Evidence map›Paper›PMID 22020872›Full record

ArticleCancer2012

3'-deoxy-3'-[18F]fluorothymidine positron emission tomography for response assessment in soft tissue sarcoma: a pilot study to correlate imaging findings with tissue thymidine kinase 1 and Ki-67 activity and histopathologic response.

Matthias R Benz, Johannes Czernin, Martin S Allen-Auerbach, Sarah M Dry, Piriya Sutthiruangwong, Claudio Spick, Caius Radu, Wolfgang A Weber, William D Tap, Fritz C Eilber

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. The use of 3'-deoxy-3'-Annals of nuclear medicine · 2019
    Trial
  3. Review
  4. Article
  5. Article
  6. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  7. Article
  8. Molecular Imaging with 3'-deoxy-3'[(18)F]-Fluorothymidine (Diagnostics (Basel, Switzerland) · 2020
    Article
  9. Article
  10. Advantages ofPathology oncology research : POR · 2019
    Article
  11. Preclinical PET tracers for the evaluation of sarcomas: understanding tumor biology.American journal of nuclear medicine and molecular imaging · 2018
    Review
  12. Diagnostic and Prognostic Value of Serum Thymidine Kinase 1 in Cancer Patients.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2018
    Article
  13. Article
  14. Article
  15. FLT PET-CT in evaluation of treatment response.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India · 2014
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 2 institutions in 2 countries.

Matthias R BenzDepartment of Molecular and Medical Pharmacology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California 90095-1782, USA.
Johannes Czernin
Martin S Allen-Auerbach
Sarah M Dry
Piriya Sutthiruangwong
Claudio Spick
Caius Radu
Wolfgang A Weber
William D Tap
Fritz C Eilber
University of California, Los Angeles · USUniversity of Freiburg · DE

Funding

Transductionally Redirected /Transcriptionally RestricteP50CA086306 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HERSCHMAN, HARVEY R. · 2000 to 2014
$29.0M
NCI NIH HHS P50 CA086306
6 · The paper itself

Abstract

backgroundThis study sought to determine whether [(18)F]fluorothymidine (FLT) positron emission tomography (PET)/computed tomography (CT) imaging allows assessment of tumor viability and proliferation in patients with soft tissue sarcomas who are treated with neoadjuvant therapy.

methodsTwenty patients with biopsy-proven, resectable, high-grade soft tissue sarcoma underwent [(18)F]FLT PET/CT imaging before and after neoadjuvant therapy. Histologic subtypes included sarcomas not otherwise specified (n = 5), malignant peripheral nerve sheath tumors (n = 3), gastrointestinal stromal tumors (n = 3), leiomyosarcomas (n = 3), angiosarcomas (n = 2), and others (n = 4). Changes in [(18)F]FLT peak standardized uptake value (SUVpeak) were correlated with percent necrosis in excised tissue, whereas posttreatment [(18)F]FLT tumor uptake was correlated with thymidine kinase 1 (TK1) expression and Ki-67 staining indices in excised tumor tissue.

resultsTumor FLT SUVpeak averaged 7.1 ± 3.7 g/mL (range, 1.9-16.1 g/mL) at baseline and decreased significantly to 2.7 ± 1.6 g/mL (range, 0.8-6.0 g/mL) at follow-up (P < .001); however, marked reductions in SUV were not specific for histopathological response. The posttreatment SUVpeak did not correlate with TK1 (P = .27) or Ki-67 expression (P = .21).

conclusionsMarked reductions in [(18)F]FLT tumor uptake in response to neoadjuvant treatment were observed in most patients with sarcoma. However, these reductions were not specific for histopathologic response to neoadjuvant therapy. Furthermore, posttreatment [(18)F]FLT tumor uptake was unrelated to tumor proliferation by Ki-67 and TK1 staining. These results question the value of [(18)F]FLT PET imaging for treatment response assessments in patients with soft tissue sarcoma.

Indexed as

Fluorodeoxyglucose F18Positron-Emission TomographyTomography, X-Ray ComputedAdultAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansKi-67 AntigenMaleMiddle AgedMultimodal ImagingNeoadjuvant TherapyPilot ProjectsRadiopharmaceuticalsSarcomaFluorodeoxyglucose F18Ki-67 AntigenRadiopharmaceuticalsThymidine Kinasethymidine kinase 1

Identifiers

PMID22020872
PMCPMC3436595
OpenAlexW1975722512

What OpenQuestion holds

Textmetadata
LicenceTDM
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.