Evidence map›Paper›PMID 28462446›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Comparison of FDG-PET/CT and contrast-enhanced CT for monitoring therapy response in patients with metastatic breast cancer.

Christopher C Riedl, Katja Pinker, Gary A Ulaner, Leonard T Ong, Pascal Baltzer, Maxine S Jochelson, Heather L McArthur, Mithat Gönen, Maura Dickler, Wolfgang A Weber

Abstract readComparative 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 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
–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

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. The impact of PET imaging on triple negative breast cancer: an updated evidence-based perspective.European journal of nuclear medicine and molecular imaging · 2024
    Pooled it
  2. Joint EANM-SNMMI guideline on the role of 2-[European journal of nuclear medicine and molecular imaging · 2024
    Guideline
  3. Pooled it
  4. Article
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  6. Review
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  9. Efficacy assessment in phase I clinical trials: endpoints and challenges.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Review
  10. Review
  11. IsCancers · 2024
    Review
  12. Repeatability ofEJNMMI research · 2024
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Cost-effectiveness of 2-[Scientific reports · 2023
    Article
  19. The current role of nuclear medicine in breast cancer.The British journal of radiology · 2023
    Review
  20. Influence of [Diagnostics (Basel, Switzerland) · 2023
    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

10 authors.

Christopher C RiedlDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA. riedlc@mskcc.org.ORCID http://orcid.org/0000-0001-9255-7380
Katja PinkerDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Gary A UlanerDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Leonard T OngDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Pascal BaltzerDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, 1090, Vienna, Austria.
Maxine S JochelsonDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Heather L McArthurDepartment of Medicine, Breast Oncology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.
Mithat GönenDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Maura DicklerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Wolfgang A WeberDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.

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 aim of this study was to compare fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) and contrast-enhanced computed tomography (CE-CT) for the prediction of progression-free survival (PFS) and disease-specific survival (DSS) in patients with stage IV breast cancer undergoing systemic therapy.

methodsSixty-five patients with metastatic breast cancer treated with first- or second-line systemic therapy in prospective clinical trials were included. Response to treatment was evaluated by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 for CE-CT and by PET Response Criteria in Solid Tumors (PERCIST), respectively.

resultsAll responders by RECIST (n = 22) were also responders by PERCIST, but 40% (17/43) of non-responders by RECIST were responders by PERCIST. Responses according to RECIST and PERCIST both correlated with PFS, but PERCIST showed a significantly higher predictive accuracy (concordance index for PFS: 0.70 vs. 0.60). One-year PFS for responders vs. non-responders by RECIST was 59% vs. 27%, compared to 63% vs. 0% by PERCIST. Four-year DSS of responders and non-responders by RECIST was 50% and 38%, respectively (p = 0.2, concordance index: 0.55) as compared to 58% vs. 18% for PERCIST (p < 0.001, concordance index: 0.65). Response on PET/CT was also a significantly better predictor for DSS than disease control on CE-CT.

conclusionsIn patients with metastatic breast cancer, tumor response on PET/CT appears to be a superior predictor of PFS and DSS than response on CE-CT. Monitoring tumor response by PET/CT may increase the power of clinical trials using tumor response as an endpoint, and may improve patient management in clinical routine.

Indexed as

Contrast MediaFluorodeoxyglucose F18Positron Emission Tomography Computed TomographyAdultAgedAged, 80 and overBreast NeoplasmsDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm MetastasisRetrospective StudiesTreatment OutcomeContrast MediaFluorodeoxyglucose F18Breast cancerFDGPET/CTSurvivalTreatment response

Identifiers

PMID28462446
PMCPMC5526620

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.