Evidence map›Paper›PMID 40877210›Full record

ArticleCancer reports (Hoboken, N.J.)2025

Correlation Between MRI and Histopathology in Assessing Treatment Response to Neoadjuvant Chemoradiation in Locally Advanced Rectal Cancer.

Pedram Fadavi, Kambiz Novin, Maryam Garousi, Amir Mohammad Arefpour, Seyedeh Shaghayegh Rezvani Nezhad, Mahshid Soori, Farzad Taghizadeh-Hesary

Abstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Pedram FadaviDepartment of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7491-2561
Kambiz NovinDepartment of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7524-5887
Maryam GarousiDepartment of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Amir Mohammad ArefpourDepartment of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-3164-758X
Seyedeh Shaghayegh Rezvani NezhadDepartment of Radiation Oncology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mahshid SooriDepartment of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Farzad Taghizadeh-HesaryDepartment of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-6195-2203

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsRecognizing the predictive factors of response to chemoradiation is of utmost importance in patients with locally advanced rectal cancer (LARC). The study is designed to explore the correlation between post-neoadjuvant chemoradiation (nCRT) pathologic and MR-based tumor staging in LARC.

methodsPatients with non-metastatic LARC underwent contrast-enhanced pelvic MRI before and after treatment, received standard chemoradiation, and were evaluated for tumor response. Tumor regression grade (TRG) based on histopathology ranged from TRG0 to TRG3, while MR-based responses encompassed complete response, partial response, stable disease, and progressive disease. The primary endpoints were the correlation and agreement between post-nCRT histopathologic- and MR-based tumor staging. The secondary endpoints focused on predictive factors influencing the response to nCRT and assessing the effectiveness of MRI in identifying complete pathologic response (pCR).

resultsThe analysis showed a strong positive correlation (r = 0.86, p < 0.001) with moderate agreement (κ = 0.44) between post-nCRT MR- and histopathologic-based disease staging. According to multivariate analysis, initial tumor stage could predict clinical response to nCRT, and MR-based TRG could predict histopathologic response. MRI exhibited a specificity of 96.2%, sensitivity of 22.2%, positive predictive value of 50%, and negative predictive value of 88.1% in detecting pCR.

conclusionsThe study highlights the promising role of MRI in assessing treatment response in LARC, guiding clinical decision-making and potentially reducing the need for invasive procedures to evaluate treatment effectiveness.

Indexed as

Chemoradiotherapy, AdjuvantMagnetic Resonance ImagingNeoadjuvant TherapyRectal NeoplasmsAdultAgedChemoradiotherapyFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesTreatment Outcomechemoradiotherapymagnetic resonance imagingneoadjuvant therapypathologyrectal cancer

Identifiers

PMID40877210
PMCPMC12394004

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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 Socratic graph.