Evidence map›Paper›PMID 28600647›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Hybrid

Briete Goorts, Stefan Vöö, Thiemo J A van Nijnatten, Loes F S Kooreman, Maaike de Boer, Kristien B M I Keymeulen, Romy Aarnoutse, Joachim E Wildberger, Felix M Mottaghy, Marc B I Lobbes and 1 more

Registry-linked trialAbstract readEvaluation Study
PubMed Publisher
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. It is linked to trial NCT07587086 (Use of Imaging Markers by Fluorocholine PET/MR to Predict Molecular Subtypes and Clinical Outcomes of Breast Cancer), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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.

NCT07587086 recruitingnot on this mapstarted 2022, after this paper: background citation

Use of Imaging Markers by Fluorocholine PET/MR to Predict Molecular Subtypes and Clinical Outcomes of Breast Cancer: A Pilot Study

Typeobservational_patient_registrySponsorTaipei Veterans General Hospital, TaiwanRan2022 to 2028Enrolled195ConditionsBreast Neoplasms, FemaleArmsPET-MRI (PET/MR)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The role ofRadiation oncology (London, England) · 2024
    Pooled it
  2. Joint EANM-SNMMI guideline on the role of 2-[European journal of nuclear medicine and molecular imaging · 2024
    Guideline
  3. [Breast (Edinburgh, Scotland) · 2026
    Trial
  4. Article
  5. Article
  6. [Insights into imaging · 2024
    Article
  7. Review
  8. The current role of nuclear medicine in breast cancer.The British journal of radiology · 2023
    Review
  9. Breast PET/MRI Hybrid Imaging and Targeted Tracers.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  10. Article
  11. Review
  12. Value ofEJNMMI research · 2021
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. 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

11 authors.

Briete GoortsGROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands. b.goorts@hotmail.com.ORCID http://orcid.org/0000-0002-3556-3407
Stefan VööDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.
Thiemo J A van NijnattenGROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
Loes F S KooremanGROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
Maaike de BoerDepartment of Medical Oncology, Maastricht University Medical Center, Maastricht, the Netherlands.
Kristien B M I KeymeulenDepartment of Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands.
Romy AarnoutseGROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
Joachim E WildbergerDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.
Felix M MottaghyDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.
Marc B I LobbesDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.
Marjolein L SmidtGROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.

Funding

Maastricht Universitair Medisch Centrum academic incentive
6 · The paper itself

Abstract

purposeOur purpose in this study was to assess the added clinical value of hybrid

methodsIn this prospective study, primary invasive cT2-4 N0 or cT1-4 N+ breast cancer patients undergoing NAC were included. A PET/MRI breast protocol was performed before treatment. MR images were evaluated by a breast radiologist, blinded for PET images. PET images were evaluated by a nuclear physician. Afterwards, a combined PET/MRI report was written. PET/MRI staging was compared to conventional imaging, i.e., mammography, ultrasound and MRI. The proportion of patients with a modified treatment plan based on PET/MRI findings was analyzed.

resultsA total of 40 patients was included. PET/MRI was of added clinical value in 20.0% (8/40) of patients, changing the treatment plan in 10% and confirming the malignancy of suspicious lesions on MRI in another 10%. In seven (17.5%) patients radiotherapy fields were extended because of additional or affirmative PET/MRI findings being lymph node metastases (n = 5) and sternal bone metastases (n = 2). In one (2.5%) patient radiotherapy fields were reduced because of fewer lymph node metastases on PET/MRI compared to conventional imaging. Interestingly, all treatment changes were based on differences in number of lymph nodes suspicious for metastasis or number of distant metastasis, whereas differences in intramammary tumor extent were not observed.

conclusionPrior to NAC, PET/MRI shows promising results for locoregional staging compared to conventional imaging, changing the treatment plan in 10% of patients and potentially replacing PET/CT or tissue sampling in another 10% of patients.

Indexed as

AdultAgedBreast NeoplasmsChemotherapy, AdjuvantFemaleFluorodeoxyglucose F18HumansMagnetic Resonance ImagingMiddle AgedMultimodal ImagingPositron-Emission TomographyRadiopharmaceuticalsFluorodeoxyglucose F18RadiopharmaceuticalsBreast cancerLocoregional stagingNeoadjuvant chemotherapyPET/MRI

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.