Evidence map›Paper›PMID 38592011›Full record

ReviewJournal of clinical medicine2024

Whole-Body MRI Screening for Carriers of Germline TP53 Mutations-A Systematic Review and Meta-Analysis.

Hugo C Temperley, Niall J O'Sullivan, Benjamin M Mac Curtain, Wanyang Qian, Tatiana S Temperley, Alannah Murray, Alison Corr, Ian Brennan, David Gallagher, James F Meaney and 1 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. 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

11 authors.

Hugo C TemperleyDepartment of Radiology, St. James's Hospital, D08 NHY1 Dublin, Ireland.ORCID 0000-0001-9151-3431
Niall J O'SullivanDepartment of Radiology, St. James's Hospital, D08 NHY1 Dublin, Ireland.ORCID 0000-0002-6241-7819
Benjamin M Mac CurtainDepartment of Urology, St. Vincent's University Hospital, D04 T6F4 Dublin, Ireland.ORCID 0000-0003-4534-2795
Wanyang QianSt John of God Midland Hospital, Midland, WA 6056, Australia.
Tatiana S TemperleySchool of Medicine, University of Limerick, V94 T9PX Limerick, Ireland.
Alannah MurrayDepartment of Surgery, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Alison CorrDepartment of Radiology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Ian BrennanDepartment of Radiology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
David GallagherDepartment of Genetics, St. James's Hospital, D08 NHY1 Dublin, Ireland.
James F MeaneyDepartment of Radiology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Michael E KellyDepartment of Surgery, St. James's Hospital, D08 NHY1 Dublin, Ireland.ORCID 0000-0002-0757-6411

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review evaluated whole-body MRI (WB-MRI) as a cancer screening tool for individuals carrying germline TP53 mutations, a population known to be at a significantly elevated risk of malignancy. The primary objective is to assess the diagnostic performance of WB-MRI in detecting cancer in this cohort.

methodsPubMed, MEDLINE, EMBASE and the Cochrane Central Registry of Controlled Trials were searched until 18 August 2023. Eligible studies were selected based on predefined inclusion criteria. The data extracted included information on study characteristics, patient demographics, and the WB-MRI diagnostic performance.

resultsThis systematic review identified eight eligible studies, comprising 506 TP53 mutation carriers. The mean age was 34.6 ± 16.3 (range 1-74) years. In total, 321/506 (63.4%) of the patients were female and 185/506 (36.6%) were male. In addition, 267/506 (52.8%) had a previous oncological diagnosis. Thirty-six new cancers were diagnosed with WB-MRI (36/506 (7.1%)). The overall pooled proportion of cancer detected on MRI was 7% (95% confidence interval 5-10). In total, 44 new lesions were picked up, as multiple lesions were found in some patients.

conclusionWB-MRI is an effective cancer screening tool for TP53 mutation carriers. While these findings suggest the potential for WB-MRI to contribute to early cancer detection in this high-risk population, further research and the standardisation of protocols internationally are warranted to optimise its clinical utility.

Indexed as

cancer screeningLi-Fraumeni syndromeTP53 mutationswhole-body MRI

Identifiers

PMID38592011
PMCPMC10931931

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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 Socratic graph.