Evidence map›Paper›PMID 19443657›Full record

Trial reportBlood2009

F18-fluorodeoxyglucose positron emission tomography in the context of other imaging techniques and prognostic factors in multiple myeloma.

Twyla B Bartel, Jeff Haessler, Tracy L Y Brown, John D Shaughnessy, Frits van Rhee, Elias Anaissie, Terri Alpe, Edgardo Angtuaco, Ronald Walker, Joshua Epstein and 2 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 234 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
234citing papers in PubMed, 5 pooled it
12.4field-weighted citation impact, top 1% 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

234 citing papers in PubMed, 5 syntheses or guidelines pooled it, 518 citations in OpenAlex.

  1. The [European journal of nuclear medicine and molecular imaging · 2026
    Pooled it
  2. EANM guidelines on the use of [European journal of nuclear medicine and molecular imaging · 2024
    Guideline
  3. Prognostic value ofClinical and experimental medicine · 2023
    Pooled it
  4. Prognostic value ofEuropean radiology · 2021
    Pooled it
  5. Pooled it
  6. Trial
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  8. Trial
  9. Application of an artificial intelligence-based tool in [European journal of nuclear medicine and molecular imaging · 2023
    Trial
  10. Trial
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  13. Prospective Evaluation of Magnetic Resonance Imaging and [Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Trial
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  17. Interpreting [European journal of nuclear medicine and molecular imaging · 2026
    Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Twyla B BartelDepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Jeff Haessler
Tracy L Y Brown
John D Shaughnessy
Frits van Rhee
Elias Anaissie
Terri Alpe
Edgardo Angtuaco
Ronald Walker
Joshua Epstein
John Crowley
Bart Barlogie
University of Arkansas for Medical Sciences · USCancer Research And Biostatistics · USVanderbilt University · US

Funding

Tumor Cell-Microenvironment Interactions in the Molecular Pathogenesis of MultiplP01CA055819 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI BARLOGIE, BART · 1993 to 2013
$49.7M
NCI NIH HHS CA 55819NCI NIH HHS P01 CA055819
6 · The paper itself

Abstract

F18-fluorodeoxyglucose positron emission tomography (FDG-PET) is a powerful tool to investigate the role of tumor metabolic activity and its suppression by therapy for cancer survival. As part of Total Therapy 3 for newly diagnosed multiple myeloma, metastatic bone survey, magnetic resonance imaging, and FDG-PET scanning were evaluated in 239 untreated patients. All 3 imaging techniques showed correlations with prognostically relevant baseline parameters: the number of focal lesions (FLs), especially when FDG-avid by PET-computed tomography, was positively linked to high levels of beta-2-microglobulin, C-reactive protein, and lactate dehydrogenase; among gene expression profiling parameters, high-risk and proliferation-related parameters were positively and low-bone-disease molecular subtype inversely correlated with FL. The presence of more than 3 FDG-avid FLs, related to fundamental features of myeloma biology and genomics, was the leading independent parameter associated with inferior overall and event-free survival. Complete FDG suppression in FL before first transplantation conferred significantly better outcomes and was only opposed by gene expression profiling-defined high-risk status, which together accounted for approximately 50% of survival variability (R(2) test). Our results provide a rationale for testing the hypothesis that myeloma survival can be improved by altering treatment in patients in whom FDG suppression cannot be achieved after induction therapy.

Indexed as

AgedAged, 80 and overbeta 2-MicroglobulinBone NeoplasmsCell ProliferationC-Reactive ProteinDisease-Free SurvivalFemaleFluorodeoxyglucose F18HumansL-Lactate DehydrogenaseMaleMultiple MyelomaNeoplasm MetastasisPositron-Emission TomographyRadiographybeta 2-MicroglobulinC-Reactive ProteinFluorodeoxyglucose F18L-Lactate DehydrogenaseRadiopharmaceuticals

Identifiers

PMID19443657
PMCPMC2744568
OpenAlexW2073370692

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.