Evidence map›Paper›PMID 20091186›Full record

SynthesisJournal of cancer research and clinical oncology2010

FDG-PET and other imaging modalities for the evaluation of breast cancer recurrence and metastases: a meta-analysis.

LingLing Pan, Yuan Han, XiaoGuang Sun, JianJun Liu, Huang Gang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Depression and Resilience in Breast Cancer Patients.Open access Macedonian journal of medical sciences · 2015
    Article
  12. Article
  13. Article
  14. Review
  15. The utility of 18 F-FDG PET/CT for suspected recurrent breast cancer: impact and prognostic stratification.Cancer imaging : the official publication of the International Cancer Imaging Society · 2014
    Article
  16. Review
  17. Article
  18. Is symptom-oriented follow-up still up to date?Breast care (Basel, Switzerland) · 2013
    Review
  19. Article
  20. Positron emission tomography for benign and malignant disease.The Surgical clinics of North America · 2011
    Review
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

5 authors.

LingLing PanChinese Academy of Sciences, 730000 Lanzhou, China.
Yuan Han
XiaoGuang Sun
JianJun Liu
Huang Gang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeBreast carcinoma is the most common cancer in female patients with a propensity for recurrence and metastases. The accuracy of ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI), scintimammography (SMM) and positron emission tomography (PET) in diagnosing the recurrent and/or breast cancer has never been systematically assessed, and present systematic review was aimed at this issue.

methodsMEDLINE and EMBASE were searched for articles dealt with detection of recurrent and/or metastatic breast cancer by US, CT, MRI, SMM or PET whether interpreted with or without the use of CT. Histopathologic analysis and/or close clinical and imaging follow-up for at least 6 months were used as golden reference. We extracted data to calculate sensitivity, specificity, summary receiver operating characteristic curves and area under the curve and to test for heterogeneity.

resultIn 42 included studies, US and MRI had highest pooled specificity (0.962 and 0.929, respectively); MRI and PET had highest pooled sensitivity (0.9500 and 0.9530, respectively). The AUC of US, CT, MRI, SMM and PET was 0.9251, 0.8596, 0.9718, 0.9386 and 0.9604, respectively. Results of pairwise comparison between each modality demonstrated that AUC of MRI and PET was higher than that of US or CT, p < 0.05. No statistical significance was found between MRI and PET. There was heterogeneity among studies and evidence of publication bias.

conclusionIn conclusion, MRI seemed to be a more useful supplement to current surveillance techniques to assess patients with suspected recurrent and/or metastatic breast cancer. If MRI shows an indeterminate or benign lesion or MRI was not applicable, FDG-PET could be performed in addition.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalPositron-Emission TomographyROC CurveSensitivity and SpecificityTomography, X-Ray ComputedYoung Adult

Identifiers

PMID20091186
PMCPMC2874488

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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.