Evidence map›Paper›PMID 27838763›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

The clinical utility of FDG PET/CT among solid organ transplant recipients suspected of malignancy or infection.

Neval E Wareham, J D Lundgren, C Da Cunha-Bang, F Gustafsson, M Iversen, H H Johannesen, A Kjær, A Rasmussen, H Sengeløv, S S Sørensen and 1 more

Abstract readEvaluation Study
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Nuclear medicine and molecular imaging · 2025
    Article
  2. Article
  3. Article
  4. Clinical Utility ofJournal of imaging · 2023
    Article
  5. Article
  6. SNMMI Procedure Standard/EANM Practice Guideline on PediatricJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021
    Article
  7. Article
  8. Diagnostic Performance ofDiagnostics (Basel, Switzerland) · 2020
    Review
  9. Application of animal and human PET in cardiac research.American journal of cardiovascular disease · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Neval E WarehamCentre for Health and Infectious Disease Research (CHIP), Department of Infectious Diseases, Section 2100, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark. neval.ete.wareham@regionh.dk.
J D LundgrenCentre for Health and Infectious Disease Research (CHIP), Department of Infectious Diseases, Section 2100, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark.
C Da Cunha-BangDepartment of Haematology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
F GustafssonDepartment of Cardiology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
M IversenDepartment of Cardiology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
H H JohannesenDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
A KjærDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
A RasmussenDepartment of Surgical Gastroenterology, Rigshospitalet, Blegdamsvek 9, 2100 Copenhagen Ø, Denmark.
H SengeløvDepartment of Haematology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
S S SørensenDepartment of Nephrology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
B M FischerDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSolid organ transplant (SOT) recipients are at high risk of developing infections and malignancies.

methodsRecipients with a post-transplant FDG PET/CT performed as part of diagnostic work-up were included. Detailed chart reviews were done to extract relevant clinical information and determine the final diagnosis related to the FDG PET/CT. Based on á priori defined criteria and the final diagnosis, results from each scan were classified as true or false, and diagnostic values determined.

resultsAmong the 1,814 recipients in the cohort, 145 had an FDG PET/CT performed; 122 under the indication of diagnostically unresolved symptoms with a suspicion of malignancy or infection. The remaining (N = 23) had an FDG PET/CT to follow-up on a known disease or to stage a known malignancy. The 122 recipients underwent a total of 133 FDG PET/CT scans performed for a suspected malignancy (66 %) or an infection (34 %). Sensitivity, specificity, and positive and negative predictive values of the FDG PET/CT in diagnosing these conditions were 97, 84, 87, and 96 %, respectively.

conclusionFDG PET/CT is an accurate diagnostic tool for the work-up of diagnostic unresolved SOT recipients suspected of malignancy or infection. The high sensitivity and NPV underlines the potential usefulness of PET/CT for excluding malignancy or focal infections in this often complex clinical situation.

Indexed as

Fluorodeoxyglucose F18Positron Emission Tomography Computed TomographyRadiopharmaceuticalsAdultFemaleHumansInfectionsMaleMiddle AgedNeoplasmsOrgan TransplantationPostoperative ComplicationsFluorodeoxyglucose F18RadiopharmaceuticalsDiagnostic performanceInfectionMalignancyPET/CTSolid organ transplantation

Identifiers

PMID27838763
PMCPMC5281676

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Registered trials

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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.