Evidence map›Paper›PMID 27110955›Full record

ArticleNuclear medicine communications2016

Value of fourth and subsequent post-therapy follow-up 18F-FDG PET/CT scans in patients with breast cancer.

Mehdi Taghipour, Sara Sheikhbahaei, Tyler J Trahan, Rathan M Subramaniam

Abstract read
In one paragraph

Article in Nuclear medicine communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Follow-Up Strategies and Detection of Recurrent Breast Cancer in the Modern Era.Asian Pacific journal of cancer prevention : APJCP · 2023
    Article
  3. Clinical Indications and Impact on Management: Fourth and Subsequent Posttherapy Follow-upJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 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

4 authors.

Mehdi TaghipouraRussell H Morgan Department of Radiology and Radiological SciencesbDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of MedicinecDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Sara Sheikhbahaei
Tyler J Trahan
Rathan M Subramaniam

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Summer Translational Oncology Program (STOP)R25CA171973 · NCI · JOHNS HOPKINS UNIVERSITY · PI BUNZ, FRED, EMENS, LEISHA A · 2013 to 2017
$340k
NCI NIH HHS P30 CA006973NCI NIH HHS R25 CA171973
6 · The paper itself

Abstract

objectiveTo evaluate the accuracy and value of the fourth and subsequent post-therapy follow-up fluorine-18 fluorodeoxyglucose (F-FDG) PET/computed tomography (CT) scans in the clinical assessment of breast cancer patients. MATERIALS AND

methodsNinety-two female patients, with a total of 426 fourth and subsequent follow-up PET/CT scans, were retrospectively included. Patients were followed for a median of 23.7 months (range, 0.7-124.4) from the fourth follow-up PET/CT. The diagnostic accuracy of PET/CT, its impact on clinical assessment, patients' management, and survival outcome were established.

resultOf the 426 follow-up PET/CT scans, 264 (62%) were interpreted as positive and 162 (38%) were interpreted as negative. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the fourth and subsequent follow-up PET/CT scans were 97.7, 98.1, 98.8, 96.3, and 97.9%, respectively. Fourth and subsequent follow-up PET/CT were useful in excluding a tumor in 13.4% (39/292) of patients with a clinical suspicion of recurrence and identifying suspected recurrence in 10.5% (14/134) of patients without previous clinical suspicion. A change in management was noted in 6.7% (9/134) of scan times when the scans were performed without previous clinical suspicion of recurrence or therapy response and was 27.7% (81/292) when the scans were performed with clinical suspicion. Overall survival differed significantly between patients with all negative follow-up scans (n=23) and those who had at least one positive follow-up scan (n=69) (hazard ratio of 4.65, P<0.001).

conclusionThe fourth and subsequent PET/CT scans performed after the completion of primary treatment led to a change in management in 27.7% of patients when the scans were performed with clinical suspicion and only in 6.7% of patients when performed without clinical suspicion or context.

Indexed as

Fluorodeoxyglucose F18Breast NeoplasmsDisease-Free SurvivalFemaleHumansLongitudinal StudiesMarylandMiddle AgedPositron Emission Tomography Computed TomographyRadiopharmaceuticalsReproducibility of ResultsRetrospective StudiesRisk FactorsSensitivity and SpecificitySurvival RateTreatment OutcomeFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID27110955
PMCPMC4898188

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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.