Evidence map›Paper›PMID 29567784›Full record

ArticleHaematologica2018

Treatment to suppression of focal lesions on positron emission tomography-computed tomography is a therapeutic goal in newly diagnosed multiple myeloma.

Faith E Davies, Adam Rosenthal, Leo Rasche, Nathan M Petty, James E McDonald, James A Ntambi, Doug M Steward, Susan B Panozzo, Frits van Rhee, Maurizio Zangari and 7 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% 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

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

  1. The [European journal of nuclear medicine and molecular imaging · 2026
    Pooled it
  2. EANM guidelines on the use of [European journal of nuclear medicine and molecular imaging · 2024
    Guideline
  3. Prognostic value ofClinical and experimental medicine · 2023
    Pooled it
  4. Trial
  5. Interpreting [European journal of nuclear medicine and molecular imaging · 2026
    Article
  6. Bone marrow SUVmax onImmunologic research · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Imaging of Multiple Myeloma: Present and Future.Journal of clinical medicine · 2024
    Review
  20. 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

17 authors at 2 institutions in 1 country.

Faith E DaviesMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA fedavies@uams.edu.
Adam RosenthalCancer Research and Biostatistics, Seattle, WA, USA.
Leo RascheMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Nathan M PettyMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
James E McDonaldDepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
James A NtambiDepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Doug M StewardMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Susan B PanozzoMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Frits van RheeMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Maurizio ZangariMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Carolina D SchinkeMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Sharmilan ThanendrarajanMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Brian WalkerMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Niels WeinholdMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Bart BarlogieMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Antje HoeringCancer Research and Biostatistics, Seattle, WA, USA.
Gareth J MorganMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
University of Arkansas for Medical Sciences · USCancer Research And Biostatistics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluorine-18 fluorodeoxyglucose positron emission tomography with computed tomography attenuation correction (PET-CT) in myeloma can detect and enumerate focal lesions by the quantitative characterization of metabolic activity. The aim of this study was to determine the prognostic significance of the suppression of PET-CT activity at a number of time points post therapy initiation: day 7, post induction, post transplant, and at maintenance therapy. As part of the TT4-6 trial series, 596 patients underwent baseline PET-CT and were evaluated serially during their disease course using peak standardized uptake values above background red marrow signal. We demonstrate that the presence of more than 3 focal lesions at presentation identifies a group of patients with an adverse progression-free survival and overall survival. At day 7 of therapy, patients with complete focal lesion signal suppression revert to the same prognosis as those with no lesions at diagnosis. At later time points, the continued suppression of signal remains prognostically important. We conclude that for newly diagnosed patients with focal lesions, treatment until these lesions are suppressed is an important therapeutic goal as the prognosis of these patients is the same as those without lesions at diagnosis. (

Indexed as

Positron Emission Tomography Computed TomographyAgedAged, 80 and overCombined Modality TherapyFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedMultiple MyelomaNeoplasm, ResidualPrognosisSurvival AnalysisTreatment OutcomeFluorodeoxyglucose F18

Identifiers

PMID29567784
PMCPMC6058800
OpenAlexW2793098420

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.