Evidence map›Paper›PMID 28841702›Full record

ArticlePloS one2017

Prognostic value of FDG-PET indices for the assessment of histological response to neoadjuvant chemotherapy and outcome in pediatric patients with Ewing sarcoma and osteosarcoma.

Clement Bailly, Rodolphe Leforestier, Loic Campion, Estelle Thebaud, Anne Moreau, Francoise Kraeber-Bodere, Thomas Carlier, Caroline Bodet-Milin

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. SUVmax onBioMed research international · 2026
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  6. Review
  7. The Impact of PET/CT on Paediatric Oncology.Diagnostics (Basel, Switzerland) · 2023
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  8. Article
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  10. Clinical Perspectives forMetabolites · 2022
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  11. [European radiology · 2021
    Article
  12. Review
  13. Can pretreatmentEuropean radiology · 2019
    Article
  14. Article
  15. The British journal of radiology · 2019
    Review
  16. Article
  17. Article
  18. 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

8 authors at 2 institutions in 1 country.

Clement BaillyNuclear Medicine Department, University Hospital, Nantes, France.
Rodolphe LeforestierNuclear Medicine Department, University Hospital, Nantes, France.
Loic CampionBiometrics Department, ICO René Gauducheau Cancer Center, Saint Herblain, France.
Estelle ThebaudPediatric Oncology Department, University Hospital, Nantes, France.
Anne MoreauPathology Department, University Hospital, Nantes, France.
Francoise Kraeber-BodereNuclear Medicine Department, University Hospital, Nantes, France.
Thomas CarlierNuclear Medicine Department, University Hospital, Nantes, France.
Caroline Bodet-MilinNuclear Medicine Department, University Hospital, Nantes, France.ORCID http://orcid.org/0000-0002-8219-3592
Centre National de la Recherche Scientifique · FRInstitut Génétique Nantes Atlantique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this retrospective work was to evaluate the prognostic value on histological response and survival of quantitative indices derived from FDG-PET performed before and after chemotherapy (CHT), in a homogeneous pediatric Ewing sarcoma (EWS) and Osteosarcoma (OST) population.

methodsThirty-one patients with EWS and 31 with OST were included. All patients were treated with neoadjuvant CHT, and underwent surgery for local control. All patients had FDG-PET at diagnosis and after CHT, prior to surgery. Several parameters were evaluated: SUVmax, SUVpeak, SUVmean, metabolic tumor volume, total lesion glycolysis, 7 textural features and 3 shape features (SF). The segmentation was performed using an adaptive approach. Results were compared to histopathological regression of the resected tumor and to clinical follow-up for survival evaluation.

resultsFor EWS, univariate analysis did not highlight any prognostic value on histological response, or survival regardless of all the considered metrics. For OST, only one of the SF, namely elongation, was significantly associated with PFS and OS on both univariate and multivariate analysis (PFS: p = 0.019, HR = 5.583; OS: p = 0.0062, HR = 7.113).

conclusionOnly elongation determined on initial FDG-PET has a potential interest as a prognostic factor of PFS and OS in pediatric OST patients. Unlike recent studies of the literature realized in adult population, all the metrics reveal limited additional prognostic value in pediatric EWS patients. This seems to reinforce the question of whether children experience different subtypes of the same pathologies than older patients, with different outcomes.

Indexed as

AdolescentChemotherapy, AdjuvantChildFemaleFluorodeoxyglucose F18HumansMaleNeoplasm MetastasisOsteosarcomaPositron-Emission TomographyPrognosisSarcoma, EwingTreatment OutcomeFluorodeoxyglucose F18

Identifiers

PMID28841702
PMCPMC5571925
OpenAlexW2748609852

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.