Evidence map›Paper›PMID 26335246›Full record

ArticlePloS one2015

Accuracy of [18F]FDG PET/MRI for the Detection of Liver Metastases.

Karsten Beiderwellen, Llanos Geraldo, Verena Ruhlmann, Philipp Heusch, Benedikt Gomez, Felix Nensa, Lale Umutlu, Thomas C Lauenstein

Abstract readComparative StudyControlled Clinical Trial
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Diagnostic performance of [European radiology · 2019
    Pooled it
  2. Pooled it
  3. Clinical PET/MR.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
  4. EJNMMI research · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. International EANM-SNMMI-ISMRM consensus recommendation for PET/MRI in oncology.European journal of nuclear medicine and molecular imaging · 2023
    Article
  11. Article
  12. Article
  13. The Value ofDiagnostics (Basel, Switzerland) · 2022
    Review
  14. Review
  15. Review
  16. Article
  17. The Value ofFrontiers in oncology · 2021
    Article
  18. Review
  19. Improving MR sequence of 18F-FDG PET/MR for diagnosing and staging gastric Cancer: a comparison study toCancer imaging : the official publication of the International Cancer Imaging Society · 2020
    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

8 authors.

Karsten BeiderwellenDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Llanos GeraldoDepartment of Nuclear Medicine, University Hospital Santa Creu i Sant Pau, Barcelona, Spain.
Verena RuhlmannClinic for Nuclear Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Philipp HeuschDepartment of Diagnostic and Interventional Radiology, University of Duesseldorf, Duesseldorf, Germany.
Benedikt GomezClinic for Nuclear Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Felix NensaDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Lale UmutluDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Thomas C LauensteinDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare the diagnostic accuracy of [18F]FDG-PET/MRI with PET/CT for the detection of liver metastases.

methods32 patients with solid malignancies underwent [18F]FDG-PET/CT and subsequent PET/MRI of the liver. Two readers assessed both datasets regarding lesion characterization (benign, indeterminate, malignant), conspicuity and diagnostic confidence. An imaging follow-up (mean interval: 185±92 days) and/-or histopathological specimen served as standards of reference. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for both modalities. Accuracy was determined by calculating the area under the receiver operating characteristic (ROC) curve. Values of conspicuity and diagnostic confidence were compared using Wilcoxon-signed-rank test.

resultsThe standard of reference revealed 113 liver lesions in 26 patients (malignant: n = 45; benign: n = 68). For PET/MRI a higher accuracy (PET/CT: 82.4%; PET/MRI: 96.1%; p<0.001) as well as sensitivity (67.8% vs. 92.2%, p<0.01) and NPV (82.0% vs. 95.1%, p<0.05) were observed. PET/MRI offered higher lesion conspicuity (PET/CT: 2.0±1.1 [median: 2; range 0-3]; PET/MRI: 2.8±0.5 [median: 3; range 0-3]; p<0.001) and diagnostic confidence (PET/CT: 2.0±0.8 [median: 2; range: 1-3]; PET/MRI 2.6±0.6 [median: 3; range: 1-3]; p<0.001). Furthermore, PET/MRI enabled the detection of additional PET-negative metastases (reader 1: 10; reader 2: 12).

conclusionsPET/MRI offers higher diagnostic accuracy compared to PET/CT for the detection of liver metastases.

Indexed as

Magnetic Resonance ImagingMultimodal ImagingPositron-Emission TomographyTomography, X-Ray ComputedAdultAgedArea Under CurveCarcinomaFemaleHumansLiver NeoplasmsMaleMelanomaMiddle AgedObserver VariationPredictive Value of Tests

Identifiers

PMID26335246
PMCPMC4559465

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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.