Evidence map›Paper›PMID 26294219›Full record

ArticleBMC urology2015

PET/CT versus conventional CT for detection of lymph node metastases in patients with locally advanced bladder cancer.

Firas Aljabery, Gunnar Lindblom, Susann Skoog, Ivan Shabo, Hans Olsson, Johan Rosell, Staffan Jahnson

Open access · goldAbstract read
In one paragraph

Article in BMC urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. European journal of nuclear medicine and molecular imaging · 2025
    Article
  4. Diagnostic efficacy of [Discover oncology · 2025
    Article
  5. Article
  6. Review
  7. FDG-PET/CT for lymph node staging prior to radical cystectomy.European journal of hybrid imaging · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Role of PET/CT in muscle-invasive bladder cancer.Translational andrology and urology · 2020
    Review
  17. Article
  18. Review
  19. Integrated analysis ofEuropean radiology · 2019
    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

7 authors at 3 institutions in 1 country.

Firas AljaberyDepartment of Urology, Linköping University Hospital, Linköping, Sweden. Firas.Abdul-Sattar.Aljabery@regionostergotland.se.
Gunnar LindblomDepartment of Radiology, Linköping University Hospital, Linköping, Sweden. Gunnar.Lindblom@regionostergotland.se.
Susann SkoogDepartment of Radiology, Linköping University Hospital, Linköping, Sweden. Susann.Skoog@regionostergotland.se.
Ivan ShaboDepartment of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden. ivan.shabo@ki.se.
Hans OlssonDepartment of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden. hansolsson33@telia.com.
Johan RosellRegional Cancer Center Southeast Sweden, County Council of Östergötland, Linköping, Sweden. Johan.Rosell@regionostergotland.se.
Staffan JahnsonDepartment of Urology, Linköping University Hospital, Linköping, Sweden. Staffan.Jahnson@glocalnet.net.
Linköping University · SELinköping University Hospital · SECounty Administrative Board · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe studied patients treated with radical cystectomy for locally advanced bladder cancer to compare the results of both preoperative positron emission tomography/computed tomography (PET/CT) and conventional CT with the findings of postoperative histopathological evaluation of lymph nodes.

methodsPatients who had bladder cancer and were candidates for cystectomy underwent preoperative PET/CT using 18-fluorodeoxyglucose (FDG) and conventional CT. The results regarding lymph node involvement were independently evaluated by two experienced radiologists and were subsequently compared with histopathology results, the latter of which were reassessed by an experienced uropathologist (HO).

resultsThere were 54 evaluable patients (mean age 68 years, 47 [85%] males and 7 [15%] females) with pT and pN status as follows: < pT2-14 (26%), pT2-10 (18%), and > pT2-30 (56%); pN0 37 (69%) and pN+ 17 (31%). PET/CT showed positive lymph nodes in 12 patients (22%), and 7 of those cases were confirmed by histopathology; the corresponding results for conventional CT were 11 (20%) and 7 patients (13%), respectively. PET/CT had 41% sensitivity, 86% specificity, 58% PPV, and 76% NPV, whereas the corresponding figures for conventional CT were 41%, 89%, 64%, and 77%. Additional analyses of the right and left side of the body or in specified anatomical regions gave similar results.

conclusionsIn this study, PET/CT and conventional CT had similar low sensitivity in detecting and localizing regional lymph node metastasis in bladder cancer.

Indexed as

AgedFemaleHumansLymphatic MetastasisLymph NodesMaleMultimodal ImagingPositron-Emission TomographySensitivity and SpecificityTomography, X-Ray ComputedUrinary Bladder Neoplasms

Identifiers

PMID26294219
PMCPMC4546250
OpenAlexW1950976180

What OpenQuestion holds

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LicenceCC BY
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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.