Evidence map›Paper›PMID 27607161›Full record

ArticleClinical nuclear medicine2017

Comparison of PET/MRI With PET/CT in the Evaluation of Disease Status in Lymphoma.

Asim Afaq, Francesco Fraioli, Harbir Sidhu, Simon Wan, Shonit Punwani, Shih-Hsin Chen, Oguz Akin, David Linch, Kirit Ardeshna, Jonathan Lambert and 3 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Clinical nuclear medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

37 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. CNN-based detection of pediatric lymphoma on whole body [American journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Mapping the knowledge landscape of the PET/MR domain: a multidimensional bibliometric analysis.European journal of nuclear medicine and molecular imaging · 2025
    Review
  4. Article
  5. Lymphocyte Level at Diagnosis in Hodgkin lymphoma: Could It be an Indicator of the Stage at Initial Diagnosis?International journal of hematology-oncology and stem cell research · 2024
    Article
  6. Review
  7. [European radiology · 2023
    Article
  8. Article
  9. Article
  10. Diagnostic performance of prospective same-day 18F-FDG PET/MRI and 18F-FDG PET/CT in the staging and response assessment of lymphoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Whole-body MRI versus an [European radiology · 2021
    Article
  18. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021
    Article
  19. Review
  20. 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

13 authors at 5 institutions in 3 countries.

Asim AfaqFrom the *Institute of Nuclear Medicine, University College London, and University College London Hospitals NHS Foundation Trust, London, United Kingdom; †UCL Centre for Medical Imaging, University College London, London, United Kingdom; ‡Nuclear Medicine and Molecular Imaging Center, Chang Gung Memorial Hospital, Linkou, Taiwan; §Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY; ∥UCL Cancer Institute, University College London, London UK; and ¶Department of Clinical Haematology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Francesco Fraioli
Harbir Sidhu
Simon Wan
Shonit Punwani
Shih-Hsin Chen
Oguz Akin
David Linch
Kirit Ardeshna
Jonathan Lambert
Kenneth Miles
Ashley Groves
Irfan Kayani
University College London Hospitals NHS Foundation Trust · GBMemorial Sloan Kettering Cancer Center · USUniversity College London · GBChang Gung Memorial Hospital · TWCRUK Lung Cancer Centre of Excellence · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeThe primary aim was to compare the diagnostic performance of PET/MRI (performed with basic anatomical MRI sequences) in detecting sites of disease in adult patients with lymphoma compared with the current standard of care, PET/CT. Secondary aims were to assess the additional value of diffusion-weighted imaging to PET/MRI in disease detection and to evaluate the relationship between the standardized uptake value on PET/MR and the apparent diffusion coefficient on diffusion-weighted imaging.

methodsSixty-eight studies in 66 consecutive patients with histologically proven Hodgkin or non-Hodgkin lymphoma were prospectively evaluated. Each patient had whole body PET/CT, followed by whole body PET/MR. Two experienced readers independently evaluated the PET/MRI studies, and two other experienced readers independently evaluated PET/CT. Site of lymphoma involvement and SUVmax at all nodal sites more avid than background liver were recorded. Readers provided stage (in baseline cases) and disease status (remission vs active disease). The apparent diffusion coefficient mean value corresponding to the most avid PET site of disease was recorded.

resultsNinety-five nodal and 8 extranodal sites were identified on both PET/CT and PET/MRI. In addition, 3 nodal and 1 extranodal sites were identified on PET/MRI. For positive lesion detection, reader agreement in PET/MR was perfect between the 2 readers and almost perfect between PET/CT and PET/MR (k > 0.978). Intermodality agreement between PET/CT and PET/MRI was also near perfect to perfect for staging/disease status k = (0.979-1.000). SUVmax from PET/CT and PET/MRI correlated significantly (Spearman rho correlation coefficient, 0.842; P < 0.001). Diffusion-weighted imaging did not alter lesion detection or staging in any case. A negative correlation was demonstrated between ADC mean and SUVmax (Spearman rho correlation coefficient r, -0.642; P < 0.001).

conclusionsPET/MRI is a reliable alternative to PET/CT in the evaluation of patients with lymphoma. Diffusion-weighted imaging did not alter diagnostic accuracy. With comparable accuracy in detection of disease sites and added benefit of radiation dose reduction, PET/MRI has a potential to become part of routine lymphoma imaging.

Indexed as

AdolescentAdultAgedAged, 80 and overBone Marrow NeoplasmsDiffusion Magnetic Resonance ImagingFemaleFluorodeoxyglucose F18Hodgkin DiseaseHumansLymph NodesLymphomaLymphoma, FollicularLymphoma, Large B-Cell, DiffuseLymphoma, Non-HodgkinMagnetic Resonance ImagingFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID27607161
PMCPMC5538384
OpenAlexW2507439586

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.