Evidence map›Paper›PMID 21547703›Full record

ArticleAnnals of surgical oncology2016

Value of EUS in Determining Curative Resectability in Reference to CT and FDG-PET: The Optimal Sequence in Preoperative Staging of Esophageal Cancer?

L M A Schreurs, A C J W Janssens, H Groen, P Fockens, H M van Dullemen, M I van Berge Henegouwen, G W Sloof, J Pruim, J J B van Lanschot, E W Steyerberg and 1 more

Open access · hybridAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Annals of surgical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 46 citations in OpenAlex.

  1. Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Trial
  2. Article
  3. Article
  4. Review
  5. Prognostic value of baselineRadiation oncology (London, England) · 2023
    Article
  6. IntegratingThoracic cancer · 2022
    Article
  7. Article
  8. Article
  9. Pentixafor PET/CT for imaging of chemokine receptor 4 expression in esophageal cancer - a first clinical approach.Cancer imaging : the official publication of the International Cancer Imaging Society · 2021
    Article
  10. Article
  11. Article
  12. BMC medical imaging · 2020
    Article
  13. Article
  14. Impact of Endoscopic Ultrasonography onAnnals of surgical oncology · 2017
    Article
  15. Article
  16. Article
  17. Article
  18. The value of [18F]fluorodeoxyglucose-PET/CT in oesophageal cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 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

11 authors at 4 institutions in 1 country.

L M A SchreursDepartment of Surgery/Surgical Oncology, University Medical Center Groningen, Groningen, The Netherlands.
A C J W JanssensDepartment of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
H GroenDepartment of Epidemiology, University Medical Center Groningen, Groningen, The Netherlands.
P FockensDepartment of Gastroenterology & Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
H M van DullemenDepartment of Gastroenterology, University Medical Center Groningen, Groningen, The Netherlands.
M I van Berge HenegouwenDepartment of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
G W SloofDepartment of Nuclear Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
J PruimDepartment of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, Groningen, The Netherlands.
J J B van LanschotDepartment of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
E W SteyerbergDepartment of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
J Th M PlukkerDepartment of Surgery/Surgical Oncology, University Medical Center Groningen, Groningen, The Netherlands. j.th.plukker@chir.umcg.nl.
University Medical Center Groningen · NLAcademic Medical Center · NLErasmus MC · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe separate value of endoscopic ultrasonography (EUS), multidetector computed tomography (CT), and

methodsThe staging records of 216 consecutive operable patients with esophageal cancer were reviewed blindly. Different staging strategies were analyzed, and the likelihood ratio (LR) of each module was calculated conditionally on individual patient characteristics. A logistic regression approach was used to determine the most favorable staging strategy.

resultsInitial EUS results were not significantly related to the LRs of initial CT and FDG-PET results. The positive LR (LR+) of EUS-fine-needle aspiration (FNA) was 4, irrespective of CT and FDG-PET outcomes. The LR+ of FDG-PET varied from 13 (negative CT) to 6 (positive CT). The LR+ of CT ranged from 3-4 (negative FDG-PET) to 2-3 (positive FDG-PET). Age, histology, and tumor length had no significant impact on the LRs of the three diagnostic tests.

conclusionsThis study argues in favor of PET/CT rather than EUS as a predictor of curative resectability in esophageal cancer. EUS does not correspond with either CT or FDG-PET. LRs of FDG-PET were substantially different between subgroups of negative and positive CT results and vice versa.

Indexed as

EndosonographyMultidetector Computed TomographyPositron-Emission TomographyAdenocarcinomaAdultAgedAged, 80 and overCarcinoma, Squamous CellEndoscopic Ultrasound-Guided Fine Needle AspirationEsophageal NeoplasmsEsophagectomyFemaleFluorodeoxyglucose F18HumansLikelihood FunctionsLymphatic MetastasisFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID21547703
PMCPMC5149559
OpenAlexW2143901970

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.