Evidence map›Paper›PMID 29086023›Full record

ArticleEuropean radiology2018

Diagnostic and prognostic value of 18F-FDG PET, CT, and MRI in perineural spread of head and neck malignancies.

Laurent Dercle, Dana Hartl, Laura Rozenblum-Beddok, Fatima-Zohra Mokrane, Romain-David Seban, Randy Yeh, François Bidault, Samy Ammari

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Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Correlatıon between PET-CT uptake values and pathologıcaly features ın head and neck cancer.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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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 3 institutions in 2 countries.

Laurent DercleDépartement d'imagerie médicale, Institut Gustave-Roussy, 94805, Villejuif, France. laurent.dercle@gmail.com.ORCID http://orcid.org/0000-0002-1322-0710
Dana HartlDépartement d'oto-rhino-laryngologie, Institut Gustave-Roussy, 94805, Villejuif, France.
Laura Rozenblum-BeddokDépartement d'imagerie médicale, Institut Gustave-Roussy, 94805, Villejuif, France.
Fatima-Zohra MokraneRadiology department, Rangueil University Hospital, 1 avenue du Professeur Jean Poulhes. 31059 CEDEX, Toulouse, France.
Romain-David SebanDépartement d'imagerie médicale, Institut Gustave-Roussy, 94805, Villejuif, France.
Randy YehDepartment of Radiology, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY, 10039, USA.
François BidaultDépartement d'imagerie médicale, Institut Gustave-Roussy, 94805, Villejuif, France.
Samy AmmariDépartement d'imagerie médicale, Institut Gustave-Roussy, 94805, Villejuif, France.
Institut Gustave Roussy · FRNewYork–Presbyterian Hospital · USUniversité Fédérale de Toulouse Midi-Pyrénées · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe assessed whether quantitative imaging biomarkers derived from fluorodeoxyglucose-positron emission tomography (18F-FDG PET) could be extracted from perineural spread (PNS) in head and neck malignancies (HNM) to improve patient risk stratification.

methodsA case-control exploratory study (1:2 ratio) enrolled 81 patients with FDG-avid HNM. The case-group comprised 28 patients with documented PNS (reference: expert consensus), including 14 squamous cell carcinomas (SCC). Imaging biomarkers were extracted from the PNS on 18F-FDG PET, CT-scan, and MRI. The control-group enrolled 53 SCCs. The Cox proportional-hazards regression model explored the association with overall survival by univariate and multivariate analyses.

resultsThe rate of PNS detection by 18F-FDG PET was 100% in the case-group. Quantitative imaging biomarkers were not associated with the presence of sensory (p>0.20) or motor (p>0.10) symptoms. In SCC patients (case: 14; control: 53), PNS was associated with a hazard ratio of death of 5.5 (95%CI: 1.4:20.9) by multivariate analysis. Increased cranial nerve SUV

conclusionsOur pilot study showed the feasibility of extracting 18F-FDG PET biomarkers from PNS in FDG-avid HNM. Our results encourage the development of new PET/CT- or PET/MRI-guided management strategies in further prospective studies. KEY POINTS: • 18F-FDG PET/CT detects PNS in FDG-avid HNM. • PNS metabolism is more heterogeneous than healthy tissue. • PNS diagnosis is crucial: most patients were asymptomatic, N0 and M0. • PNS diagnosis is associated with poorer overall survival in SCC. • PET/CT- or PET/MRI-guided management strategies should be evaluated.

Indexed as

Magnetic Resonance ImagingPositron-Emission TomographyTomography, X-Ray ComputedBiomarkers, TumorCarcinoma, Squamous CellCase-Control StudiesFemaleFluorodeoxyglucose F18Head and Neck NeoplasmsHumansMaleMiddle AgedNeoplasm InvasivenessPeripheral Nervous System NeoplasmsPilot ProjectsPrognosisBiomarkers, TumorFluorodeoxyglucose F18Radiopharmaceuticals18F-FDG PETHead and neck cancerMRIPerineural extensionPerineural spread

Identifiers

PMID29086023
OpenAlexW2765681320

What OpenQuestion holds

Textmetadata
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.