Evidence map›Paper›PMID 24877151›Full record

Trial reportBioMed research international2014

Prospective analysis of 18F-FDG PET/CT predictive value in patients with low rectal cancer treated with neoadjuvant chemoradiotherapy and conservative surgery.

Artor Niccoli-Asabella, Corinna Altini, Raffaele De Luca, Margherita Fanelli, Domenico Rubini, Cosimo Caliandro, Severino Montemurro, Giuseppe Rubini

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02439086 (Prediction of Response to Neoadjuvant Chemoradiotherapy in Locally Advanced Rectal Cancer.), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02439086 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Prediction of Response to Neoadjuvant Chemoradiotherapy in Locally Advanced Rectal Cancer.

TypeinterventionalSponsorColchester General HospitalRan2015 to 2017Enrolled20ConditionsRectal NeoplasmsArmsPET-CT Scan
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

8 authors.

Artor Niccoli-AsabellaNuclear Medicine Unit, DIM, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.
Corinna AltiniNuclear Medicine Unit, DIM, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.
Raffaele De LucaDepartment of Surgical Oncology, Istituto Tumori "G. Paolo II", Viale Orazio Flacco 65, 70124 Bari, Italy.
Margherita FanelliNuclear Medicine Unit, DIM, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0002-0128-9745
Domenico RubiniNuclear Medicine Unit, DIM, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.
Cosimo CaliandroDepartment of Surgical Oncology, Istituto Tumori "G. Paolo II", Viale Orazio Flacco 65, 70124 Bari, Italy.
Severino MontemurroDepartment of Surgical Oncology, Istituto Tumori "G. Paolo II", Viale Orazio Flacco 65, 70124 Bari, Italy.
Giuseppe RubiniNuclear Medicine Unit, DIM, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0003-1972-3308

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledThis study prospectively assessed (18)F-FDG PET/CT in predicting the response of locally advanced low rectal cancer (LRC) to neoadjuvant chemoradiation (nCRT).

methods56 patients treated with chemoradiation underwent two (18)F-FDG PET/CT scans (baseline and 5-6 weeks post-nCRT). (18)F-FDG uptake (SUVmax and SUVmean) and differences between baseline (SUV1) and post-nCRT (SUV2) scans (ΔSUV and RI%) were evaluated. Results were related to the Mandard's TRG and (y)pTNM.

results(18)F-FDG PET/CT sensitivity, specificity, accuracy, PPV and NPV resulted in 88.6%, 66.7%, 83.92%, 90.7%, and 61.5%. SUV2 resulted in better than SUV1 to predict nCRT response by TRG, with no significant statistical difference between the SUVmax2 and SUVmean2 AUC (0.737 versus 0.736; P = 0.928). The same applies to the (y)pTNM (0.798 versus 0.782; P = 0.192). In relation to the TRG, RI values had a higher AUC than ΔSUV, with no significant difference between RImax and RImean (0.672 versus 0.695; P = 0.292). The same applied to the (y)pTNM (0.742 versus 0.741; P = 0.940). In both cases ΔSUV does not appear to be a good predictive tool. Logistic regression confirmed the better predictive role of SUVmax2 for the (y)pTNM (odds ratio = 1.58) and SUVmean2 for the TRG (odds ratio = 1.87).

conclusions(18)F-FDG PET/CT can evaluate response to nCRT in LRC, even if more studies are required to define the most significant parameter for predicting pathologic tumor changes.

Indexed as

AdenocarcinomaRectal NeoplasmsAdultAgedAged, 80 and overFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedNeoadjuvant TherapyPositron-Emission TomographyPredictive Value of TestsPrognosisProspective StudiesRadiographyFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID24877151
PMCPMC4024401

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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.