Evidence map›Paper›PMID 15549297›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2005

FDG-PET is able to detect pancreatic carcinoma in chronic pancreatitis.

Mariëtte C A van Kouwen, Jan B M J Jansen, Harry van Goor, Steve de Castro, Wim J G Oyen, Joost P H Drenth

Abstract readClinical TrialControlled Clinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Imaging modalities for characterising focal pancreatic lesions.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. The role ofJournal of radiation oncology · 2013
    Article
  9. Multimodality imaging of pancreatic ductal adenocarcinoma: a review of the literature.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2012
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Initial evaluation of 18F-fluorothymidine (FLT) PET/CT scanning for primary pancreatic cancer.European journal of nuclear medicine and molecular imaging · 2008
    Article
  16. Article
  17. Article
  18. State-of-the-art PET/CT of the pancreas: current role and emerging indications.Radiographics : a review publication of the Radiological Society of North America, Inc
    Article
  19. Imaging in chronic pancreatitis: State of the art review.The Indian journal of radiology & imaging
    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

6 authors at 4 institutions in 2 countries.

Mariëtte C A van KouwenDepartment of Gastroenterology, University Medical Center, St. Radboud, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. m.vankouwen@mdl.umcn.nl
Jan B M J Jansen
Harry van Goor
Steve de Castro
Wim J G Oyen
Joost P H Drenth
University Medical Center · USAcademic Medical Center · NLRadboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose2-(18F)-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) is an imaging technique which enables detection of malignancies. FDG-PET has been established as a tool for the diagnosis of pancreatic carcinoma (CA). Early detection is mandatory as cure can only be achieved in non-advanced disease. This is, however, very difficult with conventional radiological techniques. Patients with chronic pancreatitis (CP) are at risk of developing CA. A simple, reliable screening method for malignant degeneration is highly desirable. We set out to investigate whether FDG-PET is able to detect CA in the setting of CP and can fulfil a potential role in the early detection of CA in CP.

methodsFDG-PET was performed in 77 CP patients and in six patients with CP complicated by CA (CP + CA). We included 26 CA patients as a positive control. A positive scan was defined as focal FDG accumulation in the pancreas region.

resultsIn 67 of the 77 CP (87%) patients, pancreatic FDG accumulation was absent. Six patients had significant accumulation. In CA, 24/26 patients had a positive PET. Five out of the six patients with CP + CA had focal uptake, while minor uptake was seen in one patient. FDG-PET was positive in almost all CA patients and CP + CA patients. FDG-PET was negative in the large majority (87%) of CP patients, which suggests that a positive PET scan in CP patients must lead to efforts to exclude a malignancy.

conclusionThese data suggest that FDG-PET has a potential role as a diagnostic tool for detecting CA in longstanding CP.

Indexed as

Fluorodeoxyglucose F18CarcinomaChronic DiseaseCohort StudiesFemaleHumansMaleMiddle AgedPancreatic NeoplasmsPancreatitisPrognosisRadionuclide ImagingRadiopharmaceuticalsReproducibility of ResultsSensitivity and SpecificityFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID15549297
OpenAlexW2038313437

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.