Evidence map›Paper›PMID 26834099›Full record

ReviewJournal of nuclear medicine : official publication, Society of Nuclear Medicine2016

¹⁸F-FDG PET/CT for Monitoring of Treatment Response in Breast Cancer.

Stefanie Avril, Raymond F Muzic, Donna Plecha, Bryan J Traughber, Shaveta Vinayak, Norbert Avril

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
13.7field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. The accuracy ofEuropean radiology · 2017
    Pooled it
  2. IntegratedEuropean journal of nuclear medicine and molecular imaging · 2018
    Trial
  3. Trial
  4. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  5. Diagnostic Performance ofNPJ breast cancer · 2026
    Article
  6. Review
  7. [La Radiologia medica · 2026
    Review
  8. Per-patient Comparison of [Journal of Cancer · 2026
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Targeting the Warburg Effect in Cancer: Where Do We Stand?International journal of molecular sciences · 2024
    Review
  19. Article
  20. PretreatmentCancer imaging : the official publication of the International Cancer Imaging Society · 2023
    Article

7 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 1 country.

Stefanie AvrilDepartment of Pathology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio.
Raymond F MuzicDepartment of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio.
Donna PlechaDepartment of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio.
Bryan J TraughberDepartment of Radiation Oncology, Seidman Cancer Center, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio; and.
Shaveta VinayakDepartment of Medicine (Hematology and Oncology), Seidman Cancer Center, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio.
Norbert AvrilDepartment of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio Norbert.Avril@Case.edu.
Case Western Reserve University · USUniversity Hospitals Case Medical Center · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
TRANSLATIONAL RESEARCH ONCOLOGY TRAINING GRANTK12CA076917 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI GERSON, STANTON L. · 1997 to 2022
$14.2M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
NCATS NIH HHS KL2 TR000440NCATS NIH HHS KL2TR000440NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1TR000439NCI NIH HHS K12 CA076917
6 · The paper itself

Abstract

Changes in tumor metabolic activity have been shown to be an early indicator of treatment effectiveness for breast cancer, mainly in the neoadjuvant setting. The histopathologic response at the completion of chemotherapy has been used as the reference standard for assessment of the accuracy of (18)F-FDG PET in predicting a response during systemic treatment. Although a pathologic complete response (pCR) remains an important positive prognostic factor for an individual patient, a recent metaanalysis could validate pCR as a surrogate marker for patient outcomes only in aggressive breast cancer subtypes. For establishment of the clinical application of metabolic treatment response studies, larger series of specific breast cancer subtypes-including hormone receptor-positive, human epidermal growth factor receptor 2-positive, and triple-negative breast cancers-are necessary. In addition, thresholds for relative changes in (18)F-FDG uptake to distinguish between responding and nonresponding tumors need to be validated for different systemic treatment approaches, with progression-free survival and overall survival as references. A PET-based treatment stratification is applicable clinically only if valid alternative therapies are available. Of note, patients who do not achieve a pCR might still benefit from neoadjuvant therapy enabling breast-conserving surgery. In the metastatic setting, residual tumor metabolic activity after the initiation of systemic therapy is an indicator of active disease, whereas a complete resolution of metabolic activity is predictive of a successful treatment response.

Indexed as

Fluorodeoxyglucose F18RadiopharmaceuticalsBreast NeoplasmsFemaleHumansMonitoring, PhysiologicPositron-Emission TomographyTomography, Emission-Computed, Single-PhotonTreatment OutcomeFluorodeoxyglucose F18Radiopharmaceuticals18F-FDG18F-FDG PETbreast cancerPET/CTtherapy monitoringtreatment response

Identifiers

PMID26834099
PMCPMC5228521
OpenAlexW2272893973

What OpenQuestion holds

Textmetadata
LicenceTDM
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.