Evidence map›Paper›PMID 29270787›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2018

Interpretation criteria for FDG PET/CT in multiple myeloma (IMPeTUs): final results. IMPeTUs (Italian myeloma criteria for PET USe).

Cristina Nanni, Annibale Versari, Stephane Chauvie, Elisa Bertone, Andrea Bianchi, Marco Rensi, Marilena Bellò, Andrea Gallamini, Francesca Patriarca, Francesca Gay and 5 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01910987 (A Randomized, Controlled Phase 3 Study to Evaluate Optimized Retreatment and Prolonged Therapy With Bortezomib), which is not on this map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing 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.

NCT01910987 phase3completednot on this map

A Randomized, Controlled Phase 3 Study to Evaluate Optimized Retreatment and Prolonged Therapy With Bortezomib (Velcade) in Patients With Multiple Myeloma in First or Second Relapse.

TypeinterventionalSponsorJanssen-Cilag International NVRan2013 to 2016Enrolled80ConditionsMultiple MyelomaArmsbortezomib (optimized retreatment), dexamethasone (optimized retreatment), bortezomib (standard retreatment), dexamethasone (standard retreatment)
3 · Its place in the literature

Who cites it

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

  1. International Myeloma Working Group Recommendations for the Diagnosis and Management of Solitary Plasmacytomas.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Guideline
  2. Pooled it
  3. EANM guidelines on the use of [European journal of nuclear medicine and molecular imaging · 2024
    Guideline
  4. Trial
  5. Trial
  6. Application of an artificial intelligence-based tool in [European journal of nuclear medicine and molecular imaging · 2023
    Trial
  7. Chemokine receptor-4 targeted PET/CT withEuropean journal of nuclear medicine and molecular imaging · 2020
    Trial
  8. Review
  9. Article
  10. Bone marrow SUVmax onImmunologic research · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. PET in myeloma redefined: a comparative imaging study with FDG and fluorocholine PET/CT.European journal of nuclear medicine and molecular imaging · 2026
    Article
  15. Cross-modal fusion of cytomorphology andFrontiers in immunology · 2026
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

9 more citing papers are in PubMed but not listed here.

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

15 authors.

Cristina NanniMedicina Nucleare Metropolitana, Bld 30, AOU Policlinico S. Orsola-Malpighi, Via Massarenti, 9, 40138, Bologna, Italy. cristina.nanni@aosp.bo.it.ORCID http://orcid.org/0000-0003-2000-1599
Annibale VersariNuclear Medicine, IRCSS Reggio Emilia, S. Maria Nuova Hospital, Reggio Emilia, Italy.
Stephane ChauvieMedical Physics Division, Santa Croce e Carle Hospital, Cuneo, Italy.
Elisa BertoneMedical Physics Division, Santa Croce e Carle Hospital, Cuneo, Italy.
Andrea BianchiNuclear Medicine, Santa Croce e Carle Hospital, Cuneo, Italy.
Marco RensiNuclear Medicine, AOU S. Maria della Misericordia, Udine, Italy.
Marilena BellòNuclear Medicine, AO Città della Salute e della Scienza, Torino, Italy.
Andrea GallaminiResearch, Innovation and Statistics Department. A. Lacassagne Cancer Center, Nice, France.
Francesca PatriarcaHematologic Clinic, Udine University, Udine, Italy.
Francesca GayMyeloma Unit, Division of Hematology, University of Torino, Torino, Italy.
Barbara GamberiHematology Unit, IRCCS, Reggio Emilia, S. Maria Nuova Hospital, Reggio Emilia, Italy.
Pietro GhediniMedicina Nucleare Metropolitana, Bld 30, AOU Policlinico S. Orsola-Malpighi, Via Massarenti, 9, 40138, Bologna, Italy.
Michele CavoHematology, AOU Policlinico S. Orsola-Malpighi, Bologna, Italy.
Stefano FantiMedicina Nucleare Metropolitana, Bld 30, AOU Policlinico S. Orsola-Malpighi, Via Massarenti, 9, 40138, Bologna, Italy.
Elena ZamagniHematology, AOU Policlinico S. Orsola-Malpighi, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ᅟ: FDG PET/CT ( MATERIALS AND

methodsPatients affected by symptomatic MM who had performed an FDG PET/CT at baseline (PET0), after induction (PET-AI), and the end of treatment (PET-EoT) were prospectively enrolled in a multicenter trial (EMN02)(NCT01910987; MMY3033). After anonymization, PET images were uploaded in the web platform WIDEN® and hence distributed to five expert nuclear medicine reviewers for a blinded independent central review according to the IMPeTUs criteria. Consensus among reviewers was measured by the percentage of agreement and the Krippendorff's alpha. Furthermore, on a patient-based analysis, the concordance among all the reviewers in terms of positivity or negativity of the FDG PET/CT scan was tested for different thresholds of positivity (Deauville score (DS 2, 3, 4, 5) for the main parameters (bone marrow, focal score, extra-medullary disease).

resultsEighty-six patients (211 FDG PET/CT scans) were included in this analysis. Median patient age was 58 years (range, 35-66 years), 45% were male, 15% of them were in stage ISS (International Staging System) III, and 42% had high-risk cytogenetics. The percentage agreement was superior to 75% for all the time points, reaching 100% of agreement in assessing the presence skull lesions after therapy. Comparable results were obtained when the agreement analysis was performed using the Krippendorff's alpha coefficient, either in every single time point of scanning (PET0, PET-AI or PET-EoT) or overall for all the scans together. DS proved highly reproducible with the highest reproducibility for score 4.

conclusionsIMPeTUs criteria proved highly reproducible and could therefore be considered as a base for harmonizing PET interpretation in multiple myeloma. A prospective clinical validation of IMPeTUs criteria is underway.

Indexed as

Positron Emission Tomography Computed TomographyAdultAgedFemaleFluorodeoxyglucose F18HumansItalyMaleMiddle AgedMultiple MyelomaPositron-Emission TomographyProspective StudiesRadiopharmaceuticalsReproducibility of ResultsTomography, X-Ray ComputedFluorodeoxyglucose F18RadiopharmaceuticalsFDG PET/CTIMPeTUsInterpretation criteriaMultiple myelomaStandardization

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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.