Evidence map›Paper›PMID 42243941›Full record

Observational studyCancer imaging : the official publication of the International Cancer Imaging Society2026

Apparent diffusion coefficient and kurtosis parameters show early response to anti-angiogenic therapy in patients with colorectal liver metastases.

Mihaela Rata, Khurum Khan, David J Collins, Matthew R Orton, James d'Arcy, Nina Tunariu, Maria Antonietta Bali, Ian Chau, Nicola Valeri, David Cunningham and 1 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Cancer imaging : the official publication of the International Cancer Imaging Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03010722 (A Prospective Translational Study Investigating Molecular Predictors of Resistance and Response to Regorafenib Monotherapy in RAS Mutant Metastatic Colorectal Cancer), 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
–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.

NCT03010722 completednot on this map

A Prospective Translational Study Investigating Molecular Predictors of Resistance and Response to Regorafenib Monotherapy in RAS Mutant Metastatic Colorectal Cancer

TypeobservationalSponsorRoyal Marsden NHS Foundation TrustRan2015 to 2017Enrolled49ConditionsMetastatic Colorectal CancerArmsRegorafenib
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

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

11 authors.

Mihaela RataMRI Unit, Department of Radiology, The Royal Marsden NHS Foundation Trust, Downs Road, London, SM2 5PT, UK. Mihaela.Rata@icr.ac.uk.
Khurum KhanGI and Lymphoma Unit, Department of Medicine, The Royal Marsden NHS Trust, London and Sutton, UK.
David J CollinsMRI Unit, Department of Radiology, The Royal Marsden NHS Foundation Trust, Downs Road, London, SM2 5PT, UK.
Matthew R OrtonMRI Unit, Department of Radiology, The Royal Marsden NHS Foundation Trust, Downs Road, London, SM2 5PT, UK.
James d'ArcyMRI Unit, Department of Radiology, The Royal Marsden NHS Foundation Trust, Downs Road, London, SM2 5PT, UK.
Nina TunariuMRI Unit, Department of Radiology, The Royal Marsden NHS Foundation Trust, Downs Road, London, SM2 5PT, UK.
Maria Antonietta BaliMRI Unit, Department of Radiology, The Royal Marsden NHS Foundation Trust, Downs Road, London, SM2 5PT, UK.
Ian ChauGI and Lymphoma Unit, Department of Medicine, The Royal Marsden NHS Trust, London and Sutton, UK.
Nicola ValeriGI and Lymphoma Unit, Department of Medicine, The Royal Marsden NHS Trust, London and Sutton, UK.
David CunninghamGI and Lymphoma Unit, Department of Medicine, The Royal Marsden NHS Trust, London and Sutton, UK.
Dow-Mu KohMRI Unit, Department of Radiology, The Royal Marsden NHS Foundation Trust, Downs Road, London, SM2 5PT, UK.

Funding

CRUK and EPSRC support to the Cancer Imaging Centre at ICR and RMH in association with MRC & Dept of Health C1060/A10334, C1060/A16464CRUK and EPSRC support to the Cancer Imaging Centre at ICR and RMH in association with MRC & Dept of Health, C1060/A10334, C1060/A16464
6 · The paper itself

Abstract

backgroundTo investigate whether the diffusion kurtosis imaging (DKI) technique can identify tumour response to an anti-angiogenic therapy in a pilot study of patients with RAS-mutant colorectal liver metastases.

methodsThis prospective imaging study enrolled 20 participants receiving Regorafenib treatment. A target metastasis > 2 cm in each patient was imaged before and at 15 days after treatment on a 1.5T MR scanner using a coronal, free-breathing DKI protocol. Data were motion-corrected and modelled using both the mono-exponential and DKI models. Median values derived from voxel-wise analysis of the whole delineated tumour were reported for three parameters [apparent diffusion coefficient (ADC, 10

resultsSignificant treatment-induced changes across the cohort were observed for all parameters: K decrease (0.907 vs. 0.786, P < 0.01; 13.3%), D increase (1.256 vs. 1.386 × 10

conclusionsBoth ADC and DKI parameters showed a significant early cohort change to the anti-angiogenic effects of Regorafenib treatment in RAS-mutant colorectal liver metastases. The ADC parameter performed better than the K parameter in identifying patients benefitting from the treatment.

trial registrationNCT03010722 clinicaltrials.gov; registration date 6

Indexed as

Angiogenesis InhibitorsColorectal NeoplasmsDiffusion Magnetic Resonance ImagingLiver NeoplasmsPhenylurea CompoundsPyridinesAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesAngiogenesis InhibitorsPhenylurea CompoundsPyridinesregorafenibClinical trialColorectal liver metastasisDiffusion weighted imagingKurtosis

Identifiers

PMID42243941
PMCPMC13455380

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Registered trials

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