Evidence map›Paper›PMID 27990685›Full record

ArticleStatistics in medicine2017

Statistical assessment of treatment response in a cancer patient based on pre-therapy and post-therapy FDG-PET scans.

E Wolsztynski, F O'Sullivan, J O'Sullivan, J F Eary

Abstract read
In one paragraph

Article in Statistics in medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Efficient Bandwidth Estimation in 2D Filtered Backprojection Reconstruction.IEEE transactions on image processing : a publication of the IEEE Signal Processing Society · 2019
    Article
  4. Article
  5. 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.

E WolsztynskiSchool of Mathematical Sciences, University College Cork, Cork, Ireland.
F O'SullivanSchool of Mathematical Sciences, University College Cork, Cork, Ireland.
J O'SullivanSchool of Mathematical Sciences, University College Cork, Cork, Ireland.
J F EaryDepartment of Radiology, University of Alabama, Birmingham, U.S.A.

Funding

RadiochemistryP01CA042045 · NCI · UNIVERSITY OF WASHINGTON · PI LINK, JEANNE MEYERS · 1986 to 2015
$23.2M
PET IN SARCOMA--A CLINICAL TRIALR01CA065537 · NCI · UNIVERSITY OF WASHINGTON · PI EARY, JANET F. · 1995 to 2011
$5.0M
NCI NIH HHS P01 CA042045NCI NIH HHS R01 CA065537
6 · The paper itself

Abstract

This work arises from consideration of sarcoma patients in which fluorodeoxyglucose positron emission tomography (FDG-PET) imaging pre-therapy and post-chemotherapy is used to assess treatment response. Our focus is on methods for evaluation of the statistical uncertainty in the measured response for an individual patient. The gamma distribution is often used to describe data with constant coefficient of variation, but it can be adapted to describe the pseudo-Poisson character of PET measurements. We propose co-registering the pre-therapy and post- therapy images and modeling the approximately paired voxel-level data using the gamma statistics. Expressions for the estimation of the treatment effect and its variability are provided. Simulation studies explore the performance in the context of testing for a treatment effect. The impact of misregistration errors and how test power is affected by estimation of variability using simplified sampling assumptions, as might be produced by direct bootstrapping, is also clarified. The results illustrate a marked benefit in using a properly constructed paired approach. Remarkably, the power of the paired analysis is maintained even if the pre-image and post- image data are poorly registered. A theoretical explanation for this is indicated. The methodology is further illustrated in the context of a series of fluorodeoxyglucose-PET sarcoma patient studies. These data demonstrate the additional prognostic value of the proposed treatment effect test statistic. Copyright © 2016 John Wiley & Sons, Ltd.

Indexed as

Data Interpretation, StatisticalPositron-Emission TomographyAntineoplastic AgentsConfidence IntervalsFluorodeoxyglucose F18HumansKaplan-Meier EstimateLinear ModelsModels, StatisticalMultivariate AnalysisPrognosisReproducibility of ResultsSarcomaTreatment OutcomeAntineoplastic AgentsFluorodeoxyglucose F18gamma distributionpaired analysispatient-adaptive treatmentpercentage change in meantherapeutic effectiveness

Identifiers

PMID27990685
PMCPMC5334348

What OpenQuestion holds

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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.