Evidence map›Paper›PMID 24832174›Full record

ArticleBritish journal of cancer2014

Evaluation of FLT-PET-CT as an imaging biomarker of proliferation in primary breast cancer.

D K Woolf, M Beresford, S P Li, M Dowsett, B Sanghera, W L Wong, L Sonoda, S Detre, V Amin, M-L Ah-See and 2 more

Abstract readEvaluation Study
In one paragraph

Article in British journal of cancer, 2014. 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. The use of 3'-deoxy-3'-Annals of nuclear medicine · 2019
    Trial
  2. Trial
  3. Trial
  4. Observational
  5. Review
  6. The Role of PET/CT in Breast Cancer.Diagnostics (Basel, Switzerland) · 2023
    Review
  7. Novel applications of molecular imaging to guide breast cancer therapy.Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
    Review
  8. Review
  9. Review
  10. Cell-Proliferation Imaging for Monitoring Response to CDK4/6 Inhibition Combined with Endocrine-Therapy in Breast Cancer: Comparison of [Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  11. IntratumoralEJNMMI research · 2019
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Biomarkers in preclinical cancer imaging.European journal of nuclear medicine and molecular imaging · 2015
    Review
  19. Applications of PET imaging with the proliferation marker [18F]-FLT.The quarterly journal of nuclear medicine and molecular imaging : official publication of the Italian Association of Nuclear Medicine (AIMN) [and] the International Association of Radiopharmacology (IAR), [and] Section of the Society of... · 2015
    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

12 authors.

D K WoolfBreast Research Unit, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK.
M BeresfordDepartment of Oncology, Royal United Hospital Bath, Avon, Bath, BA1 3NG, UK.
S P LiBreast Research Unit, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK.
M DowsettAcademic Department of Biochemistry, Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK.
B SangheraPaul Strickland Scanner Centre, Mount Vernon Hospital, Rickmansworth Road, Northwood, HA6 2RN, UK.
W L WongPaul Strickland Scanner Centre, Mount Vernon Hospital, Rickmansworth Road, Northwood, HA6 2RN, UK.
L SonodaPaul Strickland Scanner Centre, Mount Vernon Hospital, Rickmansworth Road, Northwood, HA6 2RN, UK.
S DetreAcademic Department of Biochemistry, Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK.
V AminBreast Research Unit, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK.
M-L Ah-SeeBreast Research Unit, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK.
D MilesBreast Research Unit, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK.
A MakrisBreast Research Unit, Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background[(18)F]fluorothymidine (FLT) has been proposed as a positron emission tomography (PET)-imaging biomarker of proliferation for breast cancer. The aim of this prospective study was to assess the feasibility of FLT-PET-CT as a technique for predicting the response to neoadjuvant chemotherapy (NAC) in primary breast cancer and to compare baseline FLT with Ki-67.

methodsTwenty women with primary breast cancer had a baseline FLT-PET-CT scan that was repeated before the second cycle of chemotherapy. Expression of Ki-67 in the diagnostic biopsy was quantified. From the FLT-PET-CT scans lesion maximum and mean standardised uptake values (SUVmax, SUVmean) were calculated.

resultsMean baseline SUVmax was 7.3, and 4.62 post one cycle of NAC, representing a drop of 2.68 (36.3%). There was no significant association between baseline, post chemotherapy, or change in SUVmax and pathological response to NAC. There was a significant correlation between pre-chemotherapy Ki-67 and SUVmax of 0.604 (P=0.006).

conclusionsBaseline SUVmax measurements of FLT-PET-CT were significantly related to Ki-67 suggesting that it is a proliferation biomarker. However, in this series neither the baseline value nor the change in SUVmax after one cycle of NAC were able to predict response as most patients had a sizeable SUVmax reduction.

Indexed as

DideoxynucleosidesRadiopharmaceuticalsAdultAgedAntineoplastic AgentsBiomarkers, TumorBreast NeoplasmsCell ProliferationFemaleHumansKi-67 AntigenMastectomyMiddle AgedNeoadjuvant TherapyPositron-Emission TomographyProspective StudiesalovudineAntineoplastic AgentsBiomarkers, TumorDideoxynucleosidesKi-67 AntigenRadiopharmaceuticals

Identifiers

PMID24832174
PMCPMC4056049

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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.