Evidence map›Paper›PMID 22526960›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2012

Predictive value of early and late residual 18F-fluorodeoxyglucose and 18F-fluorothymidine uptake using different SUV measurements in patients with non-small-cell lung cancer treated with erlotinib.

Carsten Kobe, Matthias Scheffler, Arne Holstein, Thomas Zander, Lucia Nogova, Adriaan A Lammertsma, Ronald Boellaard, Bernd Neumaier, Roland T Ullrich, Markus Dietlein and 2 more

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Article in European journal of nuclear medicine and molecular imaging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Trial
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  3. Mitigating SUV uncertainties using total body PET imaging.European journal of nuclear medicine and molecular imaging · 2024
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  10. EarlyEJNMMI research · 2016
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  14. Article
  15. Comparison of the diagnostic performance ofMolecular and clinical oncology · 2015
    Article
  16. 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
  17. Review
  18. Optimisation and harmonisation: two sides of the same coin?European journal of nuclear medicine and molecular imaging · 2013
    Article
  19. Article
  20. New strategy for monitoring targeted therapy: molecular imaging.International journal of nanomedicine · 2013
    Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Carsten KobeDepartment of Nuclear Medicine, University Hospital of Cologne, Cologne, Germany.
Matthias Scheffler
Arne Holstein
Thomas Zander
Lucia Nogova
Adriaan A Lammertsma
Ronald Boellaard
Bernd Neumaier
Roland T Ullrich
Markus Dietlein
Jürgen Wolf
Deniz Kahraman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the predictive value of early and late residual (18)F-fluorodeoxyglucose (FDG) and (18)F-fluorothymidine (FLT) uptake using different SUV measurements in PET in patients with advanced non-small-cell lung cancer (NSCLC) treated with erlotinib.

methodsWe retrospectively reviewed data from 30 patients with untreated stage IV NSCLC who had undergone a combined FDG PET and FLT PET scan at 1 week (early) and 6 weeks (late) after the start of erlotinib treatment. Early and late residual FDG and FLT uptake were measured in up to five lesions per scan with different quantitative standardized uptake values (SUV(max), SUV(2Dpeak), SUV(3Dpeak), SUV(50), SUV(A50), SUV(A41)) and compared with short-term outcome (progression vs. nonprogression after 6 weeks of erlotinib treatment). Receiver-operating characteristics (ROC) curve analysis was used to determine the optimal cut-off value for detecting nonprogression after 6 weeks. Kaplan-Meier analysis and the log-rank test were used to evaluate the association between residual uptake and progression-free survival (PFS).

resultsNonprogression after 6 weeks was associated with a significantly lower early and late residual FDG uptake, measured with different quantitative parameters. In contrast, nonprogression after 6 weeks was not associated with early and late residual FLT uptake. Furthermore, patients with a lower early residual FDG uptake measured in terms of SUV(max) and SUV(2Dpeak) had a significantly prolonged PFS (282 days vs. 118 days; p = 0.022) than patients with higher values. Similarly, lower late residual FDG uptake and early residual FLT uptake measured in terms of SUV(3Dpeak), SUV(A50) and SUV(A41), and late FLT uptake measured in terms of SUV(3Dpeak) and SUV(A50) was associated with an improved PFS.

conclusionEarly and late residual FDG uptake, measured using different quantitative SUV parameters, are predictive factors for short-term outcome in patients with advanced NSCLC treated with erlotinib. Additionally, low residual FDG and FLT uptake early and late in the course of erlotinib treatment is associated with improved PFS.

Indexed as

AdultAgedCarcinoma, Non-Small-Cell LungDideoxynucleosidesDiscriminant AnalysisDisease-Free SurvivalErlotinib HydrochlorideFemaleFluorodeoxyglucose F18HumansKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedPositron-Emission TomographyPredictive Value of TestsalovudineDideoxynucleosidesErlotinib HydrochlorideFluorodeoxyglucose F18QuinazolinesRadiopharmaceuticals

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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.