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ArticleEuropean radiology2015

(18) F-FDG PET/CT for initial staging in breast cancer patients - Is there a relevant impact on treatment planning compared to conventional staging modalities?

J Krammer, A Schnitzer, C G Kaiser, K A Buesing, E Sperk, J Brade, S Wasgindt, M Suetterlin, S O Schoenberg, E J Sutton and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Therapeutic impact ofBreast cancer research and treatment · 2024
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. The current role of nuclear medicine in breast cancer.The British journal of radiology · 2023
    Review
  10. Article
  11. The Relationship between Pathological Features andWorld journal of nuclear medicine · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. HybridEuropean journal of nuclear medicine and molecular imaging · 2017
    Article
  18. Article
  19. Positron Emission Tomography in Breast Cancer.Diagnostics (Basel, Switzerland) · 2015
    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

11 authors.

J KrammerInstitute of Clinical Radiology and Nuclear Medicine, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany, Julia.Krammer@medma.uni-heidelberg.de.
A Schnitzer
C G Kaiser
K A Buesing
E Sperk
J Brade
S Wasgindt
M Suetterlin
S O Schoenberg
E J Sutton
K Wasser

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of whole-body (18) F-FDG PET/CT on initial staging of breast cancer in comparison to conventional staging modalities.

methodsThis study included 102 breast cancer patients, 101 patients were eligible for evaluation. Preoperative whole-body staging with PET/CT was performed in patients with clinical stage ≥ T2 tumours or positive local lymph nodes (n = 91). Postoperative PET/CT was performed in patients without these criteria but positive sentinel lymph node biopsy (n = 10). All patients underwent PET/CT and a conventional staging algorithm, which included bone scan, chest X-ray and abdominal ultrasound. PET/CT findings were compared to conventional staging and the impact on therapeutic management was evaluated.

resultsPET/CT led to an upgrade of the N or M stage in overall 19 patients (19 %) and newly identified manifestation of breast cancer in two patients (2 %). PET/CT findings caused a change in treatment of 11 patients (11 %). This is within the range of recent studies, all applying conventional inclusion criteria based on the initial T and N status.

conclusionsPET/CT has a relevant impact on initial staging and treatment of breast cancer when compared to conventional modalities. Further studies should assess inclusion criteria beyond the conventional T and N status, e.g. tumour grading and receptor status. KEY POINTS: • PET/CT may be relevant in staging breast cancer patients at higher risk for metastases • PET/CT may modify the N and M stage in multiple patients • PET/CT may impact treatment planning in breast cancer patients.

Indexed as

Fluorodeoxyglucose F18RadiopharmaceuticalsAlgorithmsBreast NeoplasmsFemaleHumansLymphatic MetastasisLymph NodesMiddle AgedMultimodal ImagingNeoplasm MetastasisNeoplasm StagingPatient Care PlanningPositron-Emission TomographyPostoperative CarePreoperative CareFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

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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.