDepartment of Radiology and Nuclearmedicine, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.ORCID 0009-0007-2936-2610
Ibrahim YelDepartment of Radiology and Nuclearmedicine, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Thomas J VoglDepartment of Radiology and Nuclearmedicine, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.ORCID 0000-0001-5218-1075
Scherwin MahmoudiDepartment of Radiology and Nuclearmedicine, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Andreea I NicaDepartment of Radiology and Nuclearmedicine, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Julian DiersDepartment of Oral, Cranio-Maxillofacial and Plastic Facial Surgery, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Max FleischmannDepartment of Radiotherapy and Oncology, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Christian IssingDepartment of Otorhinolaryngology, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Robert SaderDepartment of Oral, Cranio-Maxillofacial and Plastic Facial Surgery, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Rossano GiromettiInstitute of Radiology, Department of Medicine, University of Udine, University Hospital "S. Maria della Misericordia", ASUFC, 33100 Udine, Italy.
Tommaso D'angeloDiagnostic and Interventional Radiology Unit, BIOMORF Department, University Hospital Messina, 98100 Messina, Italy.ORCID 0000-0003-0004-6378
Christian BoozDepartment of Radiology and Nuclearmedicine, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Shahram GhanaatiDepartment of Oral, Cranio-Maxillofacial and Plastic Facial Surgery, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.ORCID 0000-0002-7897-0854

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the relationship between primary tumor volume, the spatial distribution of cervical lymph node metastases, and TNM (Tumor, node, metastasis) staging in patients with oral squamous cell carcinoma (OSCC) based on high-resolution MRI.

methodsThis retrospective analysis evaluated 116 predominantly male (62.9%) patients (age 67.7 ± 11.5 years) with histologically confirmed OSCC who underwent surgical resection with neck dissection or definitive chemoradiation. MRI-based volumetry and center-to-center distance measurements between primary tumor and cervical lymph node metastases were performed using 3D postprocessing software.

resultsTumor-to-lymph node center-to-center distances ranged from 11.7 to 117.3 mm (median: 44.8 mm; interquartile range [IQR]: 32.1-59.6 mm). Primary tumor volume ranged from 0.5 to 87.2 cm

conclusionMRI-based assessment indicated that tumor volume has a stronger association with the spatial extent of lymph node metastases compared with T-stage alone. Larger tumors were associated with greater distances to metastatic lymph nodes. These findings highlight the value of quantitative 3D MRI-based volume and distance analyses in potentially improving surgical and radiotherapeutic planning.

Indexed as

cervical lymph nodesmetastatic spreadMRIneck dissectionoral squamous cell carcinomatumor volume

Identifiers

PMID41749945
PMCPMC12939301

What OpenQuestion holds

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Registered trials

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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.