Evidence map›Paper›PMID 26368542›Full record

Trial reportPloS one2015

Comparison of the Prognostic Value of F-18 Pet Metabolic Parameters of Primary Tumors and Regional Lymph Nodes in Patients with Locally Advanced Cervical Cancer Who Are Treated with Concurrent Chemoradiotherapy.

Gun Oh Chong, Shin Young Jeong, Shin-Hyung Park, Yoon Hee Lee, Sang-Woo Lee, Dae Gy Hong, Jae-Chul Kim, Yoon Soon Lee, Young Lae Cho

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.1field-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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Improving the Prognostic Performance of SUVJournal of clinical medicine · 2020
    Article
  9. Prognosis-Predicting Model Based on [Journal of clinical medicine · 2020
    Article
  10. Review
  11. Article
  12. Enhancing prognosis prediction using pre-treatment nodal SUVmax and HPV status in cervical squamous cell carcinoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2019
    Article
  13. Article
  14. What's New in Imaging for Gynecologic Cancer?Current oncology reports · 2017
    Review
  15. Article
  16. [Value ofZhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2017
    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

9 authors at 1 institution in 1 country.

Gun Oh ChongDepartment of Obstetrics and Gynecology, Kyungpook National University Medical Center/ School of Medicine, Daegu, Republic of Korea.
Shin Young JeongDepartment of Nuclear Medicine, Kyungpook National University Medical Center/ School of Medicine, Daegu, Republic of Korea.
Shin-Hyung ParkDepartment of Radiation Oncology, Kyungpook National University Medical Center/School of Medicine, Daegu, Republic of Korea.
Yoon Hee LeeDepartment of Obstetrics and Gynecology, Kyungpook National University Medical Center/ School of Medicine, Daegu, Republic of Korea.
Sang-Woo LeeDepartment of Nuclear Medicine, Kyungpook National University Medical Center/ School of Medicine, Daegu, Republic of Korea.
Dae Gy HongDepartment of Obstetrics and Gynecology, Kyungpook National University Medical Center/ School of Medicine, Daegu, Republic of Korea.
Jae-Chul KimDepartment of Radiation Oncology, Kyungpook National University Medical Center/School of Medicine, Daegu, Republic of Korea.
Yoon Soon LeeDepartment of Obstetrics and Gynecology, Kyungpook National University Medical Center/ School of Medicine, Daegu, Republic of Korea.
Young Lae ChoDepartment of Obstetrics and Gynecology, Kyungpook National University Medical Center/ School of Medicine, Daegu, Republic of Korea.
Kyungpook National University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated the metabolic parameters of primary tumors and regional lymph nodes, as measured by pre-treatment F-18 fluorodeoxyglucose positron emission tomography/computed tomography (F-18 FDG PET/CT) to compare the prognostic value for the prediction of tumor recurrence. This study also identified the most powerful parameter in patients with locally advanced cervical cancer treated with concurrent chemoradiotherapy.

methodsFifty-six patients who were diagnosed with cervical cancer with pelvic and/or paraaortic lymph node metastasis were enrolled in this study. Metabolic parameters including the maximum standardized uptake value (SUVmax), the metabolic tumor volume (MTV), and total lesion glycolysis (TLG) of the primary tumors and lymph nodes were measured by pre-treatment F-18 FDG PET/CT. Univariate and multivariate analyses for disease-free survival (DFS) were performed using the clinical and metabolic parameters.

resultsThe metabolic parameters of the primary tumors were not associated with DFS. However, DFS was significantly longer in patients with low values of nodal metabolic parameters than in those with high values of nodal metabolic parameters. A univariate analysis revealed that nodal metabolic parameters (SUVmax, MTV and TLG), paraaortic lymph node metastasis, and post-treatment response correlated significantly with DFS. Among these parameters, nodal SUVmax (hazard ratio [HR], 4.158; 95% confidence interval [CI], 1.1-22.7; p = 0.041) and post-treatment response (HR, 7.162; 95% CI, 1.5-11.3; p = 0.007) were found to be determinants of DFS according to a multivariate analysis. Only nodal SUVmax was an independent pre-treatment prognostic factor for DFS, and the optimal cutoff for nodal SUVmax to predict progression was 4.7.

conclusionNodal SUVmax according to pre-treatment F-18 FDG PET/CT may be a prognostic biomarker for the prediction of disease recurrence in patients with locally advanced cervical cancer.

Indexed as

ChemoradiotherapyLymph NodesPositron-Emission TomographyUterine Cervical NeoplasmsAdultAgedDisease-Free SurvivalFemaleFollow-Up StudiesGlucose-6-PhosphateHumansMiddle AgedRadiographySurvival Rate2-fluoro-2-deoxyglucose-6-phosphateGlucose-6-Phosphate

Identifiers

PMID26368542
PMCPMC4569279
OpenAlexW2219788492

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.