Evidence map›Paper›PMID 29743027›Full record

Trial reportBMC medical imaging2018

Quantification of FDG-PET/CT with delayed imaging in patients with newly diagnosed recurrent breast cancer.

Christina Baun, Kirsten Falch, Oke Gerke, Jeanette Hansen, Tram Nguyen, Abass Alavi, Poul-Flemming Høilund-Carlsen, Malene G Hildebrandt

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC medical 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 NCT01552655 (Breast Cancer Recurrence - the Accuracy of Dual-time PET/CT), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

NCT01552655 nacompletednot on this map

Breast Cancer Recurrence - the Accuracy of Dual-time PET/CT

TypeinterventionalSponsorOdense University HospitalRan2011 to 2014Enrolled101ConditionsBreast Cancer RecurrentArmsDual-time PET/CT (low-dose)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Modelling image quality over extended [Frontiers in oncology · 2026
    Article
  3. [Diagnostics (Basel, Switzerland) · 2025
    Article
  4. Improvement of image quality for small lesion sizes inAsia Oceania journal of nuclear medicine & biology · 2025
    Article
  5. Article
  6. Potential use of [Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
    Article
  7. Article
  8. Prognostic Value of Dual-Time-PointDiagnostics (Basel, Switzerland) · 2020
    Article
  9. Prognostic significance ofAmerican journal of nuclear medicine and molecular imaging · 2020
    Article
  10. Article
  11. 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.

Christina BaunDepartment of Nuclear Medicine, University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark. Christina.baun@rsyd.dk.ORCID 0000-0002-5199-9200
Kirsten FalchDepartment of Nuclear Medicine, University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.
Oke GerkeDepartment of Nuclear Medicine, University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.
Jeanette HansenDepartment of Nuclear Medicine, University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.
Tram NguyenDepartment of Nuclear Medicine, University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.
Abass AlaviUniversity of Pennsylvania, Philadelphia, USA.
Poul-Flemming Høilund-CarlsenDepartment of Nuclear Medicine, University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.
Malene G HildebrandtDepartment of Nuclear Medicine, University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies have shown the advantage of delayed-time-point imaging with 18F-FDG-PET/CT to distinguish malignant from benign uptake. This may be relevant in cancer diseases with low metabolism, such as breast cancer. We aimed at examining the change in SUV from 1 h (1h) to 3 h (3h) time-point imaging in local and distant lesions in patients with recurrent breast cancer. Furthermore, we investigated the effect of partial volume correction in the different types of metastases, using semi-automatic quantitative software (ROVER™).

methodsOne-hundred and two patients with suspected breast cancer recurrence underwent whole-body PET/CT scans 1h and 3h after FDG injection. Semi-quantitative standardised uptake values (SUVmax, SUVmean) and partial volume corrected SUVmean (cSUVmean), were estimated in malignant lesions, and as reference in healthy liver tissue. The change in quantitative measures from 1h to 3h was calculated, and SUVmean was compared to cSUVmean. Metastases were verified by biopsy.

resultsOf the 102 included patients, 41 had verified recurrent disease with in median 15 lesions (range 1-70) amounting to a total of 337 malignant lesions included in the analysis. SUVmax of malignant lesions increased from 6.4 ± 3.4 [0.9-19.7] (mean ± SD, min and max) at 1h to 8.1 ± 4.4 [0.7-29.7] at 3h. SUVmax in breast, lung, lymph node and bone lesions increased significantly (p < 0.0001) between 1h and 3h by on average 25, 40, 33, and 27%, respectively. A similar pattern was observed with (uncorrected) SUVmean. Partial volume correction increased SUVmean significantly, by 63 and 71% at 1h and 3h imaging, respectively. The highest impact was in breast lesions at 3h, where cSUVmean increased by 87% compared to SUVmean.

conclusionSUVs increased from 1h to 3h in malignant lesions, SUVs of distant recurrence were in general about twice as high as those of local recurrence. Partial volume correction caused significant increases in these values. However, it is questionable, if these relatively modest quantitative advances of 3h imaging are sufficient to warrant delayed imaging in this patient group.

trial registrationClinicalTrails.gov NCT01552655 . Registered 28 February 2012, partly retrospectively registered.

Indexed as

AgedBreast NeoplasmsDiagnosis, DifferentialFemaleFluorodeoxyglucose F18HumansMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalPositron Emission Tomography Computed TomographyRetrospective StudiesTime FactorsWhole Body ImagingFluorodeoxyglucose F18Breast cancerDelayed-time-pointFDG-PET/CTPartial volume correctionStandardised uptake values

Identifiers

PMID29743027
PMCPMC5943993

What OpenQuestion holds

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LicenceCC BY
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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.