Evidence map›Paper›PMID 24979177›Full record

ArticleOncotarget2014

Week one FLT-PET response predicts complete remission to R-CHOP and survival in DLBCL.

Ken Herrmann, Andreas K Buck, Tibor Schuster, Kathrin Abbrederis, Christina Blümel, Ivan Santi, Martina Rudelius, Hans-Jürgen Wester, Christian Peschel, Markus Schwaiger and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 12% 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.

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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Prospective Study of 3'-Deoxy-3'-18F-Fluorothymidine PET for Early Interim Response Assessment in Advanced-Stage B-Cell Lymphoma.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2016
    Trial
  3. Trial
  4. Emerging Role of [Hematology reports · 2024
    Review
  5. Molecular imaging with FLT: a case of Cassandra's curse?European journal of nuclear medicine and molecular imaging · 2021
    Article
  6. Review
  7. MRI and PET/MRI in hematologic malignancies.Journal of magnetic resonance imaging : JMRI · 2020
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. 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

12 authors at 4 institutions in 2 countries.

Ken HerrmannDepartment of Nuclear Medicine, Technische Universität München, Munich, Germany. Department of Nuclear Medicine, Universitätsklinikum Würzburg, Würzburg, Germany. These Authors contributed equally to this work.
Andreas K BuckDepartment of Nuclear Medicine, Technische Universität München, Munich, Germany. Department of Nuclear Medicine, Universitätsklinikum Würzburg, Würzburg, Germany. These Authors contributed equally to this work.
Tibor SchusterDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.
Kathrin AbbrederisIII. Medical Department, Technische Universität München, Munich, Germany.
Christina BlümelDepartment of Nuclear Medicine, Universitätsklinikum Würzburg, Würzburg, Germany.
Ivan SantiDepartment of Nuclear Medicine, Technische Universität München, Munich, Germany.
Martina RudeliusInstitute of Pathology, Technische Universität München, Munich, Germany. Institute of Pathology, Universitätsklinikum Würzburg, Würzburg, Germany.
Hans-Jürgen WesterDepartment of Nuclear Medicine, Technische Universität München, Munich, Germany.
Christian PeschelIII. Medical Department, Technische Universität München, Munich, Germany.
Markus SchwaigerDepartment of Nuclear Medicine, Technische Universität München, Munich, Germany.
Tobias DechowIII. Medical Department, Technische Universität München, Munich, Germany. Oncology Ravensburg, Ravensburg, Germany.
Ulrich KellerIII. Medical Department, Technische Universität München, Munich, Germany.
Technical University of Munich · DEUniversitätsklinikum Würzburg · DEMcGill University · CARavensburg University of Cooperative Education · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite improved survival in the Rituximab (R) era, a considerable number of patients with diffuse large B-cell lymphoma (DLBCL) ultimately die from the disease. Functional imaging using [18F]fluorodeoxyglucose-PET is suggested for assessment of residual viable tumor very early during treatment but is compromised by non-specific tracer retention in inflammatory lesions. The PET tracer [18F]fluorodeoxythymidine (FLT) as surrogate marker of tumor proliferation may overcome this limitation. We present results of a prospective clinical study testing FLT-PET as superior and early predictor of response to chemotherapy and outcome in DLBCL. 54 patients underwent FLT-PET prior to and one week after the start of R-CHOP chemotherapy. Repetitive FLT-PET imaging was readily implemented into the diagnostic work-up. Our data demonstrate that the reduction of FLT standard uptake valuemean (SUVmean) and SUVmax one week after chemotherapy was significantly higher in patients achieving complete response (CR, n=48; non-CR, n=6; p<0.006). Martingale-residual and Cox proportional hazard analyses showed a significant monotonous decrease of mortality risk with increasing change in SUV. Consistent with these results, early FLT-PET response showed relevant discriminative ability in predicting CR. In conclusion, very early FLT-PET in the course of R-CHOP chemotherapy is feasible and enables identification of patients at risk for treatment failure.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, Murine-DerivedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDisease-Free SurvivalDoxorubicinFemaleHumansLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPositron-Emission TomographyPrednisoneAntibodies, Monoclonal, Murine-DerivedAntineoplastic AgentsCyclophosphamideDoxorubicinPrednisoneR-CHOP protocolRituximabVincristine

Identifiers

PMID24979177
PMCPMC4147305
OpenAlexW1544049253

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.