Evidence map›Paper›PMID 41266946›Full record

ArticleMagnetic resonance in medicine2026

Multiparametric MRI to Predict Response to Irreversible Electroporation Plus Anti-PD-1 Immunotherapy in Pancreatic Ductal Adenocarcinoma.

Qizhen Cao, Mark D Pagel, Charles V Kingsley, Jingfei Ma, James P Long, Xiaoxia Wen, Seth T Gammon, Jorge Delacerda, Sanaz Javadi, Chun Li

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Qizhen CaoDepartment of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0001-8523-3468
Mark D PagelDepartment of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-8109-3995
Charles V KingsleyDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jingfei MaDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
James P LongDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Xiaoxia WenDepartment of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Seth T GammonDepartment of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jorge DelacerdaDepartment of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Sanaz JavadiDepartment of Abdominal Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Chun LiDepartment of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
Development of irreversible electroporation-based rational combinations to potentiate the activity of cancer immunotherapy against pancreatic ductal adenocarcinomaR01CA258540 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CHUN LI, Y. Alan Wang · 2022 to 2026
$2.9M
Cancer Prevention and Research Institute of Texas RP220051MD Anderson Cancer Center Quantitative Imaging Analysis Core PartnershipNCI NIH HHS P30 CA016672NCI NIH HHS R01 CA258540NCI NIH HHS R01CA258540University of Texas MD Anderson Cancer Center P30CA016672
6 · The paper itself

Abstract

purposeTo investigate contrast-enhanced T1-weighted MRI and diffusion-weighted magnetic resonance imaging (DWI) for early prediction of tumor response to combined irreversible electroporation (IRE) and anti-PD-1 immunotherapy.

methodsMurine pancreatic ductal adenocarcinoma (PDAC) cells KRAS* were inoculated into the pancreas of C57BL/6 mice. IRE was performed when tumors became palpable. After IRE, mice received six intraperitoneal injections of anti-PD-1 over 2 weeks. T2-weighted MRI, T1-weighted MRI with macromolecular contrast agent poly(L-glutamic acid)-conjugated gadolinium (PG-Gd), and DWI were performed before and after IRE. Survival was analyzed using Kaplan-Meier curves. Mice surviving at least 100 days without recurrence after IRE were considered complete responders. Relationships between MRI findings and treatment response were assessed with one-way ANOVA, Student's t-test, and receiver operating characteristic (ROC) analysis.

resultsTumor volume on T2-weighted MRI at early treatment time-points did not correlate with survival. T1-weighted MRI with PG-Gd clearly showed increased PG-Gd uptake in tumors on days 4 and 11-14 after IRE and anti-PD-1 immunotherapy. Higher PG-Gd uptake correlated with longer survival (R

conclusionPG-Gd contrast-enhanced T1-weighted MRI and DWI are potential predictors of response to combined IRE and anti-PD-1 immunotherapy in PDAC.

Indexed as

Carcinoma, Pancreatic DuctalElectroporationImmunotherapyMultiparametric Magnetic Resonance ImagingPancreatic NeoplasmsAnimalsCell Line, TumorContrast MediaDiffusion Magnetic Resonance ImagingFemaleImmune Checkpoint InhibitorsMiceMice, Inbred C57BLProgrammed Cell Death 1 ReceptorTreatment OutcomeContrast MediaImmune Checkpoint InhibitorsProgrammed Cell Death 1 Receptoranti‐PD‐1contrast‐enhanced T1‐weighted MRIdiffusion‐weighted MRIirreversible electroporationT2‐weighted MRI

Identifiers

PMID41266946
PMCPMC12850612

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.