Evidence map›Paper›PMID 25673054›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2015

¹⁸F-Fluorocholine PET/CT as a complementary tool in the follow-up of low-grade glioma: diagnostic accuracy and clinical utility.

Manuel Gómez-Río, Nathalie Testart Dardel, Alicia Santiago Chinchilla, Antonio Rodríguez-Fernández, Gonzalo Olivares Granados, Raquel Luque Caro, Mercedes Zurita Herrera, Clara E Chamorro Santos, Pablo Lardelli-Claret, José M Llamas-Elvira

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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

5 citing papers in PubMed.

  1. Review
  2. Imaging Findings ofNuclear medicine and molecular imaging · 2022
    Article
  3. Review
  4. Article
  5. ¹⁸F-Fluorocholine PET/CT as a complementary tool in the follow-up of low-grade glioma.European journal of nuclear medicine and molecular imaging · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Manuel Gómez-RíoInstituto de Investigación Biosanitaria de Granada, Granada, Spain, manuel.gomez.rio.sspa@juntadeandalucia.es.
Nathalie Testart Dardel
Alicia Santiago Chinchilla
Antonio Rodríguez-Fernández
Gonzalo Olivares Granados
Raquel Luque Caro
Mercedes Zurita Herrera
Clara E Chamorro Santos
Pablo Lardelli-Claret
José M Llamas-Elvira

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe follow-up of treated low-grade glioma (LGG) requires the evaluation of subtle clinical changes and MRI results. When the result is inconclusive, additional procedures are required to assist decision-making, such as the use of advanced MRI (aMRI) sequences and nuclear medicine scans (SPECT and PET). The aim of this study was to determine whether incorporating (18)F-fluorocholine PET/CT in the follow-up protocol for treated LGG improves diagnostic accuracy and clinical utility.

methodsThis was a prospective case-series study in patients with treated LGG during standard follow-up with indeterminate clinical and/or radiological findings of tumour activity. All patients underwent clinical evaluation, aMRI, (201)Tl-SPECT and (18)F-fluorocholine PET/CT. Images were interpreted by visual evaluation complemented with semiquantitative analysis.

resultsBetween January 2012 and December 2013, 18 patients were included in this study. The final diagnosis was established by histology (five surgical specimens, one biopsy specimen) or by consensus of the Neuro-Oncology Group (11 patients) after a follow-up of >6 months (mean 14.9 ± 2.72 months). The global diagnostic accuracies were 90.9% for aMRI (38.8% inconclusive), 69.2 % for (201)Tl-SPECT (11.1% inconclusive), and 100% for (18)F-fluorocholine PET/CT. (201)Tl-SPECT led correctly to a change in the initial approach in 38.9% of patients but might have led to error in 27.8%. The use of (18)F-fluorocholine PET/CT alone rather than (201)Tl-SPECT led correctly to a change in the approach suggested by routine follow-up in 72.2% of patients and endorsed the approach in the remaining 27.8%.

conclusionOur results support the need to complement structural MRI with aMRI and nuclear medicine procedures in selected patients. (18)F-Fluorocholine PET/CT can be useful in the individualized management of patients with treated LGG with uncertain clinical and/or radiological evidence of tumour activity.

Indexed as

Positron-Emission TomographyRadiopharmaceuticalsAdultBrain NeoplasmsCholineFemaleGliomaHumansMaleMiddle AgedMultimodal ImagingThalliumTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedCholinefluorocholineRadiopharmaceuticalsThalliumthallium chloride

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Registered trials

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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.