Evidence map›Paper›PMID 42535136›Full record

ArticleCase reports in neurological medicine2026

Radiographic Enhancing Progression Without Molecular or Histologic Progression in IDH-Mutant Grade 2 Astrocytoma Treated With an IDH Inhibitor: A Case Report.

Carolina Pusec, Karam Han, Krithi Gopinath, Michelle Mackay, Alan Lozier, Tejus A Bale, Ankush Bhatia

Abstract read
In one paragraph

Article in Case reports in neurological medicine, 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. 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

7 authors.

Carolina PusecDepartment of Neurology, University of Wisconsin Madison, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0002-8238-8234
Karam HanDepartment of Pathology and Laboratory Medicine, University of Wisconsin Madison, Madison, Wisconsin, USA, lhsc.on.ca.ORCID https://orcid.org/0009-0002-7735-0925
Krithi GopinathDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA, uwm.edu.ORCID https://orcid.org/0009-0002-0162-7473
Michelle MackaySSM Health Neurosciences, SSM Health St. Mary's Hospital, Madison, Wisconsin, USA, ssmhealth.com.ORCID https://orcid.org/0009-0007-4703-6536
Alan LozierSSM Health Neurosciences, SSM Health St. Mary's Hospital, Madison, Wisconsin, USA, ssmhealth.com.
Tejus A BaleDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA, mskcc.org.
Ankush BhatiaDepartment of Pathology and Laboratory Medicine, University of Wisconsin Madison, Madison, Wisconsin, USA, lhsc.on.ca.ORCID https://orcid.org/0000-0001-5292-2822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central nervous system (CNS) World Health Organization (WHO) Grade 2 isocitrate dehydrogenase (IDH)-mutant astrocytomas are classified as low-grade gliomas with typically slow growth for many years followed by eventual malignant transformation and death. Here, we present a case of a patient with an IDH-mutant Grade 2 astrocytoma who developed early radiographic tumor progression per Response Assessment in Neuro-Oncology (RANO) 2.0 as evidenced by new enhancement on MRI T1 postcontrast 4 months after initiation of an IDH inhibitor. Subsequent re-resection, one month later (or five months postinitiation of ivosidenib treatment), of the enhancing signal retained the Grade 2 designation without any histological or molecular progression per CNS WHO 2021 criteria. Specifically, the Ki-67 proliferative index remained stable at approximately 2%, and copy number alterations were largely unchanged, including no

Identifiers

PMID42535136
PMCPMC13422751

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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.