Evidence map›Paper›PMID 21081714›Full record

SynthesisJournal of the National Cancer Institute2011

Contemporary diagnostic imaging modalities for the staging and surveillance of melanoma patients: a meta-analysis.

Yan Xing, Yulia Bronstein, Merrick I Ross, Robert L Askew, Jeffrey E Lee, Jeffrey E Gershenwald, Richard Royal, Janice N Cormier

Registry-linked trialOpen access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the National Cancer Institute, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04253574 (Comparison of 18F-2-fluoro-2-deoxy-D-glucose), which is not on this map. Cited by 124 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 10 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT04253574 completednot on this mapstarted 2014, after this paper: background citation

Comparison of 18F-2-fluoro-2-deoxy-D-glucose (18F-FDG) PET/CT and Ultrasound in Staging of Patients With Malignant Melanoma: An Analysis in a Single Patient Population

TypeobservationalSponsorUniversity of BaselRan2014 to 2018Enrolled258ConditionsMalignant MelanomaArmsImaging with 18F-FDG PET/CT and/or Ultrasound
3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 10 syntheses or guidelines pooled it, 342 citations in OpenAlex.

  1. Guideline
  2. Metastatic melanoma of the major salivary glands - a systematic review.Medicina oral, patologia oral y cirugia bucal · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. SEOM clinical guideline for the management of cutaneous melanoma (2020).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Guideline
  6. Pooled it
  7. Pooled it
  8. FDG PET/CT in cancer: comparison of actual use with literature-based recommendations.European journal of nuclear medicine and molecular imaging · 2016
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Impact ofEuropean journal of nuclear medicine and molecular imaging · 2017
    Trial
  12. Metabolic response by FDG-PET to imatinib correlates with exon 11 KIT mutation and predicts outcome in patients with mucosal melanoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2014
    Trial
  13. Observational
  14. Beyond target lesions: Prognostic value of longitudinal AI-derived whole-body [European journal of nuclear medicine and molecular imaging · 2026
    Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

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

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

8 authors at 2 institutions in 1 country.

Yan XingDepartment of Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030-4009, USA.
Yulia Bronstein
Merrick I Ross
Robert L Askew
Jeffrey E Lee
Jeffrey E Gershenwald
Richard Royal
Janice N Cormier
Society of Surgical Oncology · USThe University of Texas MD Anderson Cancer Center · US

Funding

Effective surveillance strategies for melanoma patientsR01CA127328 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CORMIER, JANICE N · 2008 to 2010
$972k
NCI NIH HHS 1 R01 CA127328-01NCI NIH HHS R01 CA127328
6 · The paper itself

Abstract

backgroundMeta-analyses were performed to examine the utility of ultrasonography, computed tomography (CT), positron emission tomography (PET), and a combination of both (PET-CT) for the staging and surveillance of melanoma patients.

methodPatient-level data from 74 studies containing 10,528 patients (between January 1, 1990, and June, 30, 2009) were used to derive characteristics of the diagnostic tests used. Meta-analyses were conducted by use of Bayesian bivariate binomial models to estimate sensitivity and specificity. Diagnostic odds ratios [ie, true-positive results/false-negative results)/(false-positive results/true-negative results)] and their 95% credible intervals (CrIs) and positive predictive values were used as indicators of test performance.

resultsAmong the four imaging methods examined for the staging of regional lymph nodes, ultrasonography had the highest sensitivity (60%, 95% CrI = 33% to 83%), specificity (97%, 95% CrI = 88% to 99%), and diagnostic odds ratio (42, 95% CrI = 8.08 to 249.8). For staging of distant metastases, PET-CT had the highest sensitivity (80%, 95% CrI = 53% to 93%), specificity (87%, 95% CrI = 54% to 97%), and diagnostic odds ratio (25, 95% CrI = 3.58 to 198.7). Similar trends were observed for melanoma surveillance of lymph node involvement, with ultrasonography having the highest sensitivity (96%, 95% CrI = 85% to 99%), specificity (99%, 95% CrI = 95% to 100%), and diagnostic odds ratio (1675, 95% CrI = 226.6 to 15,920). For distant metastases, PET-CT had the highest sensitivity (86%, 95% CrI = 76% to 93%), specificity (91%, 95% CrI = 79% to 97%), and diagnostic odds ratio (67, 95% CrI = 20.42 to 229.7). Positive predictive values were likewise highest for ultrasonography in lymph node staging and for PET-CT in detecting distant metastases.

conclusionAmong the compared modalities, ultrasonography was superior for detecting lymph node metastases, and PET-CT was superior for the detection of distant metastases in both the staging and surveillance of melanoma patients.

Indexed as

Positron-Emission TomographyTomography, X-Ray ComputedBayes TheoremHumansLymphatic MetastasisMelanomaNeoplasm StagingOdds RatioPopulation SurveillancePredictive Value of TestsSensitivity and SpecificitySkin NeoplasmsUltrasonography

Identifiers

PMID21081714
PMCPMC3022618
OpenAlexW2145427665

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.