Evidence map›Paper›PMID 24047338›Full record

ArticleActa oncologica (Stockholm, Sweden)2013

Prognostic value of metabolic metrics extracted from baseline positron emission tomography images in non-small cell lung cancer.

Sara Carvalho, Ralph T H Leijenaar, Emmanuel Rios Velazquez, Cary Oberije, Chintan Parmar, Wouter van Elmpt, Bart Reymen, Esther G C Troost, Michel Oellers, Andre Dekker and 3 more

2 registry-linked trialsOpen access · diamondAbstract readComparative Study
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.5field-weighted citation impact, top 6% 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.

NCT00522639 phase3terminatednot on this map

Determination of the Predictive Value of FDG-PET-CT Scans, Blood Proteins and Blood Cells for the Prognosis for Patients With Lung Cancer Receiving Concurrent Chemo-Radiation

TypeinterventionalSponsorMaastricht Radiation OncologyRan2008 to 2009Enrolled120ConditionsLung Cancer, SCLC, NSCLCArms18F-deoxyglucose (FDG)
NCT02666066 completednot on this mapstarted 2016, after this paper: background citation

Radiomics for the Prediction of Survival in GBM After Radiotherapy With/Without Temozolomide

TypeobservationalSponsorMaastricht Radiation OncologyRan2016 to 2018Enrolled289ConditionsGlioblastoma, Glioma, Astrocytoma
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 54 citations in OpenAlex.

  1. Trial
  2. Radiomics in laryngeal squamous cell carcinoma: state of the art.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Radiomics in lung cancer for oncologists.Journal of clinical and translational research · 2020
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. [European journal of nuclear medicine and molecular imaging · 2017
    Article
  19. Review
  20. Article
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

13 authors at 4 institutions in 2 countries.

Sara CarvalhoDepartment of Radiation Oncology (MAASTRO), GROW - School for Oncology and Developmental Biology, Maastricht University Medical Center (MUMC +) , Maastricht , the Netherlands.
Ralph T H Leijenaar
Emmanuel Rios Velazquez
Cary Oberije
Chintan Parmar
Wouter van Elmpt
Bart Reymen
Esther G C Troost
Michel Oellers
Andre Dekker
Robert Gillies
Hugo J W L Aerts
Philippe Lambin
Maastricht University · NLMaastro Clinic · NLBrigham and Women's Hospital · USMoffitt Cancer Center · US

Funding

Radiomics of NSCLCU01CA143062 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI GILLIES, ROBERT J., SCHABATH, MATTHEW B. · 2010 to 2020
$5.7M
NCI NIH HHS U01 CA143062NCI NIH HHS U01 CA 143062 - 01
6 · The paper itself

Abstract

backgroundMaximum, mean and peak SUV of primary tumor at baseline FDG-PET scans, have often been found predictive for overall survival in non-small cell lung cancer (NSCLC) patients. In this study we further investigated the prognostic power of advanced metabolic metrics derived from intensity volume histograms (IVH) extracted from PET imaging.

methodsA cohort of 220 NSCLC patients (mean age, 66.6 years; 149 men, 71 women), stages I-IIIB, treated with radiotherapy with curative intent were included (NCT00522639). Each patient underwent standardized pre-treatment CT-PET imaging. Primary GTV was delineated by an experienced radiation oncologist on CT-PET images. Common PET descriptors such as maximum, mean and peak SUV, and metabolic tumor volume (MTV) were quantified. Advanced descriptors of metabolic activity were quantified by IVH. These comprised five groups of features: absolute and relative volume above relative intensity threshold (AVRI and RVRI), absolute and relative volume above absolute intensity threshold (AVAI and RVAI), and absolute intensity above relative volume threshold (AIRV). MTV was derived from the IVH curves for volumes with SUV above 2.5, 3 and 4, and of 40% and 50% maximum SUV. Univariable analysis using Cox Proportional Hazard Regression was performed for overall survival assessment.

resultsRelative volume above higher SUV (80%) was an independent predictor of OS (p = 0.05). None of the possible surrogates for MTV based on volumes above SUV of 3, 40% and 50% of maximum SUV showed significant associations with OS [p (AVAI3) = 0.10, p (AVAI4) = 0.22, p (AVRI40%) = 0.15, p (AVRI50%) = 0.17]. Maximum and peak SUV (r = 0.99) revealed no prognostic value for OS [p (maximum SUV) = 0.20, p (peak SUV) = 0.22].

conclusionsNew methods using more advanced imaging features extracted from PET were analyzed. Best prognostic value for OS of NSCLC patients was found for relative portions of the tumor above higher uptakes (80% SUV).

Indexed as

Fluorodeoxyglucose F18Positron-Emission TomographyRadiotherapy, Image-GuidedAgedCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleNeoplasm StagingPrognosisRadiopharmaceuticalsRadiotherapy Planning, Computer-AssistedTumor BurdenFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID24047338
PMCPMC4464799
OpenAlexW2023920236

What OpenQuestion holds

Textmetadata
LicenceTDM
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.