Evidence map›Paper›PMID 24029389›Full record

SynthesisAJNR. American journal of neuroradiology2014

A meta-analysis on the diagnostic performance of (18)F-FDG and (11)C-methionine PET for differentiating brain tumors.

C Zhao, Y Zhang, J Wang

Abstract readComparative StudyMeta-AnalysisReview
In one paragraph

Synthesis in AJNR. American journal of neuroradiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 8 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

39 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. State-of-the-art of FAPI-PET imaging: a systematic review and meta-analysis.European journal of nuclear medicine and molecular imaging · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
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  7. The diagnostic performance ofBMC medical imaging · 2017
    Pooled it
  8. Pooled it
  9. Article
  10. Comparative Insights intoMolecular imaging and radionuclide therapy · 2026
    Article
  11. Article
  12. Article
  13. Review
  14. Preclinical and Clinical Use of Indigenously DevelopedACS pharmacology & translational science · 2023
    Review
  15. Druggability of Targets for Diagnostic Radiopharmaceuticals.ACS pharmacology & translational science · 2023
    Review
  16. Article
  17. Superiority of [International journal of molecular sciences · 2023
    Article
  18. Review
  19. Updates in IDH-Wildtype Glioblastoma.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
  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

3 authors.

C ZhaoFrom the Department of Nuclear Medicine (C.Z., J.W.), Hangzhou First People's Hospital, Hangzhou Cancer Hospital, Hangzhou, China.
Y ZhangDepartment of Nuclear Medicine (Y.Z.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. zhy-lly@126.com.
J WangFrom the Department of Nuclear Medicine (C.Z., J.W.), Hangzhou First People's Hospital, Hangzhou Cancer Hospital, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

summary(18)F-FDG-PET has been widely used in patients with brain tumors. However, the reported sensitivity and specificity of (18)F-FDG-PET for brain tumor differentiation varied greatly. We performed this meta-analysis to systematically assess the diagnostic performance of (18)F-FDG-PET in differentiating brain tumors. The diagnostic performance of (11)C-methionine PET was assessed for comparison. Relevant studies were searched in PubMed/MEDLINE, Scopus, and China National Knowledge Infrastructure (until February 2013). The methodologic quality of eligible studies was evaluated, and a meta-analysis was performed to obtain the combined diagnostic performance of (18)F-FDG and (11)C-methionine PET with a bivariate model. Thirty eligible studies, including 5 studies with both (18)F-FDG and (11)C-methionine PET data were enrolled. Pooled sensitivity, pooled specificity, and area under the receiver operating characteristic curve of (18)F-FDG-PET (n = 24) for differentiating brain tumors were 0.71 (95% CI, 0.63-0.78), 0.77 (95% CI, 0.67-0.85), and 0.80. Heterogeneity was found among (18)F-FDG studies. Subsequent subgroup analysis revealed that the disease status was a statistically significant source of the heterogeneity and that the sensitivity in the patients with recurrent brain tumor was markedly higher than those with suspected primary brain tumors. Pooled sensitivity, pooled specificity, and area under the receiver operating characteristic of (11)C-methionine PET (n = 11) were 0.91 (95% CI, 0.85-0.94), 0.86 (95% CI, 0.78-0.92), and 0.94. No significant statistical heterogeneity was found among (11)C-methionine studies. This meta-analysis suggested that (18)F-FDG-PET has limited diagnostic performance in brain tumor differentiation, though its performance may vary according to the status of brain tumor, whereas (11)C-methionine PET has excellent diagnostic accuracy in brain tumor differentiation.

Indexed as

Fluorodeoxyglucose F18Brain NeoplasmsDiagnosis, DifferentialHumansMethioninePositron-Emission TomographyPrevalenceRadiopharmaceuticalsReproducibility of ResultsRisk AssessmentSensitivity and Specificitycarbon-11 methionineFluorodeoxyglucose F18MethionineRadiopharmaceuticals

Identifiers

PMID24029389
PMCPMC7965151

What OpenQuestion holds

Textmetadata
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.