Evidence map›Paper›PMID 29893965›Full record

Trial reportNeuro-oncology2019

Dynamic 18F-FET PET is a powerful imaging biomarker in gadolinium-negative gliomas.

Mathias Kunz, Nathalie Lisa Albert, Marcus Unterrainer, Christian la Fougere, Rupert Egensperger, Ulrich Schüller, Juergen Lutz, Simone Kreth, Jörg-Christian Tonn, Friedrich-Wilhelm Kreth and 1 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Applications of artificial intelligence in nuclear medicine.Zeitschrift fur medizinische Physik · 2026
    Review
  3. Article
  4. Characteristics of [European journal of nuclear medicine and molecular imaging · 2026
    Article
  5. Article
  6. Utilizing temporal information to assess metabolic heterogeneity: a study ofQuantitative imaging in medicine and surgery · 2025
    Article
  7. Synthesis, preclinical assessment, and first-in-human study of [European journal of nuclear medicine and molecular imaging · 2025
    Article
  8. Contribution of [Pharmaceuticals (Basel, Switzerland) · 2024
    Review
  9. Article
  10. Review
  11. Advanced MR Techniques for Preoperative Glioma Characterization: Part 2.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  12. Review
  13. Article
  14. Combination of pre-treatment dynamic [European journal of nuclear medicine and molecular imaging · 2023
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Dynamic amino-acid PET in neuro-oncology: a prognostic tool becomes essential.European journal of nuclear medicine and molecular imaging · 2021
    Article
  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

11 authors at 5 institutions in 1 country.

Mathias KunzDepartment of Neurosurgery, University of Munich, Munich, Germany.
Nathalie Lisa AlbertDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Marcus UnterrainerDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Christian la FougereDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Rupert EgenspergerCenter for Neuropathology, University of Munich, Munich, Germany.
Ulrich SchüllerCenter for Neuropathology, University of Munich, Munich, Germany.
Juergen LutzDepartment of Clinical Radiology, University of Munich, Munich, Germany.
Simone KrethDepartment of Anaesthesiology, University of Munich, Munich, Germany.
Jörg-Christian TonnDepartment of Neurosurgery, University of Munich, Munich, Germany.
Friedrich-Wilhelm KrethDepartment of Neurosurgery, University of Munich, Munich, Germany.
Niklas ThonDepartment of Neurosurgery, University of Munich, Munich, Germany.
Deutschen Konsortium für Translationale Krebsforschung · DEGerman Cancer Research Center · DELudwig-Maximilians-Universität München · DEUniversität Hamburg · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to elucidate the place of dynamic O-(2-[18F]-fluoroethyl)-L-tyrosine (18F-FET) PET in prognostic models of gadolinium (Gd)-negative gliomas.

methodsIn 98 patients with Gd-negative gliomas undergoing 18F-FET PET guided biopsy, time activity curves (TACs) of each tumor were qualitatively categorized as either increasing or decreasing. Additionally, post-hoc quantitative analyses were done using minimal time-to-peak (TTPmin) measurements. Prognostic factors were obtained from multivariate hazards models. The fit of the biospecimen- and imaging-derived models was compared.

resultsA homogeneous increasing, mixed, and homogeneous decreasing TAC pattern was seen in 51, 19, and 28 tumors, respectively. Mixed TAC tumors exhibited both increasing and decreasing TACs. Corresponding adjusted 5-year survival was 85%, 47%, and 19%, respectively (P < 0.001). Qualitative and quantitative TAC measurements were highly intercorrelated (P < 0.0001). TTPmin was longest (shortest) in the homogeneous increasing (decreasing) TAC group and in between in the mixed TAC group. TTPmin was longer in isocitrate dehydrogenase (IDH)-mutant tumors (P < 0.001). Outcome was similarly precisely predicted by biospecimen- and imaging-derived models. In the biospecimen model, World Health Organization (WHO) grade (P < 0.0001) and IDH status (P < 0.001) were predictors for survival. Outcome of homogeneous increasing (homogeneous decreasing) TAC tumors was nearly identical, with both TTPmin > 25 min (TTPmin ≤ 12.5 min) tumors and IDH-mutant grade II (IDH-wildtype) gliomas. Outcome of mixed TAC tumors matched that of both intermediate TTPmin (>12.5 min and ≤25 min) and IDH-mutant, grade III gliomas. Each of the 3 prognostic clusters differed significantly from the other ones of the respective models (P < 0.001).

conclusionTAC measurements constitute a powerful biomarker independent from tumor grade and IDH status.

Indexed as

Biomarkers, TumorFemaleFollow-Up StudiesGadoliniumGliomaHumansMaleMiddle AgedNeoplasm Recurrence, LocalPositron-Emission TomographyPrognosisProspective StudiesSurvival RateTyrosine(18F)fluoroethyltyrosineBiomarkers, TumorGadoliniumTyrosine18F-FET PETbiomarkersgliomaprognosistargeted therapy

Identifiers

PMID29893965
PMCPMC6374762
OpenAlexW2807341704

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.