Evidence map›Paper›PMID 25973334›Full record

ArticleAmerican journal of nuclear medicine and molecular imaging2015

Combined use of (18)F-FDG and (18)F-FMISO in unresectable non-small cell lung cancer patients planned for radiotherapy: a dynamic PET/CT study.

Christos Sachpekidis, Christian Thieke, Vasileios Askoxylakis, Nils H Nicolay, Peter E Huber, Michael Thomas, Georgia Dimitrakopoulou, Juergen Debus, Uwe Haberkorn, Antonia Dimitrakopoulou-Strauss

Open access · greenAbstract read
In one paragraph

Article in American 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. The journal of physical chemistry. B · 2025
    Article
  6. Review
  7. Article
  8. Novel Tracers and Radionuclides in PET Imaging.Radiologic clinics of North America · 2021
    Review
  9. Article
  10. Review
  11. Precision radiotherapy for non-small cell lung cancer.Journal of biomedical science · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Can benign lymphoid tissue changes inCancer immunology, immunotherapy : CII · 2019
    Article
  18. Examining correlations of oxygen sensitive MRI (BOLD/TOLD) with [American journal of nuclear medicine and molecular imaging · 2019
    Article
  19. Article
  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

10 authors at 1 institution in 1 country.

Christos SachpekidisClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center Heidelberg, Germany.
Christian ThiekeClinical Cooperation Unit Radiotherapy, German Cancer Research Center Heidelberg, Germany ; Department of Radiation Oncology, University Clinic Heidelberg Germany.
Vasileios AskoxylakisClinical Cooperation Unit Radiotherapy, German Cancer Research Center Heidelberg, Germany ; Department of Radiation Oncology, University Clinic Heidelberg Germany.
Nils H NicolayClinical Cooperation Unit Radiotherapy, German Cancer Research Center Heidelberg, Germany ; Department of Radiation Oncology, University Clinic Heidelberg Germany.
Peter E HuberClinical Cooperation Unit Radiotherapy, German Cancer Research Center Heidelberg, Germany ; Department of Radiation Oncology, University Clinic Heidelberg Germany.
Michael ThomasDepartment Thoracic Oncology/Internal Medicine, Thoraxklinik, University of Heidelberg Germany.
Georgia DimitrakopoulouClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center Heidelberg, Germany.
Juergen DebusClinical Cooperation Unit Radiotherapy, German Cancer Research Center Heidelberg, Germany ; Department of Radiation Oncology, University Clinic Heidelberg Germany.
Uwe HaberkornClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center Heidelberg, Germany ; Division of Nuclear Medicine, University of Heidelberg Germany.
Antonia Dimitrakopoulou-StraussClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center Heidelberg, Germany.
Heidelberg University · DE

Funding

Cancer Research UK 16466
6 · The paper itself

Abstract

Aim of this study was to evaluate and compare, by means of dynamic and static PET/CT, the distribution patterns and pharmacokinetics of fluorine-18 fluorodeoxyglucose ((18)F-FDG) and of fluorine-18-fluoromisonidazole ((18)F-FMISO) in non-small cell lung cancer (NSCLC) patients scheduled for intensity modulated radiation therapy (IMRT). Thirteen patients suffering from inoperable stage III NSCLC underwent PET/CTs with (18)F-FDG and (18)F-FMISO for tumor metabolism and hypoxia assessment accordingly. Evaluation of PET/CT studies was based on visual analysis, semi-quantitative (SUV) calculations and absolute quantitative estimations, after application of a two-tissue compartment model and a non-compartmental approach. (18)F-FDG PET/CT revealed all thirteen primary lung tumors as sites of increased (18)F-FDG uptake. Six patients demonstrated also in total 43 (18)F-FDG avid metastases; these patients were excluded from radiotherapy. (18)F-MISO PET/CT demonstrated 12/13 primary lung tumors with faint tracer uptake. Only one tumor was clearly (18)F-FMISO avid, (SUVaverage = 3.4, SUVmax = 5.0). Mean values for (18)F-FDG, as derived from dPET/CT data, were SUVaverage = 8.9, SUVmax = 15.1, K1 = 0.23, k2 = 0.53, k3 = 0.17, k4 = 0.02, influx = 0.05 and fractal dimension (FD) = 1.25 for the primary tumors. The respective values for (18)F-FMISO were SUVaverage = 1.4, SUVmax = 2.2, K1 = 0.26, k2 = 0.56, k3 = 0.06, k4 = 0.06, influx = 0.02 and FD = 1.14. No statistically significant correlation was observed between the two tracers. (18)F-FDG PET/CT changed therapy management in six patients, by excluding them from planned IMRT. (18)F-FMISO PET/CT revealed absence of significant tracer uptake in the majority of the (18)F-FDG avid NSCLCs. Lack of correlation between the two tracers' kinetics indicates that they reflect different molecular mechanisms and implies the discordance between increased glycolysis and hypoxia in the malignancy.

Indexed as

18F-FDG18F-FMISOhypoxianon-small cell lung cancerPET/CT

Identifiers

PMID25973334
PMCPMC4396010
OpenAlexW2158106343

What OpenQuestion holds

Textmetadata
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.