Evidence map›Paper›PMID 28634685›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Poor predictive value of positive interim FDG-PET/CT in primary mediastinal large B-cell lymphoma.

Julien Lazarovici, Marie Terroir, Julia Arfi-Rouche, Jean-Marie Michot, Sacha Mussot, Valentina Florea, Maria-Rosa Ghigna, Peggy Dartigues, Cynthia Petrovanu, Alina Danu and 3 more

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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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Allogeneic Stem Cell Transplantation Provides Durable Remission in Patients with Primary Mediastinal Large B Cell Lymphoma.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  3. Observational
  4. Review
  5. Article
  6. Observational
  7. Review
  8. Prognostic Role of Interim 18-Fluorodeoxyglucose-PET in Diffuse Large B Cell Lymphoma: Experience from a Tertiary Care Centre in North India.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
  9. Article
  10. Article
  11. Deauville score evaluation of interim PET/CT in primary mediastinal large B-cell lymphoma.European journal of nuclear medicine and molecular imaging · 2021
    Article
  12. Prognostic value ofClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Article
  13. Normative values of thymus in healthy children; stiffness by shear wave elastography.Diagnostic and interventional radiology (Ankara, Turkey) · 2020
    Article
  14. European research trends in nuclear medicine.Annals of nuclear medicine · 2018
    Review
  15. Ultra-early response assessment in lymphoma treatment: [European journal of nuclear medicine and molecular imaging · 2018
    Article
  16. Article
  17. Interim FDG-PET in lymphoma, a questionable practice in hematology.European journal of nuclear medicine and molecular imaging · 2017
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Julien LazaroviciDepartment of Hematology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Marie TerroirDepartment of Nuclear Medicine and Endocrine Oncology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Julia Arfi-RoucheDepartment of Radiology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Jean-Marie MichotDepartment of Drug Development (DITEP), Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Sacha MussotDepartment of Thoracic Surgery, Marie Lannelongue Hospital, 133 avenue de la Résistance, 92350, Le Plessis Robinson, France.
Valentina FloreaDepartment of Thoracic Surgery, Marie Lannelongue Hospital, 133 avenue de la Résistance, 92350, Le Plessis Robinson, France.
Maria-Rosa GhignaDepartment of Pathology, Marie Lannelongue Hospital, 133 avenue de la Résistance, 92350, Le Plessis Robinson, France.
Peggy DartiguesDepartment of Pathology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Cynthia PetrovanuDepartment of Hematology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Alina DanuDepartment of Hematology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Christophe FerméDepartment of Hematology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Vincent RibragDepartment of Hematology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
David GhezDepartment of Hematology, Gustave Roussy and Université Paris Saclay, 114 Rue Edouard Vaillant, 94805, Villejuif, France. david.ghez@gustaveroussy.fr.
Université Paris-Saclay · FRInstitut Gustave Roussy · FRHôpital Marie Lannelongue · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThough commonly used to assess response to therapy, the prognostic value of interim FDG-PET/CT in Primary Mediastinal Large B-cell Lymphoma (PMBCL) is unclear.

methodsWe conducted a retrospective study on 36 consecutive patients treated at our institution for a PMBCL between 2006 and 2014. All patients with a positive interim FDG-PET/CT had undergone histological restaging consisting either in a surgical debulking of the residual lesion (15 patients) or a CT-guided core needle biopsy (two patients). All FDG-PET/CT were secondarily reviewed according to the more recent Deauville criteria.

resultsInterim FDG-PET/CT was considered positive in 17/36 patients using visual evaluation. Among these patients, 14 had a Deauville score of 4. Histological restaging was negative in all but one case, showing inflammation and/or fibrosis. After a median follow-up of 48.5 months, a total of five patients have relapsed, two patients in the positive FDG-PET/CT group, and three patients in the negative FDG-PET/CT group, respectively.

conclusionsThese data indicate that a positive interim FDG-PET/CT does not reflect persistence of active disease in the vast majority of PMBCL cases. The relapse rate appears similar regardless of interim FDG-PET/CT results and interpretation criteria. This suggests that interim FDG-PET/CT has a poor positive predictive value, thus kt should be used with caution in PMBCL.

Indexed as

Fluorodeoxyglucose F18Positron Emission Tomography Computed TomographyAdolescentAdultFemaleHumansLymphoma, B-CellMaleMediastinal NeoplasmsMiddle AgedNeoplasm StagingPredictive Value of TestsRetrospective StudiesYoung AdultFluorodeoxyglucose F1818FDG pet/CtPositive predictive valuePrimary mediastinal large B-cell lymphoma

Identifiers

PMID28634685
OpenAlexW2678050653

What OpenQuestion holds

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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.