Evidence map›Paper›PMID 27164899›Full record

ReviewEuropean journal of nuclear medicine and molecular imaging2016

Clinical utility of F-18 FDG PET-CT in the initial evaluation of lung cancer.

Poul Henning Madsen, Paw Christian Holdgaard, Janne Buck Christensen, Poul Flemming Høilund-Carlsen

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of nuclear medicine and molecular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Lung Cancer Screening, Version 3.2018, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2018
    Guideline
  3. Article
  4. Article
  5. Article
  6. Article
  7. Impact of preoperative [Annals of nuclear medicine · 2024
    Article
  8. Article
  9. An Investigation of the Relationship BetweenCurrent radiopharmaceuticals · 2024
    Article
  10. Quantitative parameters of static imaging and fast kinetics imaging inQuantitative imaging in medicine and surgery · 2023
    Article
  11. Article
  12. Quantitative assessment of intratumoral 2-[Quantitative imaging in medicine and surgery · 2022
    Article
  13. Review
  14. Staging and operability of primary lung cancer in Western Cape Province, South Africa.African journal of thoracic and critical care medicine · 2022
    Article
  15. Value of PET imaging for radiation therapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. The feasibility of prostate-specific membrane antigen positron emission tomography(PSMA PET/CT)-guided radiotherapy in oligometastatic prostate cancer patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    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 at 2 institutions in 1 country.

Poul Henning MadsenDepartment of Medicine, Division of Respiratory Medicine, Vejle Hospital, Kabbeltoft 25, 7100, Vejle, Denmark. phmadsen@dadlnet.dk.
Paw Christian HoldgaardDepartment of Nuclear Medicine, Vejle Hospital, Vejle, Denmark.
Janne Buck ChristensenDepartment of Quality and Research/HTA, Odense University Hospital and Medical Research Library, Odense University Hospital/University of Southern Denmark, Odense, Denmark.
Poul Flemming Høilund-CarlsenDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Odense University Hospital · DKVejle Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePositron emission tomography-computed tomography (PET-CT) is a resource-demanding imaging modality with increasing popularity in the workup of patients with suspected or proven lung cancer.

methodsTo review the clinical usefulness of this imaging modality in the diagnosis, staging, and pre-operative evaluation, we conducted a systematic literature search, review, and quality assessment using the rapid evidence assessment toolkit and the Oxford Centre for Evidence-Based Medicine methodology. The literature search resulted in 4,208 records including 918 reviews, of which 139 met the predefined criteria and were read in full to identify relevant original articles on F-18 FDG PET-CT (1) in the evaluation of solitary pulmonary nodules (n = 14), (2) in curative-intent treatment trials (n = 9), and (3) in planning of invasive procedures (n = 18).

resultsWe found the following important results from the literature review: 1) PET-CT can rule out malignancy in most solitary pulmonary nodules due to high sensitivity (recommendation level A). 2) PET-CT reduces the number of futile treatment trials (recommendation level A). 3) The sensitivity of PET-CT in general is insufficient to rule out mediastinal lymph node metastasis (recommendation level A).

conclusionsᅟ 1) With few exceptions, solitary pulmonary nodules can safely be considered benign if the PET-CT scan is negative. Exceptions consist of small (<1 cm) and non-solid, solitary pulmonary nodules. These abnormalities should be followed up by CT in a structured programme. 2) No curative-intent treatment should be commenced until a PET-CT scan has excluded occult distant metastases. 3) In general, lymph node metastasis in the mediastinum cannot be ruled out on the basis of a negative PET-CT, and confirmative invasive staging should be performed in most patients before mediastinal metastasis is confirmed or ruled out.

Indexed as

Fluorodeoxyglucose F18Early Detection of CancerHumansLung NeoplasmsPositron Emission Tomography Computed TomographyPrevalenceRadiopharmaceuticalsReproducibility of ResultsRisk FactorsSensitivity and SpecificityFluorodeoxyglucose F18Radiopharmaceuticals18-F PET-CTEndobronchial ultrasoundLung cancerSolitary pulmonary nodule

Identifiers

PMID27164899
OpenAlexW2365542013

What OpenQuestion holds

Textmetadata
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.