Evidence map›Paper›PMID 17333178›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2007

Imaging early changes in proliferation at 1 week post chemotherapy: a pilot study in breast cancer patients with 3'-deoxy-3'-[18F]fluorothymidine positron emission tomography.

Laura Kenny, R Charles Coombes, David M Vigushin, Adil Al-Nahhas, Sami Shousha, Eric O Aboagye

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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 2 pooled it
–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

111 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Repeatability of quantitativeEuropean journal of nuclear medicine and molecular imaging · 2018
    Pooled it
  3. Monitoring Response to Transarterial Chemoembolization in Hepatocellular Carcinoma UsingJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
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  13. Repeatability ofEJNMMI research · 2024
    Article
  14. Article
  15. Article
  16. Comparison ofTomography (Ann Arbor, Mich.) · 2022
    Article
  17. Role of 3'-Deoxy-3'-[JTO clinical and research reports · 2022
    Article
  18. Novel applications of molecular imaging to guide breast cancer therapy.Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
    Review
  19. Review
  20. Article

51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Laura KennyImperial College London, and Hammersmith Hospital NHS Trust, London, UK.
R Charles Coombes
David M Vigushin
Adil Al-Nahhas
Sami Shousha
Eric O Aboagye

Funding

Cancer Research UK 10337Medical Research Council MC_U120081322
6 · The paper itself

Abstract

purpose3'-deoxy-3'-[18F]fluorothymidine positron emission tomography ([18F]FLT-PET) has been developed for imaging cell proliferation and findings correlate strongly with the Ki-67 labelling index in breast cancer. The aims of this pilot study were to define objective criteria for [18F]FLT response and to examine whether [18F]FLT-PET can be used to quantify early response of breast cancer to chemotherapy.

methodsSeventeen discrete lesions in 13 patients with stage II-IV breast cancer were scanned prior to and at 1 week after treatment with combination 5-fluorouracil, epirubicin and cyclophosphamide (FEC) chemotherapy. The uptake at 90 min (SUV90) and irreversible trapping (Ki) of [18F]FLT were calculated for each tumour. The reproducibility of [18F]FLT-PET was determined in nine discrete lesions from eight patients who were scanned twice before chemotherapy. Clinical response was assessed at 60 days after commencing FEC.

resultsAll tumours showed [18F]FLT uptake and this was reproducible in serial measurements (SD of mean % difference=10.5% and 15.1%, for SUV90 and Ki, respectively; test-retest correlation coefficient>or=0.97). Six patients had a significant clinical response (complete or partial) at day 60; these patients also had a significant reduction in [18F]FLT uptake at 1 week. Decreases in Ki and SUV90 at 1 week discriminated between clinical response and stable disease (p=0.022 for both parameters). In three patients with multiple lesions there was a mixed [18F]FLT response in primary tumours and metastases. [18F]FLT response generally preceded tumour size changes.

conclusion[18F]FLT-PET can detect changes in breast cancer proliferation at 1 week after FEC chemotherapy.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCell ProliferationCyclophosphamideDideoxynucleosidesEpirubicinFemaleFluorouracilHumansKi-67 AntigenKineticsMiddle AgedalovudineAntineoplastic AgentsCyclophosphamideDideoxynucleosidesEpirubicinFluorouracilKi-67 Antigen

Identifiers

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Registered trials

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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.