Evidence map›Paper›PMID 27187730›Full record

ArticleClinical nuclear medicine2016

Assessment of Aggressiveness of Breast Cancer Using Simultaneous 18F-FDG-PET and DCE-MRI: Preliminary Observation.

Nathaniel E Margolis, Linda Moy, Eric E Sigmund, Melanie Freed, Jason McKellop, Amy N Melsaether, Sungheon Gene Kim

Abstract readEvaluation Study
In one paragraph

Article in Clinical nuclear medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. A multiparametric [European journal of nuclear medicine and molecular imaging · 2019
    Trial
  3. Diagnostic Performance of [World journal of nuclear medicine · 2025
    Review
  4. Article
  5. Breast PET/MRI Hybrid Imaging and Targeted Tracers.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  6. Review
  7. Usefulness ofThe British journal of radiology · 2022
    Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Sequential [Contrast media & molecular imaging · 2019
    Article
  14. Article
  15. Breast PET/MR Imaging.Radiologic clinics of North America · 2017
    Review
  16. 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

7 authors at 1 institution in 1 country.

Nathaniel E MargolisFrom the *Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology and †Center for Advanced Imaging Innovation and Research (CAI2R), New York University School of Medicine, New York, New York.
Linda Moy
Eric E Sigmund
Melanie Freed
Jason McKellop
Amy N Melsaether
Sungheon Gene Kim
Cicatelli Associates · US

Funding

TR&D 4: Revealing Microstructure: Biophysical modeling and validation for discovery and clinical careP41EB017183 · NIBIB · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Christopher M Collins · 2014 to 2026
$19.3M
DCE MRI Study for Breast Cancer.R01CA160620 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI KIM, SUNGHEON GENE · 2012 to 2023
$5.4M
PET/MR study of Metastatic Lymph Nodes in Head and Neck CancerR21CA188217 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KIM, SUNGHEON GENE · 2014 to 2015
$703k
NCI NIH HHS R01 CA160620NCI NIH HHS R21 CA188217NIBIB NIH HHS P41 EB017183
6 · The paper itself

Abstract

purposeThis study aims to investigate the feasibility of using simultaneous breast MRI and PET to assess the synergy of MR pharmacokinetic and fluorine-18 fluorodeoxyglucose (F-FDG) uptake data to characterize tumor aggressiveness in terms of metastatic burden and Ki67 status.

methodsTwelve consecutive patients underwent breast and whole-body PET/MRI. During the MR scan, PET events were simultaneously accumulated. MR contrast kinetic model parametric maps were computed using the extended Tofts model, including the volume transfer constant between blood plasma and the interstitial space (K), the transfer constant from the interstitial space to the blood plasma (kep), and the plasmatic volume fraction (Vp).

resultsPatients with systemic metastases had a significantly lower kep compared to those with local disease (0.45 vs. 0.99 min, P = 0.011). Metastatic burden correlated positively with K and standardized uptake value (SUV), and negatively with kep. Ki67 positive tumors had a significantly greater K compared to Ki67 negative tumors (0.29 vs. 0.45 min, P = 0.03). A negative correlation was found between metabolic tumor volume and transfer constant (K or Kep).

conclusionThese preliminary results suggest that MR pharmacokinetic parameters and FDG-PET may aid in the assessment of tumor aggressiveness and metastatic potential. Future studies are warranted with a larger cohort to further assess the role of pharmacokinetic modeling in simultaneous PET/MRI imaging.

Indexed as

Magnetic Resonance ImagingMultimodal ImagingPositron-Emission TomographyAdultAgedBreast NeoplasmsCarcinoma, Ductal, BreastFemaleFluorodeoxyglucose F18HumansMiddle AgedNeoplasm MetastasisRadiopharmaceuticalsFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID27187730
PMCPMC4935605
OpenAlexW2400573187

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.